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https://www.readbyqxmd.com/read/29768977/primary-care-physicians-perceptions-of-practice-improvement-as-a-professional-responsibility-a-cross-sectional-study
#1
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/29738300/wound-centres-how-do-we-obtain-high-quality-the-ewma-wound-centre-endorsement-project
#2
Finn Gottrup, Andrea Pokorná, Julie Bjerregaard, Hubert Vuagnat
OBJECTIVE: Different types of multidisciplinary concepts for treating non-healing wounds have been developed. However, there is insufficient evidence on the quality of multidisciplinary wound centres, and a limited number of evaluation systems have so far been developed. The lack of an international wound centre evaluation/certification system is the basis for the European Wound Management Association (EWMA) Wound Centre Endorsement Project. The project aims to describe the minimum requirements for a wound management centre...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29696159/interventionist-training-and-intervention-fidelity-monitoring-and-maintenance-for-connect-a-nurse-led-primary-palliative-care-in-oncology-trial
#3
Gregg A Robbins-Welty, Lisa Mueser, Chandler Mitchell, Nicole Pope, Robert Arnold, SeoYoung Park, Doug White, Kenneth J Smith, Charles Reynolds, Margaret Rosenzweig, Marie Bakitas, Yael Schenker
Context: Intervention fidelity is a critical component of behavioral research that has received inadequate attention in palliative care studies. With increasing focus on the need for palliative care models that can be widely disseminated and delivered by non-specialists, rigorous yet pragmatic strategies for training interventionists and maintaining intervention fidelity are needed. Objectives: (1) Describe components of a plan for interventionist training and monitoring and maintaining intervention fidelity as part of a primary palliative care trial (CONNECT) and (2) present data about perceived training effectiveness and delivery of key intervention content...
June 2018: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29685247/guidelines-for-hospital-privileges-in-vascular-surgery-and-endovascular-interventions-recommendations-of-the-society-for-vascular-surgery
#4
Keith D Calligaro, Kwame S Amankwah, Marcus D'Ayala, O William Brown, Paul Steven Collins, Mohammad H Eslami, Krishna M Jain, Daniel S Kassavin, Brandon Propper, Timur P Sarac, William P Shutze, Thomas H Webb
The Hospital Privileges Practice Guideline Writing Group of the Society for Vascular Surgery is making the following five recommendations concerning guidelines for hospital privileges for vascular surgery and endovascular therapy. Advanced endovascular procedures are currently entrenched in the everyday practice of specialized vascular interventionalists, including vascular surgeons, but open vascular surgery remains uniquely essential to the specialty. First, we endorse the Residency Review Committee for Surgery recommendations regarding open and endovascular cases during vascular residency and fellowship training...
May 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29681038/five-years-of-clinical-informatics-board-certification-for-physicians-in-the-united-states-of-america
#5
Christoph U Lehmann, Adi V Gundlapalli, Jeffrey J Williamson, Douglas B Fridsma, William R Hersh, Marie Krousel-Wood, Christopher J Ondrula, Benson Munger
OBJECTIVES:  To review the highlights of the new Clinical Informatics subspecialty including its history, certification requirements, development of and performance on the certification examination in the United States. METHODS:  We reviewed processes for the development of a subspecialty. Data from board certification examinations were collated and analyzed. We discussed eligibility requirements in the fellowship as well as practice pathways. RESULTS:  Lessons learned from the development of the Clinical Informatics subspecialty, opportunities, challenges, and future directions for the field are discussed...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29608228/old-docs-new-clicks-the-concert-%C3%A2-exam-and-the-aging-emergency-physician
#6
John H Burton, Jeffrey A Kline
In this issue of AEM, Marco et al., present their original research findings in the manuscript titled, Physician Age and Performance on the American Board of Emergency Medicine (ABEM) ConCert™ Examination.1 Marco et al. address two very controversial topics within our specialty. First, the matter of cognitive assessment(s) in the physician population, particularly the question of cognitive loss associated with age. Second is the role of ABEM certification process with particular emphasis on the ConCert™ examination in the continuous board maintenance process, known as Maintenance of Certification (MOC)...
April 2, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29554675/opening-the-book-on-maintenance-of-certification
#7
Steven E Weinberger
No abstract text is available yet for this article.
March 20, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29554674/opening-the-book-on-maintenance-of-certification
#8
Philip L Schiffman
No abstract text is available yet for this article.
March 20, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29545988/use-of-an-online-clinical-process-support-system-as-an-aid-to-identification-and-management-of-developmental-and-mental-health-problems
#9
Barbara J Howard, Raymond Sturner
Purpose of review: To describe benefits and problems with screening and addressing developmental and behavioral problems in primary care and using an online clinical process support system as a solution. Recent findings: Screening has been found to have various implementation barriers including time costs, accuracy, workflow and knowledge of tools. In addition, training of clinicians in dealing with identified issues is lacking. Patients disclose more to and prefer computerized screening...
December 2017: Current Developmental Disorders Reports
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
#10
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/29498471/test-of-simulator-based-assessment-of-psychomotor-skill-in-transthoracic-echo
#11
Reidar Winter, Per Lindqvist, Florence H Sheehan
BACKGROUND: We developed a transthoracic echo simulator that measures technical skill in image acquisition in terms of the deviation angle between an acquired image and the anatomically correct plane for that view. We studied whether this metric reflects the clinical experience of providers. METHODS: Attendees at an echo course or at the annual meeting of the Swedish Heart Association were invited to test themselves on the simulator by scanning a mannequin and acquiring four views in 15 min: parasternal long axis (pLAX) in patient 1, apical four chamber and apical long axis (aLAX) in patient 2 and pLAX in patient 3...
March 2, 2018: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/29438528/maintenance-of-certification-perceptions-and-attitudes-of-neurosurgeons
#12
Maya A Babu, Linda M Liau, E Sander Connolly, Fredric B Meyer
Assuring clinical competence throughout the career of a neurosurgeon is of paramount importance for patient safety. We present the first comprehensive survey of all neurosurgeons board certified through the American Board of Neurological Surgery (ABNS) to evaluate perceptions of Maintenance of Certification (MOC). We administered a validated, online, confidential survey to 4899 neurosurgeons (2435 ABNS diplomates participating in MOC, 1440 diplomates certified prior to 1999 [time-unlimited certificates], and 1024 retired diplomates)...
February 9, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29415405/abts-requirements-for-the-10-year-milestone-for-maintenance-of-certification
#13
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29395185/variation-in-part-time-work-among-pediatric-subspecialties
#14
Gary L Freed, Debra M Boyer, Kenton D Van, Michelle L Macy, Julie McCormick, Laurel K Leslie
OBJECTIVE: To assess the part-time workforce and average hours worked per week among pediatric subspecialists in the 15 medical subspecialties certified by the American Board of Pediatrics. STUDY DESIGN: We examined data from pediatric subspecialists who enrolled in Maintenance of Certification with the American Board of Pediatrics from 2009 to 2015. Data were collected via an online survey. Providers indicated whether they worked full time or part time and estimated the average number of hours worked per week in clinical, research, education, and administrative tasks, excluding time on call...
April 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29393967/inpatient-utilization-and-disparities-the-last-year-of-life-of-adolescent-and-young-adult-oncology-patients-in-california
#15
Emily E Johnston, Elysia Alvarez, Olga Saynina, Lee M Sanders, Smita Bhatia, Lisa J Chamberlain
BACKGROUND: Studies of adolescent and young adult (AYA) oncology end-of-life care utilization are critical because cancer is the leading cause of nonaccidental AYA death and end-of-life care contributes significantly to health care expenditures. This study was designed to determine the quantity of and disparities in inpatient utilization in the last year of life of AYAs with cancer. METHODS: The California Office of Statewide Health Planning and Development administrative discharge database, linked to death certificates, was used to perform a population-based analysis of cancer patients aged 15 to 39 years who died in 2000-2011...
April 15, 2018: Cancer
https://www.readbyqxmd.com/read/29373443/evidence-based-medicine-abdominoplasty
#16
Karol A Gutowski
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Differentiate between techniques for standard abdominoplasty and lipoabdominoplasty. 2. Assess patients for risk associated with abdominoplasty alone and combined with other procedures. 3. Implement newer modalities for abdominoplasty perioperative pain management. 4. Better understand the implications and techniques for rectus diastasis correction by rectus sheath plication. 5. Understand the evidence for eliminating the need for drains in abdominoplasty...
February 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29302865/global-polio-eradication-way-ahead
#17
Sunil Bahl, Pankaj Bhatnagar, Roland W Sutter, Sigrun Roesel, Michel Zaffran
In 1988, the World Health Assembly resolved to eradicate poliomyelitis by the year 2000. Although substantial progress was achieved by 2000, global polio eradication proved elusive. In India, the goal was accomplished in 2011, and the entire South-East Asia Region was certified as polio-free in 2014. The year 2016 marks the lowest wild poliovirus type 1 case count ever, the lowest number of polio-endemic countries (Afghanistan, Nigeria and Pakistan), the maintenance of wild poliovirus type 2 eradication, and the continued absence of wild poliovirus type 3 detection since 2012...
February 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29290242/perspectives-on-implementing-quality-improvement-collaboratives-effectively-qualitative-findings-from-the-chipra-quality-demonstration-grant-program
#18
Rachel A Burton, Rebecca A Peters, Kelly J Devers
BACKGROUND: The most frequently pursued intervention in the $100 million, 18-state Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) quality demonstration (2010-2015) was quality improvement collaboratives, which 12 states offered to more than 300 primary care practices. A study was conducted to identify which aspects of these collaboratives were viewed by organizers and participants as working well and which were not. METHODS: Some 223 interviews were conducted in these states near the end of their collaboratives...
January 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29280862/adverse-event-incidences-following-facial-plastic-surgery-procedures-incorporating-face-q-data-to-improve-patient-preparation
#19
COMPARATIVE STUDY
Christopher M Fleury, Jonathan A Schwitzer, Rex W Hung, Stephen B Baker
BACKGROUND: Before creation and validation of the FACE-Q by Pusic et al., adverse event types and incidences following facial cosmetic procedures were objectively measured and reported by physicians, potentially leading to misrepresentation of the true patient experience. This article analyzes and compares adverse event data from both FACE-Q and recent review articles, incorporating patient-reported adverse event data to improve patient preparation for facial cosmetic procedures. METHODS: FACE-Q adverse event data were extracted from peer-reviewed validation articles for face lift, rhinoplasty, and blepharoplasty, and these data were compared against adverse effect risk data published in recent Continuing Medical Education/Maintenance of Certification and other articles regarding the same procedures...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29240838/recognized-focused-practice-does-sub-specialty-designation-offer-value-to-the-neurosurgeon
#20
Maya A Babu, Linda M Liau, Fredric B Meyer
Vehicles for life-long assessment such as Maintenance of Certification tend to focus on generalist neurosurgical knowledge. However, as neurosurgeons advance in their careers, they tend to narrow their practice and increase volumes in certain specific types of operations. Failing to test the type of procedures most relevant to the practitioner is a lost opportunity to improve the knowledge and practice of the individual neurosurgeon. In this study, we assess the neurosurgical community's appetite for designations of board-recognized Recognized Focused Practice (RFP)...
2017: PloS One
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