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The Scholarly Upside to MOC4.

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    The M Health Fairview MOC4 Review Board (MMRB) process helps physicians earn Maintenance of Certification Part IV credits and improves scholarly dissemination, project sustainment, and spread of quality improvement initiatives.

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    Area of Science:

    • Healthcare Quality Improvement
    • Medical Education
    • Professional Development

    Background:

    • Medical boards mandate quality improvement (QI) projects for Maintenance of Certification Part IV (MOC4) credits.
    • The American Board of Medical Specialties (ABMS) Portfolio Program enables organizations to sponsor internal QI project review and credit physicians.
    • The M Health Fairview MOC4 Review Board (MMRB) was established as an ABMS Portfolio Sponsor in 2016.

    Purpose of the Study:

    • To examine the impact of the ABMS Portfolio Sponsor program on the scholarship, sustainability, and spread of QI projects.
    • To assess the effectiveness of the MMRB in facilitating physician engagement with QI initiatives.

    Main Methods:

    • A survey was developed and administered to principal investigators (PIs) of QI projects approved by the MMRB from 2016 to 2022.
    • The survey assessed the number of peer-reviewed publications or presentations and perceived preparedness for scholarship.
    • Participants also reported on the sustainment and spread of their QI projects post-approval.

    Main Results:

    • Of 50 reviewed projects, 44 met ABMS QI standards. Of 41 PIs surveyed, 27 responded.
    • 65.9% of respondents felt the MMRB process enhanced their scholarly dissemination preparedness.
    • 70.4% presented their work, and 37.0% submitted manuscripts (10 accepted); 85.2% of projects were sustained, and 37.0% spread.

    Conclusions:

    • The MMRB process effectively generates MOC4 credits for physicians.
    • The program enhances PIs' preparedness for scholarly activities, including publication and presentation.
    • The MMRB facilitates the sustainment and spread of quality improvement projects within the healthcare organization.