External Organization Application Approval Process and Instructions

All physicians certified by the American Board of Emergency Medicine (ABEM) must participate in the ABEM Maintenance of Certification program (ABEM MOC) to maintain their certification. 

One component of the program, Improvement in Medical Practice (IMP), requires physicians who are clinically active to improve their practice following four generally accepted steps of practice improvement.  Those steps are:

  1. Review clinical care data from at least ten of the physician’s patients with the same clinical issue (fewer than ten is acceptable for important clinical issues of lower prevalence and higher acuity).
  2. Compare the data to evidence-based guidelines or other available standards.
  3. Implement a plan to improve the practice issue measured in Step #1.
  4. After implementing the improvement plan, review patient clinical care data for the same clinical issue from an additional ten of the physician’s patients (again, fewer than ten patients is acceptable for important high acuity/low volume clinical issues).

Physicians certified by ABEM can count improvement efforts in which they participate within their work settings or design and implement their own effort. Physicians may also participate in externally developed practice improvement activities that ABEM has pre-approved. 

Externally Developed Activities

Organizations that wish to receive ABEM approval for activities they have developed that meet the ABEM criteria may complete and submit an application form at any time. If the activity is a simulation, the organization must complete the simulation section of the application in addition to the main section.

ABEM Criteria for Approving Externally Developed APP Activities

Externally Developed APP Activities: Application Form

Externally Developed APP Activities: FAQ



If you have questions, please email 
moc@abem.org, or call 517.332.4800 ext. 329.