ABIM Peer Review form

Peer Review

Verification for ABIM MOC II Activities
Name of reviewer

FirstLast
Activity name
Date of activity

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Please complete the following based on your review:
Activity content is relevant to physicians certified by ABIM.
Activity design is appropriate.
Activity is fair and balanced.
On the basis of the information provided, I have determined that this activity is
Suggested revisions:
Reason:
As a reviewer for the provided content, you attest that you are a clinician who is sufficiently familiar with the material to assess whether the materials are fair, accurate, and free of commercial bias.
Reviewer's email
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty: