This attestation must be completed by the physician or PA seeking MOC Part IV credit from one or more of the ABMS Member Boards participating in this program. Please submit the poster attestation and a copy of the poster in a PowerPoint or PDF format by November 14th to receive credit in the current year.  Credit can only be rewarded for those posters that reflect clinical quality improvement effort done at least partially if not completely within the previous 12 months (this does not include clinical research). Physicians and PA are not eligible to receive credit for a poster that reflects on effort that has been previously submitted.

Posters are required to include adequate and appropriate:

  • Aim Statement/SMART Goal (Specific, Measurable, Achievable, Relevant, and Time-bound)
  • Measures that are aligned to determine if change occurs and relate directly to the Aim Statement/SMART Goal
  • Interventions that have been aligned to impact the measures and were implemented into practice 
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AS LISTED WITH YOUR CERTIFYING BOARD
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AS LISTED WITH YOUR CERTIFYING BOARD
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INDICATE YOUR CERTIFYING BOARD(S) AND YOUR UNIQUE DIPLOMATE NUMBER(S)
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Files must be less than 16 MB.
Allowed file types: pdf ppt pptx.
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MM/DD/YYYY-MM/DD/YYYY
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PLEASE BE SURE TO PROVIDE COMPLETE, THOUGHTFUL RESPONSES
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PLEASE BE SURE TO PROVIDE COMPLETE, THOUGHTFUL RESPONSES
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PLEASE BE SURE TO PROVIDE COMPLETE, THOUGHTFUL RESPONSES
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