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https://www.readbyqxmd.com/read/30052961/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#1
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise and consumer preference? SUMMARY ANSWER: International evidence-based guidelines, including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
July 19, 2018: Human Reproduction
https://www.readbyqxmd.com/read/30044257/the-impact-of-formal-training-and-certification-on-the-relationship-between-volume-and-outcomes-in-percutaneous-coronary-interventions
#2
Habib A Dakik, Wassef Karowni, Katia El-Sibai, Semaan Kobrossi, Karrar Abdul-Ameer, Hani Tamim
BACKGROUND: Little data are available on the impact of formal training and certification on the relationship between volumes and outcome in percutaneous coronary interventions (PCIs).The objective of this report is to study the relationship between PCI volume and outcome for a formally trained interventional cardiologist who is certified by the American Board on Internal Medicine - Interventional Cardiology subspecialty board. METHODS: The operator witnessed 3 different PCI volumes/yr over a 15-year practice period (2000-2014): <50 PCI/yr (years 2000-2006; n = 179), 50-100 PCI/yr (years 2007-2010; n = 256), and >100 PCI/yr (years 2011-2014; n = 427)...
September 2018: Critical Pathways in Cardiology
https://www.readbyqxmd.com/read/30033227/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#3
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference? SUMMARY ANSWER: International evidence-based guidelines including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
August 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/30015669/a-case-for-change-in-adult-critical-care-training-for-physicians-in-the-united-states-a-white-paper-developed-by-the-critical-care-as-a-specialty-task-force-of-the-society-of-critical-care-medicine
#4
Samuel A Tisherman, Antoinette Spevetz, Sandralee A Blosser, Daniel Brown, Cherylee Chang, Philip A Efron, Michael O'Connor, Jonathan E Sevransky, Brian T Wessman
OBJECTIVES: In the United States, physician training in Critical Care Medicine has developed as a subspecialty of different primary boards, despite significant commonality in knowledge and skills. The Society of Critical Care Medicine appointed a multidisciplinary Task Force to examine alternative approaches for future training. DESIGN: The Task Force reviewed the literature and conducted informal discussions with key stakeholders. Specific topics reviewed included the history of critical care training, commonalities among subspecialties, developments since a similar review in 2004, international experience, quality patient care, and financial and workforce issues...
June 28, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29991439/polysomnography-for-obstructive-sleep-apnea-should-include-arousal-based-scoring-an-american-academy-of-sleep-medicine-position-statement
#5
Raman K Malhotra, Douglas B Kirsch, David A Kristo, Eric J Olson, Rashmi N Aurora, Kelly A Carden, Ronald D Chervin, Jennifer L Martin, Kannan Ramar, Carol L Rosen, James A Rowley, Ilene M Rosen
The diagnostic criteria for obstructive sleep apnea (OSA) in adults, as defined in the International Classification of Sleep Disorders, Third Edition, requires an increased frequency of obstructive respiratory events demonstrated by in-laboratory, attended polysomnography (PSG) or a home sleep apnea test (HSAT). However, there are currently two hypopnea scoring criteria in The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications (AASM Scoring Manual). This dichotomy results in differences among laboratory reports, patient treatments and payer policies...
July 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29968026/select-choices-in-benign-breast-disease-an-initiative-of-the-american-society-of-breast-surgeons-for-the-american-board-of-internal-medicine-choosing-wisely-%C3%A2-campaign
#6
Roshni Rao, Kandace Ludwig, Lisa Bailey, Tiffany S Berry, Robert Buras, Amy Degnim, Oluwadamilola M Fayanju, Joshua Froman, Negar Golesorkhi, Caprice Greenburg, Ayemoe Thu Ma, Starr Koslow Mautner, Helen Krontiras, Michelle Sowden, Barbara Wexelman, Jeffrey Landercasper
BACKGROUND: Up to 50% of all women encounter benign breast problems. In contrast to breast cancer, high-level evidence is not available to guide treatment. Management is therefore largely based on individual physician experience/training. The American board of internal medicine (ABIM) initiated its Choosing Wisely® campaign to promote conversations between patients and physicians about challenging the use of tests or procedures which may not be necessary. The American society of breast surgeons (ASBrS) Patient safety and quality committee (PSQC) chose to participate in this campaign in regard to the management of benign breast disease...
July 2, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29893788/associations-between-american-board-of-internal-medicine-maintenance-of-certification-status-and-performance-on-a-set-of-healthcare-effectiveness-data-and-information-set-hedis-process-measures
#7
Bradley Gray, Jonathan Vandergrift, Bruce Landon, James Reschovsky, Rebecca Lipner
Background: The value of the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program has been questioned as a marker of physician quality. Objective: To assess whether physician MOC status is associated with performance on selected Healthcare Effectiveness Data and Information Set (HEDIS) process measures. Design: Annual comparisons of HEDIS process measures among physicians who did or did not maintain certification 20 years after initial certification...
July 17, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29809258/use-of-a-clinical-pathologic-conference-to-demonstrate-residents-acgme-emergency-medicine-milestones-aid-in-faculty-development-and-increase-academic-output
#8
Kathleen Kane, Kevin Weaver, Gavin Barr, Shawn Quinn, Terrence Goyke, Amy Smith, Dawn Yenser, Bryan Kane
The Emergency Medicine Milestones Project, developed by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Emergency Medicine, includes competence targets for residents to attain and, ultimately, to exceed American Osteopathic Association and ACGME expectations for residents. The authors sought to use the clinical pathologic conference (CPC) format in their institutions' Emergency Medicine Milestones Project to provide measurable residency academic and faculty development outcomes...
June 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29768977/primary-care-physicians-perceptions-of-practice-improvement-as-a-professional-responsibility-a-cross-sectional-study
#9
Christopher R Stephenson, Christopher M Wittich, Joel E Pacyna, Matthew K Wynia, Omar Hasan, Jon C Tilburt
Continuous quality improvement is a component of professionalism. Maintenance of Certification (MOC) is a mechanism in the USA for physicians to keep current with medical knowledge and contribute to practice improvement. Little is known about primary care physicians' perceptions of the practice improvement (Part IV) components of MOC. We aimed to determine primary care physicians' perceptions of their professional responsibility to participate in Part IV MOC. This was a cross-sectional study of primary care physicians using the American Medical Association Masterfile...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29596081/relationships-between-the-acgme-resident-and-faculty-surveys-and-program-pass-rates-on-the-abim-internal-medicine-certification-examination
#10
Kathleen D Holt, Rebecca S Miller, Jerry Vasilias, Lauren M Byrne, Christian Cable, Louis Grosso, Lisa M Bellini, Furman S McDonald
PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) has surveyed residents since 2003, and faculty since 2012. Surveys are designed to assess program functioning and specify areas for improvement. The purpose of this study was to assess the association of the ACGME's resident and faculty surveys with residency-program-specific performance on the American Board of Internal Medicine (ABIM) certification exam. METHOD: Data were available from residents and faculty in 375 U...
August 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29560408/postoperative-prophylactic-antibiotics-in-total-joint-arthroplasty
#11
Adolph J Yates
The Center for Disease Control and Prevention recently released their 2017 Guideline for the Prevention of Surgical Site Infection. One of their recommendations is the ordering of a single dose of preoperative prophylactic antibiotics with no subsequent postoperative dosing; this recommendation includes perioperative antibiotics for patients undergoing total joint arthroplasty. At this time, the American Association of Hip and Knee Surgeons (AAHKS) does not agree with this recommendation vis-a-vis total joint arthroplasty because it contradicts current international standards of care with limited evidence and study...
March 2018: Arthroplasty Today
https://www.readbyqxmd.com/read/29516388/the-american-board-of-internal-medicine-maintenance-of-certification-examination-and-state-medical-board-disciplinary-actions-a-population-cohort-study
#12
Furman S McDonald, Lauren M Duhigg, Gerald K Arnold, Ruth M Hafer, Rebecca S Lipner
BACKGROUND: Some have questioned whether successful performance in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program is meaningful. The association of the ABIM Internal Medicine (IM) MOC examination with state medical board disciplinary actions is unknown. OBJECTIVE: To assess risk of disciplinary actions among general internists who did and did not pass the MOC examination within 10 years of initial certification. DESIGN: Historical population cohort study...
March 7, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29490975/performance-on-the-nephrology-in-training-examination-and-abim-nephrology-certification-examination-outcomes
#13
Daniel Jurich, Lauren M Duhigg, Troy J Plumb, Steven A Haist, Janine L Hawley, Rebecca S Lipner, Laurel Smith, Suzanne M Norby
BACKGROUND AND OBJECTIVES: Medical specialty and subspecialty fellowship programs administer subject-specific in-training examinations to provide feedback about level of medical knowledge to fellows preparing for subsequent board certification. This study evaluated the association between the American Society of Nephrology In-Training Examination and the American Board of Internal Medicine Nephrology Certification Examination in terms of scores and passing status. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The study included 1684 nephrology fellows who completed the American Society of Nephrology In-Training Examination in their second year of fellowship training between 2009 and 2014...
May 7, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29468658/dermatology-hospitalists-a-multicenter-survey-study-characterizing-the-infrastructure-of-consultative-dermatology-in-select-american-hospitals
#14
Lauren N Ko, Daniela Kroshinsky
BACKGROUND: Although considered an outpatient specialty, dermatology plays an important role in inpatient medicine. We characterized the activity and structure of dermatology consultation services in select U.S. hospitals. METHODS: In this cross sectional study, a 31-question survey was distributed in person to 32 board-certified dermatologists at the 2017 Society of Dermatology Hospitalists meeting. RESULTS: Thirty participants completed the survey (yield 93...
May 2018: International Journal of Dermatology
https://www.readbyqxmd.com/read/29462084/physician-training-in-critical-care-in-the-united-states-update-2018
#15
Lena M Napolitano, Venkatakrishna Rajajee, Kyle J Gunnerson, Michael D Maile, Michael Quasney, Robert C Hyzy
Critical care fellowship training in the United States differs based on specific specialty and includes medicine, surgery, anesthesiology, pediatrics, emergency medicine, and neurocritical care training pathways. We provide an update regarding the number and growth of US critical care fellowship training programs, on-duty residents and certified diplomates, and review the different critical care physician training pathways available to residents interested in pursuing a fellowship in critical care. Data were obtained from the Accreditation Council for Graduate Medical Education and specialty boards (American Board of Internal Medicine, American Board of Surgery, American Board of Anesthesiology, American Board of Pediatrics American Board of Emergency Medicine) and the United Council for Neurologic Subspecialties for the last 16 years (2001-2017)...
June 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29446222/engineering-controls-in-veterinary-oncology-a-survey-of-148-acvim-board-certified-oncologists-and-environmental-surveillance-in-20-specialty-hospitals
#16
K Alexander, N Northrup, D Clarke, H Lindell, T Laver
Engineering controls (EC, facility and equipment barriers between hazards and people) are used to avoid exposure to chemotherapy drugs. In this study, American College of Veterinary Internal Medicine board-certified veterinary oncologists were surveyed about their use of containment primary EC (C-PEC) and supplemental EC (closed system transfer devices, CSTD). The survey was completed by 148 (38%) of practicing diplomates. All used EC. Both C-PEC and CSTD were used at 92% of hospitals; however, US Pharmacopoeial Convention Chapter <800> (USP <800>) standards were met at only 19% of hospitals and oncologists did not know the type of C-PEC at 18% of hospitals...
February 15, 2018: Veterinary and Comparative Oncology
https://www.readbyqxmd.com/read/29344452/the-acceptability-and-feasibility-of-mini-clinical-evaluation-exercise-as-a-learning-tool-for-pediatric-postgraduate-students
#17
Sarika Gupta, Monika Sharma, Tejinder Singh
Background: The mini-clinical evaluation exercise (Mini-CEX) is a valid and reliable tool that facilitates the assessment of skills essential for a physician and provision of immediate feedback. Aims: This study aimed to assess the acceptability and feasibility of Mini-CEX as a learning tool for pediatric residents. Materials and Methods: Following the sensitization with the concept of Mini-CEX, the actual process of assessment of residents was done using the "standardized American Board of Internal Medicine Mini-CEX evaluation form...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29311176/predictors-of-attrition-from-family-medicine-board-certification
#18
Winston Liaw, Peter Wingrove, Stephen Petterson, Lars Peterson, Brian Park, Andrew Bazemore, James C Puffer
Board certification is associated with higher quality care. We sought to determine the rates and predictors of attrition from certification among family physicians who achieved initial certification with the American Board of Family Medicine from 1980 through 2000. In this period, 5.6% of family physicians never attempted recertification, with the rate increasing from 4.9% between 1990 and 1995 to 5.7% from 1996 to 2000. Being male, an international medical graduate, or 30 years of age or older at initial certification was associated with not recertifying...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29180562/the-single-graduate-medical-education-gme-accreditation-system-will-change-the-future-of-the-family-medicine-workforce
#19
Michael R Peabody, Thomas R O'Neill, Aimee R Eden, James C Puffer
BACKGROUND: Due to the Accreditation Council for Graduate Medical Education (ACGME)/American Osteopathic Association (AOA) single-accreditation model, the specialty of family medicine may see as many as 150 programs and 500 trainees in AOA-accredited programs seek ACGME accreditation. This analysis serves to better understand the composition of physicians completing family medicine residency training and their subsequent certification by the American Board of Family Medicine. METHODS: We identified residents who completed an ACGME-accredited or dual-accredited family medicine residency program between 2006 and 2016 and cross-tabulated the data by graduation year and by educational background (US Medical Graduate-MD [USMG-MD], USMG-DO, or International Medical Graduate-MD [IMG-MD]) to examine the cohort composition trend over time...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29158039/association-between-the-american-board-of-internal-medicine-s-general-internist-s-maintenance-of-certification-requirement-and-mammography-screening-for-medicare-beneficiaries
#20
Bradley M Gray, Jonathan L Vandergrift, Rebecca S Lipner
BACKGROUND: Breast cancer is a leading cause of death in the United States. Continuing medical education programs such as the American Board of Internal Medicine's Maintenance of Certification (MOC) program can increase early detection of cancers by educating physicians about the benefits of screening. Did the imposition of American Board of Internal Medicine's MOC requirement affect guideline-compliant mammography screening? METHOD: To address this question, we took advantage of a natural experiment that occurred when one group of general internists was required to complete MOC by 2001 because they initially certified in 1991 (MOC required) and another group was grandfathered out of this requirement because they initially certified in 1989 (MOC grandfathers)...
January 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
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