Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
Phoenix Newsletter - July 2025 Available Now: 2026 5-Year Cycle Registration Read Available Now: 2026 5-Year Cycle Registration
Home Research Research Library Do family physicians choose self-assessment activities based on what they know or don’t know? Do family physicians choose self-assessment activities based on what they know or don’t know? 2014 Author(s) Peterson, Lars E, Blackburn, Brenna E, Bazemore, Andrew W, O’Neill, Thomas R, and Phillips, Robert L Topic(s) Family Medicine Certification Keyword(s) Cognitive Expertise, Psychometrics, and Self-Assessment And Lifelong Learning Volume Journal of Continuing Education in the Health Professions Source Journal of Continuing Education in the Health Professions Introduction: Maintenance of Certification (MOC) for Family Physicians (MC-FP) includes clinical Self-Assessment Modules (SAMs). Whether family physicians choose SAMs that reflect their aptitudes or knowledge gaps has not been studied. Method: Secondary analysis of demographic data, 2009 certification examination scores, and 2009-2012 SAM participation data. We computed disease-specific scores for asthma, diabetes, and hypertension from the examination. We ran unadjusted logistic and adjusted conditional logistic regression models of score quintiles, matched on the number of SAMs completed and controlling for physician demographics and area-level social deprivation. Results: In 2009, 9,610 physicians passed the exam. Mean scores were 591.4 (SD ± 308.5) for asthma, 558.6 (SD ± 216.1) for diabetes, and 533.3 (± 226.7) for hypertension. Average scores on hypertension and diabetes were higher for physicians who subsequently completed related SAMs but not for those who completed the asthma SAM. The percentage of physicians in each quintile of scaled score who completed each SAM increased for diabetes (32.3%-40.9%) and hypertension (33.0%-36.9%). For asthma, logistic regression analyses found no statistically significant associations. For diabetes, there was a consistent association in both models between higher score quintile and likelihood of taking the SAM. For hypertension, an association of higher score and higher likelihood of taking the SAM was significant only in the third quintile (OR = 1.20 (1.03, 1.39)). Discussion: We found inconsistent relationships between physician knowledge and SAM selection. For MOC to better impact quality, boards should consider directing physicians toward MOC activities that fill knowledge gaps rather than areas of strength. ABFM Research Read all 2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance 2020 Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification Go to Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification 2019 How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study Go to How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study 2012 Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs) Go to Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs)
Author(s) Peterson, Lars E, Blackburn, Brenna E, Bazemore, Andrew W, O’Neill, Thomas R, and Phillips, Robert L Topic(s) Family Medicine Certification Keyword(s) Cognitive Expertise, Psychometrics, and Self-Assessment And Lifelong Learning Volume Journal of Continuing Education in the Health Professions Source Journal of Continuing Education in the Health Professions
ABFM Research Read all 2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance 2020 Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification Go to Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification 2019 How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study Go to How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study 2012 Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs) Go to Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs)
2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance
2020 Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification Go to Associations Between Medical Education Assessments and American Board of Family Medicine Certification Examination Score and Failure to Obtain Certification
2019 How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study Go to How Physicians Prepare for Maintenance of Certification Exams: A Qualitative Study
2012 Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs) Go to Knowledge Assessment Responses in the ABFM Self-Assessment Modules (SAMs)