Figure 1. Flow Diagram of the Identification and Coding of 2007 American Board of Internal Medicine (ABIM) Certifying Examination Questions for Subscale Inclusion.

ACM indicates appropriate conservative management; AAM, appropriately aggressive management.

^a Most usable management questions did not qualify for inclusion in the ACM or AAM subscale. Coding was performed by the investigators or by trained physician coders overseen by the investigators depending on the stage of the project.