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Maintenance of certification

Toni Whistler, Anek Kaewpan, Stuart D Blacksell
Biological safety cabinets (BSCs) are the primary means of containment used in laboratories worldwide for the safe handling of infectious microorganisms. They provide protection to the laboratory worker and the surrounding environment from pathogens. To ensure the correct functioning of BSCs, they need to be properly maintained beyond the daily care routines of the laboratory. This involves annual maintenance and certification by a qualified technician in accordance to the NSF/American National Standards Institute 49-2014 Biosafety Cabinetry: Design, Construction, Performance, and Field Certification...
September 2016: Applied Biosafety: Journal of the American Biological Safety Association
David A Cook, Morris J Blachman, Colin P West, Christopher M Wittich
OBJECTIVES: To determine physicians' perceptions of current maintenance of certification (MOC) activities and to explore how perceptions vary across specialties, practice characteristics, and physician characteristics, including burnout. PATIENTS AND METHODS: We conducted an Internet and paper survey among a national cross-specialty random sample of licensed US physicians from September 23, 2015, through April 18, 2016. The questionnaire included 13 MOC items, 2 burnout items, and demographic variables...
October 2016: Mayo Clinic Proceedings
Justin P Wagner, Alexander D Schroeder, Juan C Espinoza, Jonathan R Hiatt, John D Mellinger, Robert A Cusick, Robert J Fitzgibbons, Giampiero Campanelli, Marta Cavalli, Sergio Roll, Rodrigo A Silva, Wolfgang Reinpold, Louis-Franck Télémaque, Brent D Matthews, Charles J Filipi, David C Chen
Importance: Sustainable, capacity-building educational collaborations are essential to address the global burden of surgical disease. Objective: To assess an international, competency-based training paradigm for hernia surgery in underserved countries. Design, Setting, and Participants: In this prospective, observational study performed from November 1, 2013, through October 31, 2015, at 16 hospitals in Brazil, Ecuador, Haiti, Paraguay, and the Dominican Republic, surgeons completed initial training programs in hernia repair, underwent interval proficiency assessments, and were appointed regional trainers...
October 5, 2016: JAMA Surgery
Lisa Frappier
No abstract text is available yet for this article.
October 4, 2016: Rhode Island Medical Journal
(no author information available yet)
No abstract text is available yet for this article.
October 4, 2016: Annals of Internal Medicine
Paul E Wallner, Anthony Gerdeman, Jennifer M Willis, Anthony L Zietman
Based on data obtained from clinical practice analysis (CPA) surveys performed in 2010 and 2013, and with input from its maintenance of certification (MOC) advisory committee, the American Board of Radiology (ABR) recognized that the changing nature of radiation oncology practice patterns warranted revisions of its MOC Part III cognitive examination. One significant revision was the introduction of a modular examination that allowed diplomates to select specific areas of clinical interest. The module-based items represented 30% (60 of 200) of total examination content...
May 7, 2016: Practical Radiation Oncology
Paula M Termuhlen, Albert H O-Yurvati, Joseph J Stella
In early 2014, the Accreditation Council for Graduate Medical Education, the American Osteopathic Association, and the American Association of Colleges of Osteopathic Medicine agreed to a memorandum of understanding describing a single accreditation system for graduate medical education in the United States. Although there are many benefits, such as consistent quality of graduate medical education, alignment of competency standards, alignment with policymakers' expectations, unification of voices on graduate medical education access and funding issues, and visibility of osteopathic medicine, there are also many challenges in creating a uniform system of graduate medical education...
October 1, 2016: Journal of the American Osteopathic Association
Richard L Frierson, Kaustubh G Joshi
The clinical case conference has been a hallmark of undergraduate and graduate medical education for decades and affords attendees the opportunity to hear about interesting and difficult cases and to learn from a discussion of the complexities of diagnosis and treatment. In forensic psychiatry, the complexities in a case conference also extend to the formation of a forensic opinion. The application of the clinical case conference to forensic psychiatry has not been described in the literature, although many fellowship programs engage in this activity...
September 2016: Journal of the American Academy of Psychiatry and the Law
Jeffrey T Kuvin, Eric S Williams
Patients, hospitals, insurers, and the public rely on competent physicians. The definition and documentation of competency in cardiovascular training and practice continues to evolve. New tools, such as the American College of Cardiology's in-training examination, restructured Core Cardiovascular Training Statement, curricular and lifelong learning competencies, and the Accreditation Council for Graduate Medical Education Milestones help define competent trainees and practitioners, and level the playing field...
September 20, 2016: Journal of the American College of Cardiology
Jamie R Macklin, Michael A Gittelman, Sarah A Denny, Hayley Southworth, Melissa Wervey Arnold
BACKGROUND: Despite American Academy of Pediatrics (AAP) recommendations, many hospitalized infants are not observed in the appropriate safe sleep environment. Caregivers tend to model sleep patterns observed in a hospital setting. This project assessed the change in infant safe sleep practices within 6 children's hospitals after the implementation of a statewide quality improvement program. METHODS: The AAP recruited hospitalists from each of the state's children's hospitals and asked them to form "safe sleep teams" within their institutions...
September 14, 2016: Pediatrics
Amy Lynn Sorrel
Maintenance of certification (MOC) has long riled the nation's physicians over what doctors say are costly, burdensome, and frivolous programs. Many physicians also question the financial motives of the certifying boards and debate the impact of MOC on patient outcomes.
2016: Texas Medicine
Tanya Horsley, Katherine Moreau, Jocelyn Lockyer, Jeanie Zeiter, Lara Varpio, Craig Campbell
INTRODUCTION: Maintenance of Certification (MOC) programs are facing competing pressures from physicians and regulators to design and deliver systems that ensure physicians sustain or maintain competence postcertification. Adding to these pressures is an emerging discourse of dissatisfaction by physicians participating in MOC programs suggesting physicians themselves are seeking programs that are relevant to their scope of practice. The object was to determine Canadian specialists' views of a redesigned Royal College of Physician and Surgeons of Canada's MOC program in five priority areas: complexity, motivation, impact, credit sufficiency, and enhancement...
2016: Journal of Continuing Education in the Health Professions
Peter B Kang, James F Bale, Mark Mintz, Sucheta M Joshi, Donald L Gilbert, Carrie Radabaugh, Holly Ruch-Ross
OBJECTIVES: More than a decade has passed since the last major workforce survey of child neurologists in the United States; thus, a reassessment of the child neurology workforce is needed, along with an inaugural assessment of a new related field, neurodevelopmental disabilities. METHODS: The American Academy of Pediatrics and the Child Neurology Society conducted an electronic survey in 2015 of child neurologists and neurodevelopmental disabilities specialists...
September 27, 2016: Neurology
Huaping Sun, Yan Zhou, Deborah J Culley, Cynthia A Lien, Ann E Harman, David O Warner
BACKGROUND: As part of the Maintenance of Certification in Anesthesiology Program® (MOCA®), the American Board of Anesthesiology (Raleigh, North Carolina) developed the MOCA Minute program, a web-based intensive longitudinal assessment involving weekly questions with immediate feedback and links to learning resources. This observational study tested the hypothesis that individuals who participate in the MOCA Minute program perform better on the MOCA Cognitive Examination (CE) compared with those who do not participate...
November 2016: Anesthesiology
Kenneth B Yeh, Martin Adams, Paul D Stamper, Debanjana Dasgupta, Roger Hewson, Charles D Buck, Allen L Richards, John Hay
Strategic laboratory planning in limited resource areas is essential for addressing global health security issues. Establishing a national reference laboratory, especially one with BSL-3 or -4 biocontainment facilities, requires a heavy investment of resources, a multisectoral approach, and commitments from multiple stakeholders. We make the case for donor organizations and recipient partners to develop a comprehensive laboratory operations roadmap that addresses factors such as mission and roles, engaging national and political support, securing financial support, defining stakeholder involvement, fostering partnerships, and building trust...
September 2016: Health Security
Patrick J Buchanan, Theodore A Kung, Paul S Cederna
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Describe various wound closure techniques available to the modern plastic surgeon, including the indications and contraindications of each. 2. Explain the fundamental concepts of wound healing as it relates to reconstruction. 3. Understand the role of commonly used reconstructive adjuncts such as negative-pressure wound therapy, dermal substitutes, and tissue expansion. 4. Assess the important patient factors that may influence the strategy for surgical wound closure...
September 2016: Plastic and Reconstructive Surgery
Margaret Riley, Sana Ahmed, Jennifer Lane, Barbara D Reed, Amy Locke
STUDY OBJECTIVE: Providing adolescents with confidential health care results in better social and health outcomes. We sought to assess if a medical board Maintenance of Certification Part IV (MOC IV) project could improve the delivery of confidential care to minor adolescent patients seen in outpatient primary care practices. DESIGN: Participating physicians reviewed three months of charts for patients ages 12 through 17 seen for well visits during a baseline time period, and after two Plan-Do-Study-Act (PDSA) intervention cycles to assess if they had met confidentiality standards...
August 16, 2016: Journal of Pediatric and Adolescent Gynecology
Mark A Malangoni
No abstract text is available yet for this article.
September 2016: Advances in Surgery
Robert E Wiggins, Rebecca Etz
IMPORTANCE: There is disagreement as to whether Maintenance of Certification is creating value for physicians and their patients. To our knowledge, this report provides the first measures of the effectiveness of Part 4 of this activity in assisting ophthalmologists with quality improvement in their practices. OBJECTIVE: To evaluate the effectiveness of the American Board of Ophthalmology's quality improvement program-Maintenance of Certification Part 4 (Improvement in Medical Practice)-in assisting its diplomates with quality improvement in their practices...
September 1, 2016: JAMA Ophthalmology
Hilary A Beaver
No abstract text is available yet for this article.
September 1, 2016: JAMA Ophthalmology
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