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PIM Support Website
This website provides tools to assist residency program directors, faculty, and administrators implement the American Board of Internal Medicine's (ABIM's) practice improvement modules (PIMs) in residency programs. This material was developed through the Alliance for Academic Internal Medicine-ABIM Foundation Resident-Faculty Practicum in Systems-Based Practice and Practice-Based Learning and Improvement.
In brief, PIMs allow individual physicians or groups of practitioners to document their involvement in a clinical quality improvement project. The PIM structure follows the traditional plan-do-study-act cycle by facilitating documentation of:
- Measuring care through chart audits, patient surveys, and a practice survey.
- Reflecting on care by reviewing and reflecting on a performance report.
- (Making changes to care processes is the responsibility of the physician and practice system. PIMs provides ideas for changing systems.)
- Delivering care in the changed health care system by reassessing charts and patients.
More information on PIMs is available on the ABIM website at www.abim.org/pim.
Microsoft PowerPoint Presentations
- About PIMs: overviews of the structure of a PIM.
- Interventions that promote change: reviews the audit and feedback cycle and the importance of physician leaders as change agents.
- PIM implementation: walks through the two phases of PIM implementation; includes a list of necessary resources; poses critical questions in PIM implementation.
- Quality improvement toolkit: reviews competency definitions for practice-based learning and systems-based practice; illustrates some tools for quality improvement.
Microsoft Word Documents
This series of templates divides core activities in PIM implementation into digestible bites and poses questions residency faculty and administrators should consider before delving into the PIM process. Use of these templates will help the implementation group achieve consensus on its plan and help identify possible obstacles to the implementation process.
- PIM Implementation Template: provides a broad overview of major PIM steps and asks how these will be overcome.
- Resident Development Template: asks questions concerning which residents will be involved and how they will be trained in quality improvement and use of the PIM.
- Faculty Development Template: asks questions concerning which faculty will be involved, how they will be trained to facilitate resident use of the PIM, and how they will be trained to deliver quality improvement training.
- Patient Survey Template: asks questions concerning the identification of patients to enroll in the patient survey process and how patient data collection will be ensured.
- Intervention Template: asks questions concerning Phase II of the PIM. Phase II begins once PIM data (patient surveys, chart reviews, practice review) have been collected and submitted to ABIM for processing and the report comparing program performance to benchmarks has been returned to the program. The template asks how the program will review the report, how an aim for the improvement process will be developed, and how the improvement project will be implemented.
AAIM will update this website with additional information on PIM implementation in residencies as the information becomes available.
Questions concerning PIMs, including how to access them for use in residencies and related fees, should contact ABIM at www.abim.org/pim or ABIM’s Sarah Hood at shood@abim.org.
Program leaders seeking assistance on the use of PIMs in residencies can contact the AAIM and ABIM leaders of the of the practicum with questions concerning best practices and strategies for implementation of the PIM:
Eric S. Holmboe, MD
eholmboe@abim.org
Linda G. Lesky, MD
llesky@aamc.org
Eric J. Scher, MD
escher1@hfhs.org
Charles P. Clayton
cclayton@im.org
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