To facilitate continued clinical competence among physicians, the American Board of Medical Specialties (ABMS) and the American Board of Psychiatry and Neurology (ABPN) are implementing multifaceted Maintenance of Certification (MOC), which includes requirements for practice assessment in order to enhance the quality of patient care (1). Beginning in 2013, for those applying for 2014 MOC examinations, the practice assessment component will require physicians to compare their care for five or more patients with “. . . published best practices, practice guidelines or peer-based standards of care and develop a plan to improve the effectiveness and efficiency of his/her clinical activities” (1). To this end, the Performance in Practice (PIP) Physician Practice Assessment Tool for the Care of Adults with Schizophrenia presented here provides evidence-based quality indicators to enhance the care of patients with schizophrenia and gives psychiatrists experience with practice assessment in preparation for the new MOC requirements.