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Research ArticleOriginal Research

American Board of Family Medicine (ABFM) Maintenance of Certification: Variations in Self-Assessment Modules Uptake within the 2006 Cohort

Andrew W. Bazemore, Imam M. Xierali, Stephen M. Petterson, Robert L. Phillips, Jason C.B. Rinaldo, James C. Puffer and Larry A. Green
The Journal of the American Board of Family Medicine January 2010, 23 (1) 49-58; DOI: https://doi.org/10.3122/jabfm.2010.01.090101
Andrew W. Bazemore
MD, MPH
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Imam M. Xierali
PhD
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Stephen M. Petterson
PhD
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Robert L. Phillips Jr
MD, MSPH, FAAFP
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Jason C.B. Rinaldo
PhD
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James C. Puffer
MD
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Larry A. Green
MD
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Article Figures & Data

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    Figure 1.

    Percentage of 2006 cohort of family physicians who were noncompleters, by state.

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    Figure 2.

    Percentage of 2006 cohort of family physicians who were noncompleters, by county.

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    Figure 3.

    Percentage of 2006 cohort of Pennsylvania family physicians who were noncompleters, by county.

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    Figure 4.

    2006 self-assessment module participation distribution and clustering in the Los Angeles metro area.

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    Table 1.

    Descriptive Statistics of 2006 Maintenance of Certification Cohort: Completers Versus Noncompleters of the Requirement to Complete 3 Self-Assessment Modules

    2006 CohortNoncompleters
    Completers (n = 7510)Noncompleters (n = 3302)PParticipants (n = 506)Nonparticipants (n = 2796)P
    Demographic
        Male59.3670.17<.0162.4571.57<.01
        Age<.01
            <3514.698.189.687.90
            35–4434.8329.9530.0429.94
            45–5432.3734.3133.7934.41
            55–6416.2522.6823.5222.53
            65+1.864.882.965.22
        Family medicine residency within past 7 years28.9322.02<.0124.7021.53
        Solo practices9.4516.66<.0113.8317.17
    Geographic
        Rural17.4718.5317.5918.71
        Primary care HPSAs23.4025.56<.0522.9226.04
        MUA/Ps21.2422.9623.7222.82
        HPSA or MUA32.7035.6133.6035.98
        In census tract with >20% population under 200% federal poverty line47.1851.56<.0146.2552.61<.01
        Primary care service area with population to primary care physician ratio
            <150062.4660.12<.0561.8659.80
            1500–300033.5234.8033.2035.09
            >30004.025.094.945.11
    • Noncompleters refer to family physicians who did not complete 3 self-assessment modules by the end of the 3rd year of the cycle; among the noncompleters, participants completed at least one self-assessment module but less than 3. All data provided as percentages.

      HPSA, health professional shortage area; MUA/P, medically underserved areas/populations; MUA, medically underserved area.

    • View popup
    Table 2.

    2006 Cohort Distribution across the Rural Urban Continuum

    2003 Rural-Urban Continuum CodeCounties (n)Completers (%)Nonparticipants (%)Participants (%)Solo (%)Physicians in 2006 Cohort (n)
    Not available62.9630.866.1711.1181
    1 (most urban)41470.1824.585.2411.245000
    232569.7526.423.839.462483
    335168.4327.424.1512.841324
    421867.1627.685.1717.71542
    510570.7726.922.3112.69260
    660868.9626.284.7615.87567
    745066.8427.855.3111.14377
    823566.6728.994.3510.1469
    9 (most rural)43568.8126.614.5914.68109
    Total314169.4625.864.6811.6510,812
    • View popup
    Table 3.

    Demographic and Practice Characteristics by Type of Self-Assessment Module (SAM) Completed among the 2006 Cohort

    SAM TopicDiplomate (n)Men (%)Rural (%)HPSA/MUA (%)FPL200 (%)PCSA >3000:1 (%)Mean Age (years)
    All10,81262.6617.8033.5948.544.3546.7
    Diabetes498859.6417.9032.9048.104.2746.2
    Hypertension453361.1315.6231.9446.393.8846.2
    Asthma343260.9316.4032.0845.373.5045.5
    Coronary artery disease259271.8020.9533.9549.924.2847.0
    Depression197351.4415.2131.7344.804.0045.7
    Well child care162341.3416.4531.4243.444.2542.1
    Pain management117767.8018.1033.0547.414.0846.9
    Heart failure111868.3424.6937.7554.385.1047.4
    Health behavior82750.3013.3031.5642.813.3946.2
    Maternity care71039.1523.3839.4453.524.2342.2
    No SAM taken279671.5718.7135.9852.615.1148.9
    • HPSA, health professional shortage area; MUA, medically underserved area; FPL200, census tract with >20% population under 200% federal poverty line; PCSA, primary care service area with population to physician ratios >3000:1.

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The Journal of the American Board of Family Medicine: 23 (1)
The Journal of the American Board of Family Medicine
Vol. 23, Issue 1
January-February 2010
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American Board of Family Medicine (ABFM) Maintenance of Certification: Variations in Self-Assessment Modules Uptake within the 2006 Cohort
Andrew W. Bazemore, Imam M. Xierali, Stephen M. Petterson, Robert L. Phillips, Jason C.B. Rinaldo, James C. Puffer, Larry A. Green
The Journal of the American Board of Family Medicine Jan 2010, 23 (1) 49-58; DOI: 10.3122/jabfm.2010.01.090101

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American Board of Family Medicine (ABFM) Maintenance of Certification: Variations in Self-Assessment Modules Uptake within the 2006 Cohort
Andrew W. Bazemore, Imam M. Xierali, Stephen M. Petterson, Robert L. Phillips, Jason C.B. Rinaldo, James C. Puffer, Larry A. Green
The Journal of the American Board of Family Medicine Jan 2010, 23 (1) 49-58; DOI: 10.3122/jabfm.2010.01.090101
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