Article Figures & Data
Figures
- Figure 1. Email Open & Click Rate by Day for the Sports Medicine Blueprint Survey.
Tables
- Table 1. American Board of Family Medicine (ABFM) 2025 Blueprint Survey Response Rate Summary.
Step Numerator
(Count)Denominator
(Count)Pass Rate Total Invited Participants 800 Invalid Email Addresses (exclude) 12 Ineligible Participants (exclude) 2 Eligible Invitees 786 Completed Survey 337 Rater Quality Control (exclude) 5 Final Completed Survey 332 332/786 = 42.2% Category Sampling Frame Completed and Valid Responses p-value Category Value N % N % Race/Ethnicity Missing 1473 30.8 60 18.1 p = 0.34 American Indian or Alaska Native 6 0.1 0 0.0 Asian 416 8.7 25 7.5 Black or African American 147 3.1 10 3.0 Hispanic/Latinx 64 1.3 3 0.9 Middle Eastern or North African 19 0.4 1 0.3 Multi-racial 53 1.1 3 0.9 Native Hawaiian or other Pacific Islander 11 0.2 0 0.0 Other race 103 2.2 4 1.2 Prefer not to answer 58 1.2 4 1.2 White 2441 51.0 222 66.9 Total 4791 100.0 332 100.0 Board American Board Emergency Medicine (ABEM) 589 12.3 32 9.6 p < 0.001 American Board Family Medicine (ABFM) 3054 63.8 253 76.2 American Board Pediatrics (ABP) 369 7.7 24 7.2 American Board Physical Medicine and Rehabilitation (ABPMR) 779 16.3 23 6.9 Total 4791 100.0 332 100.0 Gender Female 1274 26.6 87 26.2 p = 0.66 Male 3276 68.4 232 69.9 Missing 176 3.7 11 3.3 Other 65 1.4 2 0.6 Total 4791 100.0 332 100.0 Medical School International Medical Graduate (IMG) 573 12.0 34 10.2 p = 0.42 Missing 268 5.6 15 4.5 United States Medical Graduate USMG 3950 82.5 283 85.2 Total 4791 100.0 332 100.0 Degree Missing 14 0.3 1 0.3 p = 0.74 DO 1090 22.8 63 19.0 MBBCH 1 0.0 0 0.0 MBBS 13 0.3 1 0.3 MBCHB 2 0.0 0 0.0 MD 3671 76.6 267 80.4 Total 4791 100.0 332 100.0 Initial Certification Year 1993 59 1.2 7 2.1 p =0.06 1995 66 1.4 4 1.2 1997 92 1.9 7 2.1 1999 99 2.1 7 2.1 2001 86 1.8 12 3.6 2002 44 0.9 3 0.9 2003 57 1.2 7 2.1 2004 67 1.4 5 1.5 2005 80 1.7 4 1.2 2006 85 1.8 7 2.1 2007 125 2.6 11 3.3 2008 168 3.5 16 4.8 2009 146 3.1 16 4.8 2010 153 3.2 15 4.5 2011 186 3.9 14 4.2 2012 160 3.3 18 5.4 2013 195 4.1 14 4.2 2014 210 4.4 14 4.2 2015 246 5.1 15 4.5 2016 265 5.5 8 2.4 2017 255 5.3 12 3.6 2018 283 5.9 21 6.3 2019 309 6.5 14 4.2 2020 284 5.9 9 2.7 2021 339 7.1 26 7.8 2022 358 7.5 27 8.1 2023 374 7.8 19 5.7 Total 4791 100.0 332 100.0 Clinical Activity/Survey Question Frequency Promote physical activity 0.606 Manage non pharmacologic pain strategies 0.586 Diagnose and manage knee joint disorders 0.583 Diagnose and manage musculotendinous disorders of the shoulder, including biceps, rotator cuff, pectoralis, and latissimus dorsi 0.577 Counsel on over-the-counter medications 0.571 Inject or aspirate a joint or soft tissue 0.564 Counsel on chronic disease prevention and health promotion 0.563 Diagnose and manage musculotendinous disorders of the knee 0.561 Diagnose and manage bursitis of the shoulder and scapula 0.557 Counsel on weight 0.554 Diagnose and manage glenohumeral joint disorders 0.552 Counsel on nutrition 0.548 Counsel on injury prevention 0.543 Diagnose and manage musculotendinous disorders of the leg, ankle, and foot 0.540 Diagnose and manage musculotendinous disorders of the pelvis, hip, and thigh 0.540 Diagnose and manage hip joint and sacroiliac joint disorders 0.538 Diagnose and manage knee instability and ligamentous injuries 0.533 Diagnose and manage ankle and foot joint disorders 0.531 Counsel on hydration 0.531 Perform an ultrasound-guided procedure 0.530 Diagnose and manage musculotendinous disorders of the elbow 0.529 Diagnose and manage bursitis of the pelvis and hip 0.529 Prescribe exercise in individuals with known comorbidities 0.528 Diagnose and manage leg, ankle, and foot instability and ligamentous injuries 0.527 Prescribe exercise in apparently healthy individuals 0.525 Diagnose and manage lumbar radiculopathy 0.523 Diagnose and manage shoulder instability and ligamentous injuries, including acromioclavicular, glenohumeral, and sternoclavicular joints 0.522 Diagnose and manage musculotendinous disorders of the hand and wrist 0.520 Diagnose and manage hand and wrist joint disorders 0.519 Evaluate an athlete’s risk of injury 0.516 Prescribe pain medications 0.514 Diagnose and manage obesity 0.514 Counsel on activity guidelines 0.514 Diagnose and manage leg, ankle, and foot fractures and bone stress injuries 0.513 Apply a cast, splint, or brace 0.512 Diagnose and manage acute sports-related concussion 0.511 Diagnose radiographic musculoskeletal lesions 0.505 Diagnose and manage bursitis of the knee 0.504 Diagnose and manage cervical disc disorders 0.504 Perform and interpret a diagnostic ultrasound 0.502 Counsel on sports specific technique (including throwing, running, jumping, swimming mechanics) 0.501 Diagnose and manage cervical radiculopathy and myelopathy 0.499 Diagnose radiographic musculoskeletal anatomic variants 0.499 Diagnose and manage hand and wrist fractures and bone stress injuries 0.497 Diagnose and manage elbow joint disorders 0.494 Evaluate athlete for medical clearance for sport 0.494 Counsel on supplement use 0.494 Diagnose and manage cervical facet disorders 0.493 Diagnose and manage ganglion cyst 0.492 Diagnose and manage thoracolumbar disc disorders 0.492 Diagnose and treat respiratory infections 0.489 Diagnose and manage depression/anxiety 0.489 Diagnose and manage PEDIATRIC apophyseal/epiphyseal conditions 0.489 Diagnose and manage cervical spondylosis 0.487 Diagnose and manage neurovascular disorders of the hand and wrist 0.487 Counsel on coping with injury 0.487 Interpret family history as a component of the PPE 0.486 Counsel on sleep hygiene and diagnose and manage impaired sleep 0.486 Diagnose and manage thoracolumbar facet disorders 0.485 Diagnose and manage shoulder fractures and bone stress injuries 0.481 Diagnose and manage bursitis of the elbow 0.481 Diagnose and manage hand and wrist instability and ligamentous injuries 0.481 Administer Preparticipation Evaluation (PPE) 0.481 Screen Athlete for mental health disorders 0.480 Diagnose and manage elbow and forearm fractures and bone stress injuries 0.480 Diagnose and manage bursitis of the leg, ankle, and foot 0.480 Counsel on protective equipment 0.478 Diagnose and manage skin disease of fungal, bacterial, or viral etiology 0.478 Diagnose and manage delayed onset muscle soreness 0.476 Diagnose and manage exercise associated muscle cramps 0.475 Diagnose and manage fractures unique to PEDIATRICS 0.474 Evaluate ADULT athlete for sport and exercise participation 0.474 Diagnose and manage spondylolisthesis 0.474 Diagnose and manage knee fractures and bone stress injuries 0.473 Inject a nerve or nerve sheath 0.473 Diagnose and manage persistent postconcussion symptoms 0.473 Evaluate PEDIATRIC athlete for sport and exercise participation 0.473 Counsel on early sport specialization 0.472 Treat lacerations/abrasions 0.471 Counsel athletes on head injury and chronic traumatic encephalopathy 0.470 Diagnose and manage neurovascular disorders of the upper arm and shoulder 0.469 Diagnose and manage cervical spinal stenosis 0.468 Diagnose and manage rib and chest wall disorders 0.468 Diagnose, investigate and manage hypertension, including secondary causes of hypertension 0.467 Diagnose and manage pelvis, hip, and thigh fractures and bone stress injuries 0.467 Counsel on and administer immunizations 0.467 Diagnose and manage elbow instability and ligamentous injuries 0.466 Diagnose and manage neurovascular disorders of the elbow and forearm 0.466 Diagnose and manage contact dermatitis 0.465 Diagnose and manage low bone density (osteoporosis/osteopenia) 0.464 Diagnose and manage overtraining/overreaching 0.463 Counsel on skin cancer prevention 0.462 Diagnose and manage diabetes mellitus 0.461 Diagnose and manage asthma and exercise-induced bronchospasm 0.461 Diagnose and manage thoracolumbar spinal stenosis 0.460 Interpret cardiovascular screening tests 0.460 Diagnose and manage crystalline arthropathies 0.459 Diagnose and manage headache in athlete 0.457 Diagnose and manage neurovascular disorders of the leg, ankle, and foot 0.457 Diagnose and manage anemia 0.457 Interpret synovial fluid analysis 0.456 Evaluate exercise associated cardiopulmonary symptoms chest pain, palpitations, dizziness, or dyspnea with exercise 0.456 Diagnose and manage fibromyalgia and chronic pain syndromes 0.455 Manage return-to-play decisions for febrile illness in athletes 0.451 Evaluate athlete with chronic medical conditions for sport and exercise participation 0.451 Diagnose and manage inflammatory arthritis, including rheumatoid arthritis, lupus arthropathy, spondyloarthropathies, reactive arthritis, Lyme arthritis, juvenile idiopathic arthritis 0.451 Diagnose and manage neurovascular disorders of the pelvis, hip, and thigh 0.449 Counsel on, diagnose, and manage genitourinary infections, including sexually transmitted infections 0.447 Diagnose and manage thyroid disorders 0.445 Support performance goals, and diagnose and manage performance anxiety 0.445 Prevent, diagnose, and treat burnout 0.445 Diagnose and manage osteochondritis dissecans 0.444 Diagnose and manage gastrointestinal disorders in athletes 0.444 Counsel on travelers' health for athletes 0.443 Diagnose and manage scoliosis 0.443 Diagnose and manage abdominal wall disorders 0.442 Diagnose and manage skin, nail, and nailbed emergencies 0.438 Refer for neuropsychological testing 0.437 Diagnose and manage thoracic outlet syndrome 0.436 Diagnose and manage PEDIATRIC spine conditions 0.436 Diagnose and manage chronic sequela of concussion 0.435 Evaluate Masters athlete for sport and exercise participation 0.434 Diagnose and manage relative energy deficiency in sport (REDs/Triad) in ADULT patients 0.433 Reduce a joint dislocation or fractures 0.432 Diagnose and manage venous thrombosis 0.432 Counsel on, diagnose, and manage heat injury and disorders 0.431 Refer for treadmill or bike exercise stress test 0.431 Diagnose and manage urticaria 0.430 Manage return-to-play decisions with infectious gastroenteritis 0.430 Diagnose and manage acute mental health emergencies 0.430 Diagnose and manage mononucleosis 0.430 Diagnose and manage neurovascular disorders of the knee 0.429 Diagnose and manage acute nasal trauma, including epistaxis 0.429 Diagnose and manage complex regional pain syndrome 0.427 Diagnose and manage arteriosclerotic coronary artery disease 0.427 Manage contraception 0.427 Diagnose and manage eating disorders/disordered eating 0.427 Diagnose and manage peripheral vascular disease 0.426 Diagnose and manage osteoporotic vertebral compression fractures 0.425 Diagnose and manage brachial plexopathies 0.425 Diagnose and manage nonemergent facial trauma 0.423 Engage in shared decision-making on medical retirement from sport due to concussion 0.420 Diagnose and treat menstrual disorders in athletes 0.419 Diagnose and prevent myositis ossificans 0.417 Diagnose and manage acute cervical spine traumas 0.416 Counsel on and prevent transmission of bloodborne pathogens 0.416 Diagnose structural lung disease and non-asthma airway disease, including cystic fibrosis and COPD 0.415 Evaluate abnormal urinary sediment, including hematuria, hemoglobinuria, myoglobinuria, proteinuria 0.415 Diagnose and manage heterotopic ossification 0.414 Diagnose and manage pelvic floor dysfunction 0.413 Manage intravenous fluids 0.413 Refer for cardiopulmonary exercise testing 0.413 Diagnose and manage relative energy deficiency in sport (REDs/Triad) in PEDIATRIC patients 0.411 Diagnose neuropraxia/neurotmesis 0.410 Diagnose and manage acute abdominal/pelvic/genitourinary trauma/disorders 0.409 Diagnose and manage acute facial trauma 0.408 Diagnose and manage thoracolumbar fractures, excluding vertebral compression fractures 0.406 Diagnose and refer sepsis, septic joint, closed space infections, osteomyelitis, and necrotizing fasciitis 0.406 Diagnose and manage cardiac arrhythmia 0.406 Diagnose and manage polymyalgia rheumatica, dermatomyositis, polymyositis, and other inflammatory myopathies 0.406 Diagnose and manage exertional rhabdomyolysis 0.405 Diagnose and manage acute metabolic derangements, including exercise associated hyponatremia, diabetic ketoacidosis, hypoglycemia 0.405 Diagnose and evaluate structural heart disease 0.405 Diagnose and counsel on sickle cell disease and sickle cell trait 0.401 Counsel on and manage retirement from sport 0.400 Counsel on and prevent doping 0.397 Diagnose and manage acute lumbar spinal cord injuries 0.396 Diagnose and evaluate valvular heart disease and aortopathies 0.396 Evaluate and treat a collapsed athlete 0.395 Diagnose and refer acute ocular trauma and disorders 0.394 Diagnose and refer dental trauma 0.393 Diagnose and manage exercise induced laryngeal obstruction (vocal cord dysfunction) and laryngospasm 0.389 Diagnose and manage acute auricular trauma 0.389 Diagnose and manage acute chest trauma and disorders 0.386 Diagnose and manage shoulder disorders in wheelchair ambulators 0.385 Diagnose and refer nonaccidental trauma 0.382 Diagnose and manage vision loss or eye pain 0.381 Diagnose and evaluate electrical heart disease and ion channelopathies 0.381 Manage and counsel on pregnancy, peripartum, and postpartum athletes 0.381 Interpret electrodiagnostic (NCS/EMG) testing 0.379 Evaluate athlete with cancer or cancer survivor for sport and exercise participation 0.379 Diagnose and manage pulmonary embolism 0.376 Counsel on, diagnose, and manage cold injury and disorders 0.373 Diagnose and manage stable cervical fractures 0.373 Diagnose and manage sternoclavicular fractures and dislocations 0.372 Diagnose and manage osteonecrosis in PEDIATRIC athletes 0.371 Diagnose and manage acute lumbar spine emergencies 0.369 Manage lower extremity limb deficiency 0.367 Diagnose and manage anaphylaxis 0.363 Evaluate seizure disorder 0.363 Diagnose and manage upper extremity limb deficiency 0.361 Diagnose and treat acute seizure 0.358 Perform compartment pressure testing 0.358 Evaluate genitourinary injury, including pudendal nerve and straddle injuries 0.356 Perform preparticipation evaluation for athlete with disability/parasport 0.356 Manage posttraumatic brain injury, excluding concussion 0.356 Diagnose and counsel on coagulopathies (bleeding disorders), including hemophilia 0.355 Evaluate and treat an open fracture 0.354 Counsel on, diagnose, and manage altitude injury and disorders 0.354 Diagnose and refer intracranial hemorrhage and acute cerebrovascular accident 0.352 Diagnose and manage autonomic dysreflexia 0.348 Diagnose and manage breast contusion 0.347 Diagnose and treat acute and chronic overdose 0.338 Diagnose and manage an acute knee dislocation 0.337 Diagnose and refer acute compartment syndrome 0.337 Perform extracorporeal shockwave therapy 0.336 Diagnose and manage acute thoracic spine emergencies 0.334 Diagnose and refer blunt and penetrating neck trauma 0.333 Evaluate central nervous system disorders in athletes, including multiple sclerosis, cerebral palsy, post tumor 0.325 Diagnose, manage, and prevent dermatologic conditions in parasport athletes 0.323 Perform a fluoroscopic-guided procedure 0.319 Diagnose and manage acute cervical spinal cord emergencies 0.317 Perform preparticipation evaluation for transgender athlete 0.308 Diagnose and manage skull fractures 0.301 Manage post spinal cord injury 0.301 Diagnose and manage cardiac arrest 0.300 Diagnose and manage exercise associated collapse associated with sickle cell trait (ECAST) and sickle cell disease 0.292 Diagnose and treat traumatic arthrotomy 0.288 Manage athlete post cerebrovascular accident 0.288 Manage compromised airway 0.286 Diagnose neuromuscular disorders (eg amytrophic lateral sclerosis (ALS), myasthenia gravis, etc) 0.286 Diagnose and treat acute hemorrhagic vascular injuries 0.285 Diagnose and manage central nervous system infections 0.274 Diagnose and treat an acute hip dislocation 0.272 Diagnose and manage atlantoaxial instability 0.272 Counsel on, diagnose, and manage undersea injury and disorders 0.261 Evaluate and manage genitourinary conditions post spinal cord injury 0.261 Evaluate and treat a traumatic amputation 0.258 Triage a mass casualty event 0.252 Counsel on, diagnose, and manage lightning injuries 0.233 Diagnose and refer fat embolism 0.081 * Rasch modeling used here derives the relative importance of each clinical activity based on frequency. This does not estimate the absolute frequency of the clinical activity.
Content Domain Clinical Activities1
# (%)FI IoH FI + IoH Propose Approval Version Care of Emergency Conditions 46 (19.9%) 15.1% 29.6% 22.4% 23% Preventive Aspects of Sports Medicine 27 (11.7%) 12.4% 8.3% 10.4% 10% Musculoskeletal Conditions 81 (35.1%) 36.4% 27.8% 32.1% 32% Medical Conditions 77 (33.3%) 31.1% 29.3% 30.2% 30% Foundations of Practice2 -- 5.0% 5.0% 5.0% 5% Total 231 (100%) 100% 100% 100%3 100% 1 The Clinical Activities column indicates the number of clinical activities assigned to each content domain and the percentage of the exam each domain would represent if based solely on activity count, without adjustments for frequency of occurrence (FI) or risk of patient harm (IoH). The Foundations of Practice domain is excluded from this calculation.
2 Foundations of Practice domain was fixed at 5% by policy, as it does not involve observable clinical activities. The empirically derived percentages from survey data, reflecting observable clinical activities, were proportionally adjusted to collectively occupy the remaining 95% of the examination.
3 Percentages in this column may not sum exactly to 100% due to rounding; however, they total precisely 100% when calculated to three decimal places.
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