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PIP: Physician Practice Assessment Tool for the Assessment and Treatment of Adults at Risk for Suicide and Suicide-Related Behaviors

Activity Type:

  • Performance in Practice (PIP)

Release Date: 3/1/2012

Expiration Date: 5/31/2020

  • AMA PRA Category 1: 20
  • Participation: 20



American Psychiatric Association Performance in Practice (PIP) Physician Practice Assessment Tool for the Assessment and Treatment of Adults at Risk for Suicide and Suicide-Related Behaviors Completion of stages A,B,C in sequence is designated by American Psychiatric Association for up to 20 AMA PRA Category 1 Credits™.


  • General Member - Free
  • Resident-Fellow Member - Free
  • Non-Member - $399.00

Educational Objectives

  • Assess whether their current assessment and treatment is consistent with evidence-based recommendations;
  • Identify areas of improvement and develop an improvement plan; and
  • Improve assessment and treatment for suicide and suicide-related behaviors in clinical practice

Target Audience

Psychiatrists participating in MOC and other psychiatrists in clinical practice; psychiatric residents and fellows; physicians who wish to improve their knowledge of clinical psychiatry and patient care.

Estimated Time to Complete

Estimated Duration: 20 hours
Program Begin Date: March 2012
Program Review Date: May 31, 2017
Program End Date: May 31, 2020

How to Earn Credit

The APA's PIP modules are guided practice improvement programs created for psychiatrists, and are designed to meet Part 4 MOC requirements for clinical modules. Modules follow a three-stage Performance Improvement CME structure that takes place within a 24-month period. ABPN Maintenance of Certification requirements:

In STAGE A - Chart Review, the physician compares his or her current practice (through a review of chart documentation) to guidelines and measures provided for the topic area. No patient/chart data is submitted. (5 credits)

In STAGE B – Improvement, based upon the results of chart review, the physician then selects an area where improvement is needed and documents his or her strategy for improvement. This improvement plan is for the personal use of the physician, and is not submitted to the APA. Educational resources are suggested that can assist with the improvement plan, however, any educational activities relevant to the improvement plan can be used. During Stage B, the physician implements the educational plan for a period of 30 days or as long as the doctor deems necessary within 24 months. (5 credits)

In STAGE C – Second Chart Review, the physician reassesses his or her performance with review of 5 patient charts, and determines the results of his or her performance improvement effort. These can be the same 5 patients or a new group of patients seen since beginning the PIP activities. Again, the physician retains all patient/chart data. (10 credits) The complete module, three stages in sequence within 24 months, earns the participant a total of 20 CME credits.

Continuing Education Credit and MOC Approval

The American Psychiatric Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Psychiatric Association designates this enduring material for a maximum of 20 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Board of Psychiatry and Neurology has reviewed the Physician Practice Assessment Tool for the Assessment and Treatment of Adults at Risk for Suicide and Suicide-Related Behaviors and has approved this program as a Performance in Practice Clinical Module (MOC Part 4) which is mandated by the ABMS as a necessary component of Maintenance of Certification.

APA reports MOC completion data on behalf of our members directly to ABPN, however, diplomates are still required to log on to their ABPN Physician Folios at least once per calendar year to attest to completion of their MOC activities.

Faculty and Planner Disclosures

Program Planners

  • Tristan Gorrindo, M.D., Director, Division of Education, American Psychiatric Association. Reports no financial relationships with commercial interests.
  • Deborah J. Hales M.D., Former Director, American Psychiatric Association Division of Education, Arlington VA. Reports no inancial relationships with commercial interests.
  • Mark Hyman Rapaport, M.D., Chairman, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, and Chief of Psychiatric Services, Emory Healthcare System, Atlanta GA . Disclosure: Consultant: PAX Neuroscience


All authors report no financial relationships with commercial interests.

  • Farifteh F. Duffy, Ph.D., Quality Care Research Director, American Psychiatric Institute for Research and Education, Arlington VA
  • Laura J. Fochtmann, M.D., Professor, Department of Psychiatry and Behavioral Science and Department of Pharmacological Sciences, State University of New York at Stony Brook, and Practice Guidelines Medical Editor, American Psychiatric Association.
  • Eve K. Moscicki, Sc.D., M.P.H.,Director, Practice Research Network,American Psychiatric Institute for Research and Education, Arlington VA
  • Diana E. Clarke, M.Sc., Ph.D., Research Statistician, American Psychiatric Institute for Research and Education, Arlington, VA
  • Douglas G. Jacobs, M.D.,Screening for Mental Health, Inc., Wellesley Hills, MA
  • Robert M. Plovnick, M.D., M.S.,Director, Departmentof Quality Improvement and Psychiatric Services, American Psychiatric Association, Arlington VA
  • Robert Kunkle, M.A.,Practice Guidelines Program Director, American Psychiatric Association, Arlington, VA

Hardware/Software Requirements

For PC users, we recommend using a computer that is running the most recent version of Microsoft Windows.
For Macintosh users, we recommend using a computer that is running OS X or later.
Although the presentations and website can be viewed on any browser, we suggest Google Chrome for PC users and the latest version of Firefox for Macintosh users. Make sure your computer's software and browsers are updated regularly for an optimal experience.

Due to the media-rich content, we recommend viewing programs at a minimum screen resolution of 800 x 600 pixels, but preferably 1024 x 768 pixels.

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American Psychiatric Association
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