Post-Activity: QI Proficiency Self-Assessment and Reflection

Activity Details
  • Credit Type: Other
  • Credit Amount: 0.00
  • Cost: Free
  • Release: Feb 19, 2016
  • Expires: Jun 30, 2017
  • Average User Rating:
    ( Ratings)

Needs Statement

The following survey was created to ensure that BMC's Portfolio Program is meeting the requirements set by the ABMS to award MOC Part IV credit to physicians for participation in QI Efforts. This survey is meant to be completed at the completion of a QI Effort to assess your confidence and competence in quality improvement work. There are no right or wrong answers, this is meant to be an experience in self-assessment and reflection. Completing this survey is part of the meaningful participation requirements set by the BMC Portfolio program. You and the QI Effort Leader must attest to the completion of this survey after the QI Effort takes place. 

The survey is adapted from a tool by Langley GL, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. Available from

Target Audience

This survey is designed for physicians looking to claim MOC Part IV credit through the BMC Portfolio Program. 


To assess your confidence with QI skills.


This activity is not eligible for CME/CNE credit. This survey is part of the BMC Portfolio Program and is required to be completed by diplomates who are seeking MOC Part IV credit for participation in an approved QI Effort. 

Faculty Disclosure

This survey is not eligible for CME Credit and thus there is nothing to disclose.