Table 4.

Ratings of Content Appropriateness of American Board of Family Medicine (ABFM) Self-Assessment Module (SAM) Clinical Simulation (CS) from 2006 to 2016

Module Name	Content Is Appropriate for My Practice, Mean (95% CI)
Module Name	2006	2007	2008	2009	2010	2011	2012	2013	2014	2015	2016^*
Diabetes	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.0)	4.9 (4.9–5.0)	4.9 (4.9–5.0)
Hypertension	5.0 (4.9–5.0)	5.0 (5.0–5.0)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.0)	5.0 (4.9–5.0)	4.9 (4.9–5.0)
Asthma	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (5.0–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	4.9 (4.9–5.0)	4.8 (4.8–4.9)
Coronary artery disease	4.8 (4.7–4.8)	4.8 (4.8–4.9)	4.9 (4.9–4.9)	4.9 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	4.9 (4.9–5.0)	4.9 (4.9–5.0)	4.9 (4.8–4.9)	4.9 (4.8–4.9)
Depression	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (5.0–5.0)	5.0 (5.0–5.1)	5.0 (5.0–5.0)	4.9 (4.9–5.0)	4.9 (4.9–5.0)	4.9 (4.8–4.9)	4.8 (4.8–4.9)	4.9 (4.8–5.0)
Heart failure	5.0 (4.9–5.1)	5.1 (5.0–5.1)	5.1 (5.1–5.2)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (4.9–5.0)	4.9 (4.8–5.0)
Pain management^†		4.9 (4.9–5.0)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.1–5.2)	5.0 (5.0–5.1)	5.0 (4.9–5.0)	4.9 (4.8–5.0)
Well child care^†		4.7 (4.7–4.8)	4.8 (4.7–4.8)	4.7 (4.6–4.8)	4.9 (4.9–5.0)	5.0 (5.0–5.1)	5.1 (5.0–5.1)	5.1 (5.0–5.1)	5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.0 (4.9–5.1)
Health behavior^†			5.0 (4.9–5.0)	5.0 (4.9–5.0)	5.1 (5.0–5.1)	5.0 (4.9–5.1)	5.1 (5.0–5.2)	5.0 (4.9–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.1)	4.8 (4.7–4.9)
Maternity care^†			4.7 (4.6–4.8)	4.6 (4.5–4.7)	4.6 (4.5–4.7)	4.6 (4.5–4.7)	4.5 (4.4–4.6)	4.5 (4.4–4.6)	4.6 (4.5–4.7)	4.7 (4.6–4.7)	4.6 (4.5–4.8)
Care of vulnerable elders				4.8 (4.8–4.9)	4.9 (4.8–4.9)	4.9 (4.9–5.0)	4.9 (4.9–5.0)	4.9 (4.8–4.9)	4.8 (4.8–4.9)	4.8 (4.8–4.9)	4.8 (4.7–4.9)
Childhood illness				4.7 (4.6–4.7)	4.7 (4.6–4.7)	4.7 (4.6–4.7)	4.7 (4.6–4.8)	4.8 (4.7–4.8)	4.7 (4.7–4.8)	4.7 (4.7–4.8)	4.7 (4.6–4.8)
Cerebrovascular disease					4.9 (4.9–5.0)	4.9 (4.8–4.9)	4.9 (4.9–5.0)	4.9 (4.9–5.0)	4.9 (4.8–4.9)	4.8 (4.7–4.9)	4.8 (4.7–4.9)
Preventive care						5.1 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.1)	5.0 (5.0–5.1)	4.9 (4.9–5.0)	4.9 (4.8–5.0)
Hospital medicine							5.1 (4.9–5.2)	4.9 (4.9–5.0)	4.9 (4.9–5.0)	4.8 (4.7–4.8)	4.7 (4.7–4.8)
Mental health							4.9 (4.8–5.0)	4.8 (4.7–4.9)	4.8 (4.7–4.9)	4.7 (4.6–4.8)	4.8 (4.6–4.9)

The ratings are on a scale from 1 (strongly disagree) to 6 (strongly agree) with 95% confidential interval (CI) in parentheses.
↵* Data from January 2016 to July 2016.
↵† The ratings of these 4 SAMs were rescaled from 1 to 4 to 1 to 6.