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The Relationship Between Board Certification and Disciplinary Actions Against Board-Eligible Family Physicians

Michael R Peabody1, Aaron Young, Lars E Peterson

  • 1M.R. Peabody is senior psychometrician, American Board of Family Medicine, Lexington, Kentucky. A. Young is assistant vice president, Research and Data Integration, Federation of State Medical Boards, Euless, Texas. L.E. Peterson is vice president of research, American Board of Family Medicine, and assistant professor, Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, Kentucky. T.R. O'Neill is vice president of psychometric services, American Board of Family Medicine, Lexington, Kentucky. X. Pei is senior research analyst, Federation of State Medical Boards, Euless, Texas. K. Arnhart is senior research analyst, Federation of State Medical Boards, Euless, Texas. H.J. Chaudhry is president and chief executive officer, Federation of State Medical Boards, Euless, Texas. J.C. Puffer is president and chief executive officer emeritus, American Board of Family Medicine, Lexington, Kentucky.

Academic Medicine : Journal of the Association of American Medical Colleges
|February 16, 2019
PubMed
Abstract

Insights

Family physicians certified by the American Board of Family Medicine (ABFM) were less likely to face disciplinary actions. However, severe actions were linked to physicians lacking current ABFM certification.

Area of Science:

  • Medical Professionalism
  • Physician Accountability
  • Public Health Policy

Background:

  • State medical boards issue disciplinary actions for physician misconduct.
  • Lack of specialty board certification is a known predictor of disciplinary actions.
  • The American Board of Family Medicine (ABFM) certifies family physicians.

Purpose of the Study:

  • To investigate the association between ABFM certification and disciplinary actions against family physicians.
  • To determine if ABFM certification influences the likelihood or severity of disciplinary actions.

Main Methods:

  • Analysis of merged datasets from 1976-2017.
  • Logistic regression models to assess the relationship between certification status and disciplinary actions.
  • Adjustment for covariates including gender, age, degree type, medical school location, and action severity.

Main Results:

  • 95% of family physicians in the sample had no disciplinary actions.
  • Ever holding ABFM certification was associated with a 65% reduced likelihood of receiving any disciplinary action (OR=0.35).
  • Physicians with prior but not current ABFM certification had an increased likelihood of receiving the most severe actions (OR=3.71).

Conclusions:

  • Disciplinary actions against family physicians are infrequent.
  • ABFM certification is associated with a lower risk of disciplinary actions.
  • Severe disciplinary actions correlate with a lack of current board certification.

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