The FOCUS Posttraumatic Stress Disorder Maintenance of Certification (MOC) Workbook is a collection of practical and evidence-based materials to help psychiatrists develop and maintain a sound, up-to-date foundation of medical knowledge and clinical expertise, ultimately improving patient care. Designed to be a “one stop” resource to meet MOC requirements, the book aims to help psychiatrists evaluate their knowledge and clinical practice, initiate a program of quality improvement, and advance their assessment, communication, diagnostic, and treatment skills.
To achieve these goals, the workbook includes:
- A Self-Assessment test consisting of 50 multiple-choice questions on posttraumatic stress disorder (PTSD), designed to test current knowledge and its clinical application, thus helping the clinician identify areas of competence and those requiring additional study and improvement.
- A Performance in Practice Clinical Module, a guided practice improvement program designed to meet Part 4 American Board of Psychiatry and Neurology (ABPN) MOC requirements for clinical modules. This module is divided into three stages: Chart Review, Improvement Plan, and a second or retrospective Chart Review.
- Resources for use in an improvement plan, including a Real-Time Assessment Tool for Patients With PTSD, the executive summary of the APA Practice Guideline for the Treatment of Patients With PTSD, and a selection of influential publications on posttraumatic stress disorder to help psychiatrists stay current with advances in research and treatment.
- Peer and Patient Survey Forms for use in the Feedback Modules (Part 4 of MOC)
- A detailed description and explanation of the MOC Program as presented by the ABPN, including details on record keeping, phase-in schedule, and auditing.
- Exercises provided in the workbook are to be completed both in the book and online. Continuing medical education (CME) activities were developed in compliance with ABPN reporting requirements, and credit for these activities is recorded in this activity and it's related activities. The FOCUS program aims to educate physicians, refresh their knowledge and skills, and facilitate the documentation of their ongoing professional development and competency.
Important Update to the Clinical Module
Since the original publication of this PIP Clinical Module, there is a greater evidence base in favor of prazosin for nightmares in PTSD. Read about it here in Friedman MJ, PTSD: Pharmacotherapeutic Approaches. FOCUS July 2013, Vol. 11, No. 3, pp. 315 - 320
This activity requires purchase of the FOCUS Posttraumatic Stress Disorder Maintenance of Certification (MOC) Workbook. The workbook contains a Group ID Code that you will be prompted to enter in the Purchase step.
If you do not already own the workbook, click here to purchase.
By completing the Clinical Module for the Care of Patients with Posttraumatic Stress Disorder, physicians will:
- assess whether their current assessment and treatment is consistent with evidence-based recommendations;
- identify areas of improvement and develop an improvement plan; and
- improve the care of patients with a diagnosis of posttraumatic stress disorder in clinical practice.
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; physician assistants participating in MOC.
Estimated Time to Complete
ESTIMATED TIME TO COMPLETE: 20 hours
Begin Date: August 2013
Program Review Date: August 2016
Expiration Date: August 31, 2019
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: http://www.abpn.com/moc.html
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.
Accreditation 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 only claim credit commensurate with the extent of their participation in the activity.
The American Board of Psychiatry and Neurology has reviewed the PIP: Clinical Module for Screening Adult Psychiatric Patients for Substance Use Disorders 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. The complete module, three stages in sequence within 24 months, must be completed to receive Part 4 MOC credit from ABPN.
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
- Deborah J. Hales M.D., Former Director, American Psychiatric Association Division of Education, Arlington VA. Reports no financial 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. Consultant: PAX Neuroscience
- Kristen Moeller, Director of Continuing Medical Education, American Psychiatric Association Division of Education, Arlington VA. Reports no financial relationships with commercial interests.
- Laura J. Fochtmann, M.D.,Department of Psychiatry and Behavioral Science, Stony Brook University,Stony Brook NY. Reports no financial relationships with commercial interests.
- Farifteh F. Duffy, Ph.D., American Psychiatric Foundation, American Psychiatric Institute for Researchand Education, Arlington VA. Reports no financial relationships with commercial interests.
- Joyce C. West., Ph.D, M.P.P, American Psychiatric Foundation, American Psychiatric Institute for Research and Education, Arlington VA. Reports no financial relationships with commercial interests.
- Thomas Craig, M.D., Springfield, VA. Reports no financial relationships with commercial interests.
- Eve K. Moscicki, Sc.D., M.P.H., American Psychiatric Foundation, American Psychiatric Institute for Research and Education, Arlington VA. Reports no financial relationships with commercial interests.
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