RT Journal Article SR Electronic T1 Pass Rates on the American Board of Family Medicine Certification Exam by Residency Location and Size JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 453 OP 459 DO 10.3122/jabfm.2013.04.120307 VO 26 IS 4 A1 John L. Falcone A1 Donald B. Middleton YR 2013 UL http://www.jabfm.org/content/26/4/453.abstract AB Background: The Accreditation Council for Graduate Medical Education (ACGME) sets residency performance standards for the American Board of Family Medicine Certification Examination. This study aims are to describe the compliance of residency programs with ACGME standards and to determine whether residency pass rates depend on program size and location. Methods: In this retrospective cohort study, residency performance from 2007 to 2011 was compared with the ACGME performance standards. Simple linear regression was performed to see whether program pass rates were dependent on program size. Regional differences in performance were compared with χ2 tests, using an α level of 0.05. Results: Of 429 total residency programs, there were 205 (47.8%) that violate ACGME performance standards. Linear regression showed that program pass rates were positively correlated and dependent on program size (P < .001). The median pass rate per state was 86.4% (interquartile range, 82.0–90.8. χ2 Tests showed that states in the West performed higher than the other 3 US Census Bureau Regions (all P < .001). Conclusions: Approximately half of the family medicine training programs do not meet the ACGME examination performance standards. Pass rates are associated with residency program size, and regional variation occurs. These findings have the potential to affect ACGME policy and residency program application patterns.