OCC Component 4 – Practice Performance Assessment and Improvement

Diplomates of the AOBNMM must engage in continuous improvement by comparing their personal practice of osteopathic principles and practices to best evidence, consensus recommendations and national standards. Through OCC, they will do so by completing 1 PPA (Practice Performance Assessment) Module every three years.

Module Completion Components and Timeline

AOBNMM requires that each diplomate holding a time-limited certificate must complete 1 PPA every three years. In order to sit for your OCC exam, you must complete the required PPA module  prior to the exam application deadline. For the Spring exam this deadline is January 15, and for the Fall exam, it is September 15.

                                 AOBNMM Component Four PPA Module Schedule 
For Certificates Ending In: PPA Modules Required

2014, 2015 & 2016



No PPA modules are required


2017, 2018 & 2019



One PPA module is required


2020, 2021 & 2022



Two PPA modules are required


2023 & 2024


Three PPA modules are required



Every three years, the diplomate will select one of the available practice assessment modules established by the AOBNMM.  Two of the three required PPAs for the OCC cycle must be different.

Currently, the AOBNMM is endorsing three modules for Component Four.

The Modules include:

A Physician’s Practical Guide to Culturally Competent Care

This activity can be found on the U.S. Department of Health and Human Services Office of Minority Health’s website: https://cccm.thinkculturalhealth.hhs.gov/

Registration:  You may register for this activity here: https://www.thinkculturalhealth.hhs.gov/Registration/GUIs/GUI_TCHRegister.asp?mode=new&site=2

Fee: There is no fee to participate in this activity

Requirement for OCC:  You must complete one theme, for a total of 3 AMA PRA Category 1 Credit(s)™. You must submit your Certificate of Completion to AOBNMM@osteopathic.org in order to receive credit towards your 1 PPA Component Four requirement. Once your certificate is received, you will receive an email stating you have met your Component Four requirement for the current CME cycle (beginning in the 2016-2018 CME cycle). The AOBNMM will submit your certificate to the AOA for CME credit.

Information on Earning Credit for this activity:  https://cccm.thinkculturalhealth.hhs.gov/GUIs/GUI_cme_info.asp

FAQ’s for this activity:  https://cccm.thinkculturalhealth.hhs.gov/GUIs/GUI_FAQs.asp

NBOME: Medication Safety Communication OPAIM or OMT for Low Back Pain during Pregnancy

The Osteopathic Performance Assessment and Improvement Module (OPAIM) series offers cost effective, formative, web-based learning developed distinctively for osteopathic physicians. OPAIM modules are individualized plans that include downloadable reference materials, and are built for convenience. For more information regarding OPAIM in general click here: http://www.nbome.org/opaim.asp

Registration:  To preview an example of the Medication Safety Questionnaire click here.

You will need to register with the NBOME’s Client Registration System (CRS) before you may login to purchase your OPAIM. Please follow the directions below to set up your CRS account.

  1. Please click here to set up your account.
  2. Follow the directions on screen.
  3. You will receive an email with your username and password:


Hello Dr. xxxx!
Thank you for your interest in NBOME’s formative assessment tool OPAIM.
Below you will find your NBOME Client Registration System username and password. This will be the same login that will allow you to purchase and complete an OPAIM.

Username: billyobob
Password: password100

Fee:  There is a $200 fee for this activity. Upon completion, you will receive 20 AOA category 1-B CME credits.

Please follow the directions below on how to purchase an OPAIM.

  1. While logged into your CRS account at https://www.nbome.org/online.html, click on the ‘OPAIM/CME Programs’ tab at the top of the screen.
  2. From this screen you will be able to read and agree to the OPAIM Terms & Conditions.
  3. You may then select the Medication Safety OPAIM to purchase and proceed to the payment screen.
  4. Once your OPAIM is purchased, click on the OPAIM logo within CRS and it will direct you to the OPAIM landing page. Or you may click here to be redirected to OPAIM login.

Requirement for OCC:  Please note this module will take at least 31 days to complete. This module offers 20 AOA category 1-B CME credits and the AOBNMM will send your CME credits to the AOA on your behalf. The AOBNMM receives completion reports from NBOME so you do not have to send your Certificate of Completion. The AOBNMM will notify you via email once your requirement has been met.

Contact: Please note the Client Services operation hours. If you register during the weekend, please do not expect to receive your username/password email until the following business day.

For assistance with registering and purchasing an OPAIM:

Client Services
Hours: 7:00 am – 7:00 pm ET Monday – Friday
(Toll-Free) 866.479.6828 | Email clientservices@nbome.org

For more information on OPAIM topics and other CME activities:
Department of Continuous Professional Development & Innovations
Office Hours: 8:00 am to 4:00 pm ET Monday – Friday
(P) 610.825.6551. | Email CPD@nbome.org