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Maintenance of certification

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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
#1
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)...
November 17, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29153596/the-aging-neurosurgeon-when-is-enough-enough-attitudes-toward-ceasing-practice-and-testing-in-late-career
#2
Maya A Babu, Linda M Liau, Robert J Spinner, Fredric B Meyer
OBJECTIVE: To present the first wide-scale survey to assess perceptions of testing the aging neurosurgeon. PATIENTS AND METHODS: This study included 4899 neurosurgeons, 2435 American Board of Neurological Surgery Diplomates participating in Maintenance of Certification (MOC), 1440 Diplomates certified before 1999 (grandfathered), and 1024 retired Diplomates. We developed an online confidential survey conducted from March 1, 2016, to May 31, 2016. We received 1449 responses overall (30% response rate)...
November 14, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/29147857/-quality-standards-for-epidemiologic-cohort-studies-an-evaluated-catalogue-of-requirements-for-the-conduct-and-preparation-of-cohort-studies
#3
Carsten Oliver Schmidt, Christine E M Krabbe, Janka Schössow, Klaus Berger, Cornelia Enzenbach, Panagiotis Kamtsiuris, Gina Schöne, Robin Houben, Christa Meisinger, Fabian Bamberg, Thomas Hendel, Sonja Selder, Michael Nonnemacher, Susanne Moebus, Jürgen Stausberg
BACKGROUND: Cohort studies are a longitudinal observational study type. They are firmly established within epidemiology to assess the course of diseases and risk factors. Yet, standards to describe and evaluate quality characteristics of cohort studies need further development. OBJECTIVE: Within the TMF ("Technologie- und Methodenplattform für die vernetzte medizinische Forschung e. V.") project "Quality management standards in cohort studies", a catalogue of requirements was compiled and evaluated, focusing on the preparation and conduct of epidemiologic cohort studies...
November 16, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29129048/-guida-per-la-determinazione-del-sangue-occulto-fecale-metodo-immunochimico-quantitativo-fit-hb-nei-programmi-di-screening-per-il-carcinoma-colorettale
#4
Tiziana Rubeca, Stefano Rapi, Silvia Deandrea, Morena Malaspina, Basilio Ubaldo Passamonti, Elena Grassi, Anna Maria Cioccarelli, Enrico Marchetti, Michela Boni, Filippo Cellai, Marco Pradella, Franco Gattafoni, Sabrina Rotolo
BACKGROUND: in Italy, colorectal cancer screening is included as part of the Italian National Health Service - SSN (Servizio Sanitario Nazionale) Essential Levels of Care - LEA (Livelli Essenziali Assistenziali) and the European Guidelines, which specify quantitative FIT-Hb testing as the best strategy for organised screening programmes. To ensure consistent operating standards in Member States, European regulations require the implementation of certification and accreditation requirements for diagnostic and care-related processes...
September 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29124252/bone-loss-at-the-hip-and-subsequent-mortality-in-older-men-the-osteoporotic-fractures-in-men-mros-study
#5
Peggy M Cawthon, Sheena Patel, Susan K Ewing, Li-Yung Lui, Jane A Cauley, Jennifer G Lyons, Lisa Fredman, Deborah M Kado, Andrew R Hoffman, Nancy E Lane, Kristine E Ensrud, Steven R Cummings, Eric S Orwoll
Low bone mineral density (BMD) is associated with increased mortality risk, yet the impact of BMD loss on mortality is relatively unknown. We hypothesized that greater BMD loss is associated with increased mortality risk in older men. Change in femoral neck BMD was assessed in 4400 Osteoporotic Fractures in Men (MrOS) study participants with two to three repeat dual-energy X-ray absorptiometry scans over an average of 4.6 ± 0.4 (mean ± SD) years. Change in femoral neck BMD was estimated using mixed effects models; men were grouped into three categories of BMD change: maintenance (n = 1087; change ≥ 0 g/cm(2)); expected loss (n = 2768; change between 0 g/cm(2) and <1 SD below mean change [>-0...
August 2017: JBMR Plus
https://www.readbyqxmd.com/read/29102492/maintenance-of-certification-a-grandfatherly-ethical-analysis
#6
Benjamin Stoff, Lionel Bercovitch, Jane M Grant-Kels
No abstract text is available yet for this article.
November 1, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29046431/a-survey-of-perceived-effectiveness-of-part-4-maintenance-of-certification
#7
Joel S Tieder, Sean P Prall, Jimmy Beck, Erin Alberda, Debra Jensen, Deepthi Nair, Jan D Carline
OBJECTIVES: Evaluative assessment is needed to inform improvement of Part 4 Maintenance of Certification (MOC), a large-scale program that aims to improve physician knowledge, engagement, and skills in quality improvement (QI). We sought to determine if Part 4 MOC participation improves perceived educational and clinical outcomes by piloting a new physician survey. METHODS: We administered a new online survey (MOC Practice, Engagement, Attitude, and Knowledge Survey) to physicians at the beginning and end of a Part 4 MOC project sponsored by a pediatric hospital's American Board of Medical Specialties' portfolio program during 2015...
October 18, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29040158/the-association-of-changing-practice-settings-on-maintenance-of-certification-exam-outcomes-a-comparative-study-of-general-internists-over-time
#8
Andrew T Jones, Brendan J Barnhart, Steven J Durning, Rebecca S Lipner
PURPOSE: To investigate how changing to or from solo practice settings relates to maintenance of certification (MOC) exam performance. METHOD: The authors conducted a retrospective analysis of exam pass/fail outcomes for 7,112 physicians who successfully completed their initial MOC cycle from 2000 to 2004. Initial physician MOC practice characteristics records, demographic information, and exam performance were linked with exam pass/fail outcomes from their second MOC cycle from 2006 to 2014 (5,215 physicians after attrition)...
October 16, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29035903/the-future-of-obstetrics-and-gynecology-macra-electronic-health-records-and-more
#9
Deborah A Wing
There is immense change affecting obstetrical and gynecologic medical practice at this moment in time-involving reimbursement with the shift from volume-based to value-based care, increasing regulation, and workforce sustainability. Aspects to be reviewed in this chapter include reimbursements and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), electronic medical records, physician satisfaction surveys, maintenance of certification, and physician burnout.
December 2017: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29028636/effects-and-unforeseen-consequences-of-accessing-references-on-a-maintenance-of-certification-examination-findings-from-a-national-study
#10
Richard A Feinberg, Daniel Jurich, Lauren M Foster
PURPOSE: Increasing criticism of maintenance of certification (MOC) examinations has prompted certifying boards to explore alternative assessment formats. The purpose of this study was to examine the effect of allowing test takers to access reference material while completing their MOC Part III standardized examination. METHOD: Item response data were obtained from 546 physicians who completed a medical subspecialty MOC examination between 2013 and 2016. To investigate if accessing references was related to better performance, an analysis of covariance was conducted on the MOC examination scores with references (access or no access) as the between-groups factor and scores from the physicians' initial certification examination as a covariate...
October 12, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29024755/performance-of-pediatric-rehabilitation-medicine-candidates-on-the-subspecialty-board-certification-examination-from-2003-to-2015
#11
Sherilyn W Driscoll, Teresa L Massagli, Mary A McMahon, Mikaela M Raddatz, David W Pruitt, Kevin P Murphy
BACKGROUND: Pediatric rehabilitation medicine (PRM) physicians enter the field via several pathways. It is unknown whether different training pathways impact performance on the American Board of Physical Medicine and Rehabilitation (ABPMR) PRM Examination and Maintenance of Certification (MOC) Examination. OBJECTIVES: To describe the examination performance of candidates on the ABPMR PRM Examination according to their type of training (physiatrists with a clinical PRM focus, accredited or unaccredited fellowship training, separate pediatric and physical medicine and rehabilitation residencies, or combined pediatrics/physical medicine and rehabilitation residencies) and to compare candidates' performance on the PRM Examination with their initial ABPMR certification and MOC Examinations...
October 10, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29018103/maintenance-of-certification-demonstrating-ongoing-competence
#12
Adam Weinstein
No abstract text is available yet for this article.
October 10, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29018101/maintenance-of-certification-framing-the-dialogue
#13
Mitchell H Rosner
No abstract text is available yet for this article.
October 10, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28984895/new-balance-new-beginning
#14
Joey Berlin
Following the passage of TMA-supported legislation to loosen maintenance of certification (MOC) requirements, Texas is now a national leader in reducing the onerousness of MOC on physicians. What will the new law do once it takes effect at the beginning of 2018, and what could it do to keep more physicians in practice?
October 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28926013/insights-for-the-assessment-of-the-economic-impact-of-endemic-diseases-specific-adaptation-of-economic-frameworks-using-the-case-of-bovine-viral-diarrhoea
#15
A W Stott, G J Gunn
Generic frameworks for the economic analysis of farm animal disease are now well established. The paper, therefore, uses bovine viral diarrhoea (BVD) as an example to explore how these frameworks need to be adapted to fit the characteristics of a particular disease and the specific objectives of the analysis. In the case of BVD, given the relative strength of tests available to correctly identify virus-positive animals, thus enabling them to be culled, the emphasis has been on cost-benefit analysis of regional and national certification/eradication schemes...
April 2017: Revue Scientifique et Technique
https://www.readbyqxmd.com/read/28890261/participation-and-payments-in-the-pqrs-maintenance-of-certification-program-implications-for-future-merit-based-payment-programs
#16
McKinley Glover, Richard Duszak, Ezequiel Silva, Sandhya K Rao, James S Babb, Andrew B Rosenkrantz
No abstract text is available yet for this article.
September 7, 2017: Healthcare
https://www.readbyqxmd.com/read/28884807/co-creation-by-the-abim-geriatric-medicine-board-and-the-ags-helping-move-geriatrics-forward
#17
Bruce Leff, Nancy E Lundjeberg, Sharon A Brangman, Joyce Dubow, Sharon Levine, Melissa Morgan-Gouveia, Jeffrey Schlaudecker, Lorna Lynn, Furman S McDonald
The American board of internal medicine (ABIM) establishes standards for physicians. The American geriatrics society (AGS) is a not-for-profit membership organization of nearly 6,000 health professionals devoted to improving the health, independence, and quality of life of all older people. Beginning in 2013, ABIM redesigned its governance structure, including the role of the specialty boards. Specialty boards are charged with responsibilities for oversight in four main areas: (1) the assessments used in initial certification and maintenance of certification (MOC); (2) medical knowledge self-assessment and practice assessment in the specialty; (3) building relationships with relevant professional societies and other organizational stakeholders; and (4) issues related to training requirements for initial certification eligibility within the specialty...
October 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28865865/managing-sharps-injuries-and-other-occupational-exposures-to-hiv-hbv-and-hcv-in-the-dermatology-office
#18
REVIEW
Jerry D Brewer, Dirk M Elston, Allison T Vidimos, Stacey A Rizza, Stanley J Miller
Dermatologists and their staff are at risk for needlestick injuries and exposures to body fluids. Despite the availability of treatment to reduce the risk of blood-borne infection, many exposures go unreported. This paper identifies current recommendations and the specific details for response to occupational exposures to HIV, hepatitis B virus, and hepatitis C virus in the dermatology office. Issues surrounding each virus are discussed individually, and a summary step-by-step algorithm of how to proceed in the event of an occupational exposure is presented...
November 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28865558/impact-of-accreditation-on-quality-in-echocardiograms-a-quantitative-approach
#19
Sarina K Behera, Shea N Smith, Theresa A Tacy
BACKGROUND: Accreditation through the Intersocietal Accreditation Commission (IAC) is believed but not proven to increase quality in imaging. The goal of this study was to use quality metrics to evaluate the impact of accreditation on quality in pediatric echocardiography. METHODS: This is a retrospective study comparing quality metrics in 236 pediatric transthoracic echocardiograms in patients with congenital heart disease from (1) California Pacific Medical Center (CPMC), a community hospital, before and after IAC accreditation, and (2) the IAC-accredited Lucile Packard Children's Hospital (LPCH), an academic children's referral center, during equivalent eras...
September 2017: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/28861235/switching-from-monoculture-to-polyculture-farming-benefits-birds-in-oil-palm-production-landscapes-evidence-from-mist-netting-data
#20
Muhammad S Yahya, Muhamad Syafiq, Adham Ashton-Butt, Amal Ghazali, Siti Asmah, Badrul Azhar
Monoculture farming is pervasive in industrial oil palm agriculture, including those RSPO plantations certified as sustainably managed. This farming practice does not promote the maintenance of farmland biodiversity. However, little scientific attention has been given to polyculture farming in oil palm production landscapes. Polyculture farming is likely to increase the floristic diversity and stand structural complexity that underpins biodiversity. Mist nets were used to sample birds at 120 smallholdings in Peninsular Malaysia...
August 2017: Ecology and Evolution
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