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COMMENTS AND OPINIONS
The Impact of the ABIM’s Practice Improvement Modules on Patient Outcomes—Reply
Jan Simpkins, MA;
George Divine, PhD;
Mingqun Wang, MS;
Eric Holmboe, MD;
Manel Pladevall, MD, MS;
L. Keoki Williams, MD, MPH
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In reply
Most of the points raised by Murdoch were already discussed by us in detail in the article1; therefore, we believe that we were fair in our presentation of the study results. For example, we clearly labeled and displayed the "intention-to-treat" and "per-protocol" analyses in the article so that clinicians could also draw their own conclusions. Also, while we disagree with Murdoch about the appropriateness of either analytic approach, we do agree that the results of the intervention were modest and that barriers to completing PIMs need further study. Given the competing demands of busy physicians, practice improvement initiatives must be both feasible and effective, and they must not compromise attention to other important conditions. Unfortunately, we could not assess the latter, since our study was designed . . . [Full Text of this Article]
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RELATED LETTER
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