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Initial Certification indicates that physicians have met rigorous standards through intensive study, accredited training and evaluation and that they have the clinical judgment, skills and attitudes essential for the delivery of excellent patient care.

MOC is a professionally determined standard that attests that an internist is staying current in knowledge and practice throughout his/her career.

For more than 75 years, Certification by ABIM has stood for the highest standard in internal medicine and its 20 subspecialties.

PIMs for Training Programs

Practice Improvement Modules (PIMs) for training programs allow for convenient and easy documentation of program activity in all of the ACGME general competencies. PIMs are particularly useful in documenting activity in practice-based learning and improvement, and systems-based practice.

PIMs allow faculty, residents and fellows the ability to analyze and evaluate practice performance. View a bibliography of literature supporting PIM use in training.

Available PIMs for Training Programs

Care Coordination - Specialist PIM
Chronic Kidney Disease
Chronic Obstructive Pulmonary Disease
Communication – Primary Care
Communication – Recent Visit PIM
Communication – Subspecialists
Palliative Care for Primary Care & Subspecialist Physicians PIM
Preventive Cardiology

View PIM demonstrations

Program Directors, Supervising Physicians and Attending Physicians enrolled in the ABIM Maintenance of Certification (MOC) Program can choose any ABIM PIM; however, the Clinical Supervision PIM has been especially created for faculty to help them improve those skills necessary for observing and evaluating trainees.

Guidelines for using PIMs in Training Programs

Data Collection

Working in a group, participants use the PIM to collect practice data to calculate performance measures. These performance measures will be used to conduct several rapid cycle tests to improve performance. Data collection involves two or three of the following activities, depending on the selected PIM*:

  • Patient survey: ABIM recommends receiving a number of completed patient surveys equal to five times the number of participants. If this number is not feasible, ABIM will accept a minimum of 25 survey responses. If the group has four or fewer participants, a minimum of 25 completed surveys must be received by ABIM.
  • Patient medical record audit: ABIM recommends receiving a number of medical record audits equal to five times the number of participants. If the group has four or fewer participants, a minimum of 25 charts must be reviewed. Any practice performance data that includes Protected Health Information is maintained in a HIPAA-compliant manner.
  • Systems examination: The group is required to complete one Examine Systems Survey. Ideally, all clinical staff should meet to discuss the questions raised in the survey. Having nursing and administrative staff present will add value to this section of the PIM.

* The HIV and Colonoscopy modules do not include a patient survey. Visit PIM Assessment ABIM Activities to review data collection guidelines for training programs.

Quality Improvement

After data are submitted to ABIM, an aggregate report is provided to the group to guide development and implementation of a quality improvement exercise for one or more aspects of the practice. The Quality Improvement portion of the PIM consists of the following steps:

  • Review the summary report to develop a quality improvement plan for one performance measure.
  • Implement the Improvement Plan and collect data in order remeasure performance in that area.
  • Submit your completed PIM to ABIM.

Institutional Review Board

Because the PIM is primarily a quality improvement instrument rather than a research instrument, no IRB review is necessary. In order to comply with HIPAA, PIM users are asked to enter a "generic" patient identifier when entering patient chart data (e.g., P1 for the first patient chart).

Earn ABIM MOC and CME Credit

Faculty and fellows who are enrolled in ABIM's Maintenance of Certification (MOC) program may receive up to 40 MOC points as well as 20 AMA PRA Category 1 Credits™ for completing a PIM. The number of MOC points awarded depends on the PIM selected.

Request a PIM

Log in to request and Administer PIMs for Residents and Fellows as a Program Director or Administrator.

Some points to keep in mind when requesting a PIM:

  • The ordering process is driven by your institution's FasTrack® number, account name and password. Check with your Program Director or Program Administrator for more information on FasTrack.
  • All PIMs in Residency orders are final. Participants cannot be added to the PIM once the order is placed. Call 1-800-441-2246 or e-mail if you have any questions about using ABIM's PIM products with your trainees.

Work on a PIM

Log in to work on a PIM.