The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Predictive Validity of Certification by the American Board of Internal Medicine

Paul G. Ramsey, MD; Jan D. Carline, PhD; Thomas S. Inui, ScM, MD; Eric B. Larson, MD, MPH; James P. LoGerfo, MD; and Marjorie D. Wenrich, BA
[+] Article, Author, and Disclosure Information

Grant Support: Partial support by the American Board of Internal Medicine. Dr. Ramsey is a Henry J. Kaiser Family Foundation Faculty Scholar in General Internal Medicine.

The report does not necessarily reflect the opinions or policies of the American Board of Internal Medicine or the Henry J. Kaiser Family Foundation.

Requests for Reprints: Paul G. Ramsey, MD, Department of Medicine RG-20, University of Washington School of Medicine, Seattle, WA 98195.

Current Author Addresses: Drs. Ramsey and Larson, and Ms. Wenrich: Department of Medicine RG-20, University of Washington, Seattle, WA 98195.

Dr. Carline: Division of Research in Medical Education RH-20, University of Washington, Seattle, WA 98195.

Dr. Inui: Division of General Internal Medicine ZA-60, University of Washington, Seattle, WA 98195.

Dr. LoGerfo: Harborview Medical Center ZA-90, University of Washington, Seattle, WA 98195.

©1989 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1989;110(9):719. doi:10.7326/0003-4819-110-9-719
Text Size: A A A

Study Objective: To determine the predictive validity of the American Board of Internal Medicine (ABIM) certification process.

Design: Prospective measurement of the knowledge, skills, and attitudes of 185 ABIM-certified and 74 noncertified internists by a written examination; evaluation by professional associates; a patient questionnaire assessing satisfaction with care, physician's counseling role, and preventive care; and review of records of patients with common illnesses.

Subjects: Practicing internists who completed training or received ABIM certification 5 to 10 years previously.

Setting: Office-based practices in six western states.

Results of Data Analysis: Physicians certified by the ABIM had significantly higher scores on the written examination than the noncertified physicians, and scores on our examination correlated highly with the ABIM certification examination (r = 0.73). Ratings of clinical skills by professional associates were significantly higher for certified internists and also correlated highly with ABIM examination scores (r = 0.53 to 0.59). Regression analysis showed that ABIM certification status was the major variable affecting performance on these measures of clinical competence. Results from other measures did not show many differences between certified and noncertified physicians in the care of patients with common illnesses, but modest differences in preventive care and a few differences in outcome favored the certified physicians.

Conclusions: Comparison of findings from the written examination and the professional associate ratings with certification status and original ABIM certification examination scores shows predictive validity of ABIM certification. Further studies are needed to determine if certification status predicts important differences in the care of patients with complex illnesses.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.