Jump to start of content

Summer 2018 exams affected by Hurricane Florence Expand/Collapse the ABIM alert.

ABIM knows that we have many physicians who may be affected by Hurricane Florence. If you live or work near the affected area, we understand that the hurricane may have impacted your ability to take your Summer 2018 exam as scheduled. We have developed a series of options to help you get through this process as smoothly as possible. If you have any questions, please call us at 1-800-441-ABIM (2246) or email request@abim.org.

Complete requirements by 12/31/18 to avoid a change in certification status Expand/Collapse the ABIM alert.

Sign in to your Physician Portal to view any remaining requirements for the year. Not completing these requirements by 12/31/18 could result in a change to your certification status.

Breadcrumb trail:

Improving falls-risk screening for older patients in residency outpatient clinics.


Holmboe ES, Conforti LN, Lynn LA, Hess BJ. — American Board of Internal Medicine

Presented: Association of Medical Education in Europe Conference, September 2009

Background: Residents must demonstrate effective care for older adults upon completion of training.

Work Done: Using a Web-based assessment tool called the Care of Vulnerable Elderly Practice Improvement Module (CoVE PIM), 11 internal medicine and family medicine residency clinics focused on improving fall-risk screening. Performance was compared with 22 control clinics and nine CoVE PIM intervention clinics that focused on a different quality measure.

In the 11 clinics, the screening rate improved from 10.4% (baseline) to 34.7% (follow-up) - Δ = 24.3% (OR, 2.13; 95% CI, 1.82-2.50), while the 22 control clinics only increased from 12.4% to 21.6% - Δ = 9.2% (OR, 1.41; 95% CI, 1.26-1.57). The other nine CoVE PIM intervention clinics also saw more improvement, but less than clinics targeting fall-risk screening (19.3% to 38.3%) - Δ = 18.9% (OR, 1.66; 95% CI, 1.42-1.94), despite starting at a higher baseline rate. Difference in Δ values was significant (χ2 = 7.00, p < .05).

Conclusion: The CoVE PIM helps residency clinics improve fall-risk screening for older patients, but performance remains suboptimal. Major challenges remain to prepare the future physician workforce to care for older patients.

Take-Home Message:A Web-based multifaceted assessment tool can improve the care for older patients.

For more information about this presentation, please contact Research@abim.org.