The American Psychiatric Association’s (APA) Performance in Practice (PIP) clinical modules are designed to meet the requirements of the American Board of Medical Specialties (ABMS) and American Board of Psychiatry and Neurology (ABPN) Part IV of Maintenance of Certification (MOC), which will be in full effect by 2017. Part IV of the MOC, Practice Performance Assessment, is intended to assist in physicians’ evaluation of the quality of care provided in their practice, compared with peers and national benchmarks, and to facilitate practice improvements through the incorporation of best evidence or consensus recommendations to improve patient care. Physicians are required to complete one PIP unit every 3 years. There are two components for each PIP unit: the Clinical Module, consisting of chart reviews of at least five patients in a specific category; and the Feedback Module, requiring collection of feedback surveys from at least five peers and five patients. The chart review displayed below is designed as a Clinical Module to facilitate physician practice assessment. The peer and patient feedback modules are beyond the scope of this report.