Infographic: Board Certified Internists are Positively Different

Board Certified Internists are
Positively Different

Evidence shows that physicians who earn certification from the American Board of Internal Medicine (ABIM) and maintain their certification provide better patient care.

ABIM Board Certified Physicians are more likely to…

…Save Lives

19% lower mortalityTreatment by a board certified internist or cardiologist is associated with a 19% reduction in mortality than treatment by a non-certified internist or cardiologist among patients with acute myocardial infarction 1

Hundres of Lives Saved Per YearTreatment by a certified interventional cardiologist for percutaneous coronary intervention was associated with a decreased risk of mortality (about 408 patients per year) and emergency coronary artery bypass grafting (about 153 patient per year) that treatment by a non-certified interventional cardiologist 2

…Avoid disciplinary action

5 Times Less LikelyABIM Board Certified physicians are 5x less likely to have state medical licensure disciplinary actions than a non-certified physician 3

Score Means Less Disciplinary ActionThe higher a physician’s score on the initial certification exam, the less likely they are to have state medical licensure disciplinary actions against them 4

…Adhere to Guidelines

17% Greater Adherence

Physicians who score high on the Maintenance of Certification (MOC) exam are about 17% more likely to adhere to guidelines of practice for their diabetic patients than physicians who score low on the MOC exam 5

On a composite score of 124 quality measures from RAND’s Quality Assessment Tools, adherence to guidelines is greater among Board Certified physicians 6

MOC improves value of care without sacrificing quality

$167 less per patient per yearPhysicians who were required to participate in MOC to maintain their certification save $167 per Medicare patient per year compared to physicians not required to participate 7

5 billion per yearFindings suggest MOC reduces U.S. healthcare Medicare costs by approximately $5 billion per year 7

American Board of Internal Medicine

References:
  1. Norcini JJ, Lipner RS, Kimball HR. Certifying examination performance and patient outcomes following acute myocardial infarction. Medical Education. 2002;36:853-59.
  2. Fiorilli PN, Minges K, Herrin J, Messenger J, Ting H, Nallamothu B, Lipner RS, Hess BJ, Holmboe ES, Brennan J, Curtis J. Association of physician certification in Interventional Cardiology with in-hospital outcomes of percutaneous coronary intervention. Circulation. 2015;132(19):1816-24.
  3. Lipner RS, Young A, Chaudhry HJ, Duhigg LM, Papadakis MA. Specialty certification status, performance ratings, and disciplinary actions of internal medicine residents. Academic Medicine. 2016;91(3):376-81.
  4. Papadakis MA, Arnold GK, Blank LL, Holmboe ES, Lipner RS. Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards. Annals of Internal Medicine. 2008;148(11):869-76.
  5. Holmboe ES, Wang Y, Meehan TP, Tate JP, Ho SY, Starkey KS, Lipner RS. Association between maintenance of certification examination scores and quality of care for medicare beneficiaries. Archives of Internal Medicine. 2008; 168(13):1396-403.
  6. Reid RO, Friedberg MW, Adams JL, McGlynn EA, Mehrotra A. Associations between physician characteristics and quality of care. Archives of Internal Medicine. 2010;170(16):1442.
  7. Gray BM, Vandergrift JL, Johnston MM, Reschovsky JD, Lynn LA, Holmboe ES, McCullough JS, Lipner RS. Association between imposition of a Maintenance of Certification requirement and ambulatory care-sensitive hospitalizations and health care costs. JAMA. 2014; 312(22):2348-57.

Find more research regarding certification and Maintenance of Certification