Fall 2023 (Volume 33, Number 3)

MOC Section 3 Credits:
These Can Be Easy

By Raheem B. Kherani, BSc (Pharm), MD, FRCPC, MHPE; Elizabeth M. Wooster, M.Ed, PhD(c); and Douglas L. Wooster, MD, FRCSC, FACS, DFSVS, RVT, RPVI

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“I am still not sure what to do for Section 3 credits. It does not seem straightforward or clear. Do these really make an impact on my ability to care for patients?” questions Dr. AKI Joint, a rheumatologist member of the Canadian Rheumatology Association (CRA). “I really want to improve my learning and I typically attend the CRA Annual Scientific Meeting. The meeting in Quebec City in 2023 was great, but I did not have time to attend the workshop on Maintenance of Certification (MOC) and physician practice improvement (link 1 below). I went back to the Royal College of Physicians and Surgeons of Canada (Royal College) website and found some helpful information (link 2 below). There was even a guide to what types of activities I can report for Section 3 (link 3 below). However, I am still uncertain about how this applies to my practice and improving patient care.”

Upon further investigation of the Royal College site, Dr. AKI Joint discovered information on Quality Improvement (QI) (see Figure 1 and link 4) and remembered some of the principles of QI with the Plan-Do-Study-Act cycle. “This may help me to improve patient care in my practice”.

“I remember that Dr. Isaacs spoke about precision medicine in rheumatoid arthritis in a keynote and a workshop (link 1) at the recent meeting. Perhaps if I review his presentation and look at patient factors that assist me in choosing the right therapy, I could then review five patient charts to see if I identified favourable and poor prognostic patient factors. After three to six months, I can review five more charts and see if this made an impact on my patient care. If I discuss what I found in my review with a colleague over coffee, we can both learn from our reflections on this process, and we can use that discussion for MOC Section 3 credits”.

“This is a good way to link my care for patients as a rheumatologist with Section 3 credits. This certainly makes more sense and can be easy!”

Special thanks to:
Professor John D Isaacs
Director, Therapeutics North East
Professor of Clinical Rheumatology, Newcastle
University Associate Medical Director for Research,
Consultant Rheumatologist, Newcastle upon
Tyne Hospitals NHS Trust Deputy Director,
NIHR Newcastle Biomedical Research Centre

Please contact the RCPSC office for further information via the Royal College Services Centre by phone at 1-800-461-9598 or email

For more information on MOC and rheumatologists, please see

Raheem B. Kherani, BSc (Pharm), MD, FRCPC, MHPE
CRA Education Committee Past Chair,
Program Director and Clinical Associate Professor,
University of British Columbia
Division Head, Rheumatology, Richmond Hospital
Rheumatologist, West Coast Rheumatology Associates
Richmond, British Columbia

Elizabeth M. Wooster M.Ed, PhD(c)
OISE/University of Toronto

Douglas L. Wooster, MD, FRCSC, FACS, DFSVS, RVT, RPVI Professor of Surgery, University of Toronto

Helpful Links:

Link 1:

Link 2:

Link 3:

Link 4:


The access code to enter this site can be found on page 4 of the most recent issue of The Journal of the Canadian Rheumatology Association (CRAJ) or at the top of the most recent CRAJ email blast you received. Healthcare professionals can also obtain the access code by sending an email to

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