Diagnostic Radiology

OCC – Diagnostic Radiology Requirements

Historically, AOA certified physicians have already been maintaining four of the five components that OCC consists of. The only component in OCC that requires additional effort is Component 4 – Practice Performance Assessment & Improvement. Many physicians are already participating in some sort of practice performance assessment within their department or group, which may qualify to fulfill this component.

Component 1 – Professional Status
Requires that physicians who are board-certified by the American Osteopathic Association (AOA) hold a valid, unrestricted license to practice medicine in one of the 50 states. In addition, these physicians are required to adhere to the AOA’s Code of Ethics.

Component 2 – Lifelong Learning/Continuing Medical Education
AOBR Diplomates are required to meet the AOA CME requirements as they have been required in the past. However, within OCC, more specific types of CME will be required. To view requirements specific to you please click go to Requirements and Timetables.

Diplomates must adhere to AOA CME requirements to maintain certification: 120 credit hours per 3-year CME cycle, including 30 Category 1-A credits, and 50 Category 1 or 2 primary specialty credit hours. Of the 50 specialty hours, OCC will require that the diplomate obtain a minimum of 25% in their CAQ subspecialty area, if applicable. OCC will also require a specific number of the CME credit hours to be Self-Assessment CME (SAMs). The number of required SAMs is based on the year a diplomates’ certification expires. The AOBR will require diplomates to obtain SAMs in the following areas: clinical content, non-interpretive skills and CAQ clinical content, if applicable. Specific SAM requirements can be found on the AOBR website. SAMs are educational venues, i.e. CME activities, workshops, reading assignments, online offerings, etc. usually offered by radiologic societies. Each SAM must include a self-administered examination and the diplomate must provide a certificate of attendance indicating the amount of credit earned, as provided by the organization offering the SAM. SAMs will count toward the CME requirement, as well as fulfilling the SAM requirement.

Diplomates must submit all CME obtained to the AOA CME Department for recording. CME status will be verified with the AOA on an annual basis.

Component 3 – Cognitive Assessment – Diagnostic Radiology
A diplomate will be required to demonstrate through a formalized, secure examination, that he/she has the fundamental diagnostic skills, medical knowledge and clinical judgment to provide quality care. Time-limited diplomates will be required to take and pass the OCC Cognitive Exam prior to the expiration of their certificate. Diplomates may begin taking the OCC Cognitive Exam up to three years prior to the expiration date of their existing certificate. The new certificate will be issued upon the date of the expiration of the former certificate and will be valid for an additional 10 years.

Diplomates participating in OCC who hold non time-limited certification may take the cognitive examination at any time within their 10-year OCC cycle. A Diplomat’s original non-time-limited certification will not be revoked by the AOA/AOBR if, at any time, the diplomat should choose to discontinue the OCC process. However, the diplomat will not be given documentation of OCC compliance unless they have successfully participated in the entire OCC process.

Any diplomate whose time-limited certificate has expired may reenter the OCC process and take the cognitive exam at any time, provided the diplomate meets all other OCC requirements. Upon successfully passing the cognitive exam, the diplomate will be issued a time-dated certificate for ten (10) years, dated from the date of passing the examination.

For detailed information regarding the diagnostic radiology cognitive examination please click here.

Component 4 – Practice Performance Assessment and Improvement (PPA)
Assessments of physician’s practice that:

  • include an initial assessment of an eligible professional’s practice that is designed to demonstrate the physician’s use of evidence based medicine
  • requires a physician to implement a quality improvement intervention to address a practice weakness identified in the initial assessment & then re-measure to assess performance improvement after intervention

Each diplomate will be required to successfully complete a qualified OCC practice performance assessment every three years or a total of three projects per 10-year cycle using the diplomates own patient data. The goal of the practice performance component is to demonstrate performance improvement in radiological knowledge and skills as compared to peers and/or national benchmarks, including assessment activities of AOA specific core competencies. Click for detailed PPA information.

Diplomates must select a project from one of the following categories:

  • Patient Safety
  • Accuracy of Interpretation
  • Practice Guidelines & Technical Standards
  • Referring Physician Surveys
  • Reporting Timeliness

Component 5 – Continuous AOA Membership
Each diplomate will be required to maintain continuous and uninterrupted membership in the American Osteopathic Association (AOA).