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To account for differences in baseline performance, we included in each regression the mean value of the regressed, preintervention quality measure. We also included dummy variables indicating the number of outcomes selected for improvement and the number of interventions chosen. Institutional Review Board approval was not sought since we were unable to link any PPM data to an individual physician and all data were deidentified and proprietary to the ABFM. We performed the analysis using SAS 9.3 (SAS Institute, Cary, NC) and R 2.15.2. We identified 7924 PPMs that met our inclusion criteria. The mean age of physicians completing the modules was 48.2 years; 61.9% were male; mean years in practice was 13.8; and they had recertified with the ABFM an average of 1.9 times (TABLE?1). The mean time to complete a PPM was 184.5 days. Both patient-reported and physician-abstracted CX-5461 supplier quality measures improved during the PPM (TABLES?2 and?3). Sitaxentan Larger improvements were seen in measures with poorer quality prior to the intervention, foot exams and eye exams, in particular. The agreement between physician-abstracted and patient-reported outcomes was quite high; for foot exam preintervention, 68% physician reported and 77% patient reported and for smoking cessation, 87% versus 91%. The results of the regression analyses of physician-abstracted quality measures are shown in TABLE?4 and patient-reported quality measures in TABLE?5. Quality performance preintervention was significantly (p values cAMP inhibitor significant (p value