This module will help practices apply the medical home attributes to the care of patients with osteoarthritis.

Why is this important?

One in four adult Americans has arthritis. Osteoarthritis (OA) is the most common form of arthritis and accounts for the vast majority of cases. The lifetime risk of OA is nearly 50% at the knee, 40% at the hand and 25% at the hip. Progressive joint pain from OA leads to functional limitations, fatigue, depressed mood and loss of independence; knee and hip OA are also linked to pre-mature death. OA is a chronic condition that requires long term management. It has been estimated that up to one in five visits to primary care physicians are for OA. Despite the high frequency of OA among primary care patients, under-diagnosis and under-treatment have been found, attributable to misperceptions of OA as a normal part of aging, the high co-occurrence of other health problems, like diabetes and heart disease, that are prioritized, fear of use of pain killers by patients and concerns related to medication contraindications by treating physicians, and lack of confidence among primary care physicians in conducting a musculoskeletal exam. Recognition of OA as a chronic condition with a substantial population impact is an important first step towards reducing the burden of this common condition. 

How will these tools help?

This module will provide you with an approach to identify and treat patients with OA in your clinical practice, and tools and resources to help primary care practices implement a team-based, collaborative approach to helping people with OA. Adoption of this approach will help to improve the quality of life of patients with this common, chronic condition.

Target Audience

Target Audience

  • Physicians
  • Physician Assistants
  • Nurse Practitioners
  • Registered Nurses
  • Medical Assistants
  • Practice Managers
Course summary
Available credit: 
  • 20.00 ABIM MOC
  • 20.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance
Course opens: 
Course expires: 
Parent activity set: 

Practice Advisor Content Manager

Margo J. Williams, MHA, CMPE Manager Practice Support, American College of Physicians 


Dr. Gillian Hawker is Professor of Medicine in the Department of Medicine, Division of Rheumatology, at the University of Toronto and a Clinician Scientist in the Women’s College Research Institute at Women’s College Hospital, University of Toronto. For 25 years she has conducted clinical research in the field of osteoarthritis (OA), with a focus on improving access to and outcome of care for people with OA. 

Dr. Lauren King is a rheumatologist in Toronto, Canada, and a PhD student in Clinical Epidemiology at the University of Toronto. Her research interest is focused on improving diagnosis and treatment of osteoarthritis particularly in individuals with complex chronic disease. 

ACP Staff Editors

Disha Patel, Analyst Practice Support, American College of Physicians

All individuals listed (manager, contributors, editors) have nothing to disclose.

This module was funded by an educational grant from the Arthritis Foundation.

Continuing Medical Education

The American College of Physicians (ACP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

The ACP designates this performance improvement activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 20 practice assessment MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credit claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

This module offers CME and practice assessment MOC points, as well as verification of attendance. Credit is divided into two stages. After taking the ACP Practice Biopsy, reading the background material and case study, and reviewing the resources, users may submit for up to 10 credits and points. To receive the remaining 10 credits and points you must create an Action Plan, implement measurable changes in one or more targeted areas, and come back after 30 days and take a Follow-up Biopsy before CME/MOC can be claimed.

Once you have completed each stage, you will be provided instructions on how to claim CME and MOC credit or download a certificate of attendance.

Original Release Date: 11/16/2016
Rerelease Date: 03/16/2020
Termination Date: 03/16/2023

To earn CME credits, you must attest after completion of the second module biopsy that you have:

  • Participated in the completion of the ACP Practice Biopsy
  • Participated in the review of the ACP Practice Biopsy result
  • Participated in identifying an action plan to improve our practice
  • Participated in the implementation of the plan
  • Participated in the follow up ACP Practice Biopsy to measure improvement

When you have done so, follow the on-screen instructions to complete and submit the submission form.

This module was funded by an educational grant from the Arthritis Foundation.

Available Credit

  • 20.00 ABIM MOC
  • 20.00 AMA PRA Category 1 Credit™
  • 1.00 Attendance


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