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Step Progress:

After making selections: Complete your MOC application forms

  • We will email the customized MOC application forms for your practice to the Operations Champion and Physician Champion within three business days.
  • In the meantime:
  • When you receive the email with your MOC forms, please fill in your practice-specific information where indicated.
  • Print the completed forms and have all relevant physicians sign them.
  • Upload your completed and signed forms below. After dragging or selecting each file, be sure to click on the black button “Send to CPF.
  • Then, CPF will send the forms to the Vanderbilt Department of Pediatrics.

At the end of each MOC project: Submit MOC attestation forms

  • Follow these INSTRUCTIONS for each participating physician to download a personalized MOC attestation form from the ABP website.
  • After physicians sign the attestation forms, either the Operations Champion or Physician Champion can upload them below. You can upload each physician’s form separately or all the forms combined into one file (pdf or image files).
  • After dragging or selecting each file, be sure to click on the black button “Send to CPF.”
  • Next Dr. Hull will sign the attestation forms as Project Leader, and CPF will give the signed attestation forms to Vanderbilt Department of Pediatrics. Department of Pediatrics will forward completion documentation to the ABP so that you can receive credit for the MOC project.

  • Drop files here or
    Max. file size: 50 MB.


    Reminder: Per MOC Part IV requirements, all physicians must complete a separate training on Quality Improvement.

    Options:
    • Attending the CME presentation on May 10, 2017, met this requirement.
    • All others must complete online QI training modules through the Institute for Healthcare Improvement (IHI).

    Email to request more information about accessing the IHI training modules.

    Send Email