Patient Experience of Care Survey Form
ABEM has developed a patient experience of care survey form that has been adapted from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey and Reporting Kit 2008. The survey form is available for ABEM diplomates who do not have access to an existing survey to download and use to fulfill their ABEM MOC APP Communication/Professionalism requirement.
Diplomates may access the form by clicking here. It can be printed as is, or the questions can be pasted into a letterhead or other framework of the diplomate’s choosing. Diplomates must survey ten of their own patients to meet their ABEM MOC requirements. Physicians should use the survey results to inform their practice improvement. This information should not be used for summative evaluations of individual physicians, including any employment-related decisions based on such data alone.
After completing the survey, diplomates should sign in to ABEM MOC Online to attest that they have completed a patient feedback activity to meet the Communication / Professionalism requirement.