Table 4.

Percent of 2017–2021 American Board of Family Medicine Diplomates Failing Initial Attempt at Recertification Exam, by Endorsement of Motivation

MotivationEndorses motivationDoes not endorse motivationP (χ2)
Intrinsic
 Image6.8 (547/8093)7.6 (524/6875)0.041*
 Medical knowledge7.3 (569/7760)7.0 (502/7208)0.383
 Monitor/improve patient care7.8 (492/6334)6.7 (579/8634)0.013*
 Patient preference6.1 (327/5366)7.8 (744/9602)<0.001***
 Patient satisfaction8.5 (308/3617)6.7 (763/11,351)<0.001***
 Personal preference7.1 (548/7679)7.2 (523/7289)0.927
 Professional advancement8.2 (413/5035)6.6 (658/9923)<0.001***
Extrinsic
 Credentialing5.6 (464/8325)9.1 (607/6643)<0.001***
 Employer4.5 (349/7772)10.0 (722/7196)<0.001***
 Payer5.6 (374/6665)8.4 (697/8303)<0.001***
 Other9.2 (26/283)7.1 (1045/14,685)0.181
  • * P < .05, **P < .01, ***P < .001.

  • Bold figures indicate a higher probability of failure.