Patient or Peer Feedback Module

Diplomates choose ONE Clinical Module OR Feedback Module to complete the PIP activity.

For the Feedback Module, clinically active diplomates obtain personal feedback regarding their own clinical performance using questionnaire/surveys. The Feedback Module consists of three steps to complete within a 24-month period.

How to complete the Feedback Module

Step A: Initial assessment of patient or peer feedback

Collect initial feedback from ONE of the following options:

Patient* feedback forms from five patients,
Peer** feedback forms from five peers,
Resident evaluation feedback forms from five residents,
Supervisor evaluation feedback form from one supervisor, or
360-Degree evaluation feedback forms from five respondents

Diplomates may choose a feedback module from the Approved Products List, use an ABPN feedback form, or submit their institution’s patient survey or peer evaluation, provided the survey addresses the six general competencies as indicated on the ABPN feedback forms.

Step B: Identify and implement improvement

Based on results from feedback, identify opportunities for improvement to the effectiveness and/or efficiency in practice as related to the general competencies and take steps to implement improvements as needed.
If no areas for improvement are determined based on initial assessment, then maintenance of performance in medical practice should be reassessed in Step C.

Step C: Reassessment of patient or peer feedback

Within 24 months of initial assessment, collect data from another set of the same or different patients or peers.
Use the same feedback option for the initial assessment and reassessment steps.

* Patients may include those for which the diplomate supervises the care of another provider (e.g., resident).

**Peers may include other professional healthcare staff such as counselors, nurses, physicians, psychologists, and social workers.

General Information

Please allow ample time to complete the PIP activity (Steps A, B and C).
Use the same feedback option for the initial assessment and reassessment steps.
One PIP activity is required every CC block.
ABPN does not collect patient or peer data. If audited, ABPN will require that diplomates explain how they carried out the Improvement in Medical Practice activity and submit information about their process and improvement plan. See the ABPN Diplomate Audit section of this website for more information about audits.
Preapproval is not needed if the questionnaire/survey addresses the six general competencies: interpersonal and communication skills, medical knowledge, patient care, practice-based learning, professionalism, and systems-based practice.

Learn details for completing a Feedback Module Activity with this short video:

ABPN-Approved PIP Forms

ABPN Approved CC Activities List