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https://www.readbyqxmd.com/read/29777334/patient-engagement-in-community-health-center-leadership-how-does-it-happen
#1
Anjana E Sharma, Beatrice Huang, Margae Knox, Rachel Willard-Grace, Michael B Potter
Patient engagement in primary care leadership is an important means to involve community voices at community health centers. Federally qualified health centers (FQHCs) are mandated to have patient representation within their governing boards, while practices seeking patient-centered medical home certification receive credit for implementing patient advisory councils (PACs). Our objective was to compare and contrast how community health centers engage patients in clinic management, decision-making and planning within governing boards versus PACs...
May 18, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29768977/primary-care-physicians-perceptions-of-practice-improvement-as-a-professional-responsibility-a-cross-sectional-study
#2
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/29751857/residency-mini-fellowships-in-the-pgy-5-year-is-there-added-value
#3
Anuradha S Shenoy-Bhangle, Ronald L Eisenberg, Tabitha Fineberg, Priscilla J Slanetz
RATIONALE AND OBJECTIVES: With the restructuring of radiology board certification, many residencies created PGY-5 "mini-fellowships," during which residents spend focused time pursuing advanced subspecialty training or developing nonclinical skills in leadership, health policy and health-care economics, education, quality improvement, informatics, research, or global health. We surveyed graduates of an academic diagnostic radiology residency to assess the relative value and impact of PGY-5 mini-fellowships on career satisfaction and success...
June 2018: Academic Radiology
https://www.readbyqxmd.com/read/29747937/timing-and-stability-of-fellowship-choices-during-pediatric-residency-a-longitudinal-survey
#4
Michelle L Macy, Laurel K Leslie, Debra Boyer, Keaton D Van, Gary L Freed
OBJECTIVES: To determine, among pediatric residents, the timing and stability of decisions to pursue fellowship training and select a specific subspecialty, which can be used to inform strategies to better match the distribution of pediatric subspecialist with the needs of children. STUDY DESIGN: A longitudinal survey administered with the General Pediatrics In-training Exam to pediatric residents in the US and Canada, 2010-2014. The study included residents who responded in each of their first 3 years of residency and indicated plans to enter fellowship or matriculated, 2013-2016, into 1 of the 14 medical subspecialty fellowships for which the American Board of Pediatrics grants a certificate...
May 7, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29730074/defining-the-characteristics-of-certified-hernia-centers-in-italy-the-italian-society-of-hernia-and-abdominal-wall-surgery-workgroup-consensus-on-systematic-reviews-of-the-best-available-evidences
#5
REVIEW
Cesare Stabilini, Giuseppe Cavallaro, Paolo Bocchi, Giampiero Campanelli, Michele Carlucci, Francesca Ceci, Feliciano Crovella, Diego Cuccurullo, Landino Fei, Ezio Gianetta, Francesco Gossetti, Dalila Patrizia Greco, Olga Iorio, Pierluigi Ipponi, Antonio Marioni, Giovanni Merola, Paolo Negro, Denise Palombo, Umberto Bracale
BACKGROUND: The terms "Hernia Center" (HC) and Hernia Surgeon" (HS) have gained more and more popularity in recent years. Nevertheless, there is lack of protocols and methods for certification of their activities and results. The Italian Society of Hernia and Abdominal Wall Surgery proposes a method for different levels of certification. METHODS: The national board created a commission, with the task to define principles and structure of an accreditation program...
May 3, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29722892/inter-rater-agreement-for-visual-discrimination-of-phasic-and-tonic-electromyographic-activity-in-sleep
#6
Donald L Bliwise, Jacqueline Fairley, Scott Hoff, Richard S Rosenberg, David B Rye, David A Schulman, Lynn Marie Trotti
Study Objectives: The objective of this study was to determine the confidence of expert raters in discriminating phasic and tonic electromyographic (EMG) activity. We undertook this study because we suspected that even expert scorers may disagree on whether a given EMG segment contained phasic activity, tonic activity, or both. Methods: Six individuals holding either Fellowship status in the American Academy of Sleep Medicine or Board Certification in Sleep Medicine with at least 5 years' experience in interpreting polysomnography visually examined 60 segments containing EMG activity...
May 2, 2018: Sleep
https://www.readbyqxmd.com/read/29688921/development-of-an-objective-structured-clinical-examination-using-the-american-board-of-anesthesiology-content-outline-for-the-objective-structured-clinical-examination-component-of-the-applied-certification-examination
#7
Pedro Tanaka, Aileen Adriano, Lynn Ngai, Yoon Soo Park, Adrian Marty, Shin Wakatsuki, Carlos Brun, Kyle Harrison, Erin Bushell, Jakob Louis Demant Thomsen, Louise Wen, Christopher Painter, Marianne Chen, Alex Macario
The goal of this study was to use the American Board of Anesthesiology Objective Structured Clinical Examination (OSCE) content outline as a blueprint to develop and administer a 9-station mock OSCE with station-specific checklists to senior residents (n = 14). The G- and Ф-coefficient reliability estimates were 0.76 and 0.61, respectively. Residents judged the scenarios as either extremely or somewhat realistic (88%). It is feasible to develop and administer a mock OSCE with rigorous psychometric characteristics...
April 23, 2018: A&A practice
https://www.readbyqxmd.com/read/29687757/asian-care-certificate-acc-a-care-quality-assurance-framework
#8
Tony Talaie
Purpose Quality assuring elderly care through a viable and feasible standard framework is a major challenge for Asian governments. Although several attempts have been made to tackle foreign care worker (FCW) shortage, assuring the quality of the care they provide has been overlooked. The original framework allowed a better control over service quality to assure the elderly about their care according to the agreed standards. The paper aims to discuss these issues. Design/methodology/approach Through several Japanese Governmental meetings, a new Asian Care Certificate (ACC) program is discussed based on the Japanese Care Certificate (JCC)...
April 16, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29685247/guidelines-for-hospital-privileges-in-vascular-surgery-and-endovascular-interventions-recommendations-of-the-society-for-vascular-surgery
#9
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
#10
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/29668511/cosmetic-surgeon-representation-ensuring-board-certification-transparency-and-patient-awareness
#11
Oren Tessler, Lynn Bourn, Samuel J Lin, Charles Dupin, Gerhard S Mundinger, Charles Patterson, Hugo St Hilaire, Matthew Bartow, Radbeh Torabi, Michael Hanemann
BACKGROUND: Previous studies revealed that patients preferred plastic surgeons over cosmetic surgeons for surgical procedures, but few knew that any physician with a medical degree was legally qualified to perform cosmetic surgery. Results also indicated that a primary consideration for patients in selecting a surgeon was board certification. Although patient preferences concerning aesthetic surgery have previously been surveyed, no study examined a consumer's ability delineate between specialties based on Web sites...
April 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29667566/us-emergency-medical-services-fellows
#12
Brian Clemency, Christian Martin-Gill, Nicole Rall, Dipesh Patel, Jeffery Myers
IntroductionThe 2015-2016 academic year was the fourth year since the Accreditation Council for Graduate Medical Education (ACGME; Chicago, Illinois USA) accredited Emergency Medical Services (EMS) fellowships, and the first year an in-training examination was given. Soon, ACGME-accredited fellowship education will be the sole path to EMS board certification when the practice pathway closes after 2019. This project aimed to describe the current class of EMS fellows at ACGME-accredited programs and their current educational opportunities to better understand current and future needs in EMS fellowship education...
April 18, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29661008/psychiatry-in-american-medical-education-the-case-of-harvard-s-medical-school-1900-1945
#13
Tara H Abraham
As American psychiatrists moved from the asylum to the private clinic during the early twentieth century, psychiatry acquired a growing presence within medical school curricula. This shift in disciplinary status took place at a time when medical education itself was experiencing a period of reform. By examining medical school registers at Harvard University, records from the Dean's office of Harvard's medical school, and oral histories, this paper examines the rise in prominence of psychiatry in medical education...
April 16, 2018: Canadian Bulletin of Medical History, Bulletin Canadien D'histoire de la Médecine
https://www.readbyqxmd.com/read/29648880/evolving-challenges-in-pediatric-pulmonary-medicine-new-opportunities-to-re-invigorate-the-field
#14
Joseph M Collaco, Steven H Abman
Thirty years after the first board certification examination for pediatric pulmonology was administered there remain substantial challenges in attracting trainees and sustaining and retaining clinician-scientists in the field. In fact, significant workforce shortages are predicted to exist with current fellowship graduation rates and the aging of the existing workforce. However, the rapid diagnostic and therapeutic advances occurring in the field should serve as draw for trainees. In addition, pediatric pulmonologists provide unique expertise for the diversity and severity of respiratory conditions that is not duplicated by generalists, allergists, intensivists, or neonatologists...
April 12, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29644467/proficiency-based-preparation-significantly-improves-fes-certification-performance
#15
Angela A Guzzetta, Joshua J Weis, Sara A Hennessy, Ross E Willis, Victor Wilcox, Brian J Dunkin, Deborah C Hogg, Daniel J Scott
BACKGROUND: The Fundamentals of Endoscopic Surgery (FES) certification has recently been mandated by the American Board of Surgery but best methods for preparing for the exam are lacking. Our previous work demonstrated a 40% pass rate for PGY5 residents in our program. The purpose of this study was to determine the effectiveness of a proficiency-based skills and cognitive curriculum for FES certification. METHODS: Residents who agreed to participate (n = 15) underwent an orientation session, followed by skills pre-testing using three previously described models (Trus, Operation targeting task, and Kyoto) as well as the actual FES skills exam (vouchers provided by the FES committee)...
April 11, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29608228/old-docs-new-clicks-the-concert-%C3%A2-exam-and-the-aging-emergency-physician
#16
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/29607628/pattern-of-antibiotic-prescription-among-dentists-in-riyadh-saudi-arabia
#17
Jagan K Baskaradoss, Abdulaziz Alrumaih, Abdulrahman Alshebel, Ahmed Alfaqih, Mohammed Aleesa, Saleh Alkhashan, Mohamad Altuwaijri
AIM: The aim of the present study was to investigate the pattern of antibiotic prescription and dentists' awareness about the recent guidelines for antibiotic prescription. METHODS: This cross-sectional study was conducted among 282 dentists practicing in Riyadh, Saudi Arabia. The data were collected from 20 randomly-selected dental clinics from each of the five administrative blocks in Riyadh. In addition, data were also collected from four tertiary care centers and three academic universities...
April 1, 2018: Journal of Investigative and Clinical Dentistry
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
#18
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...
March 27, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29590447/staying-power-does-the-uniformed-services-university-continue-to-meet-its-obligation-to-the-nation-s-health-care-needs
#19
Ronald M Cervero, Dario Torre, Steven J Durning, Deanna Schreiber-Gregory, Brian V Reamy, Louis N Pangaro, John R Boulet
Introduction: The Uniformed Services University F. Edward Hebert School of Medicine just passed its 45th anniversary, opening in 1972. A goal of the medical school, like those nationally, is the production of high-quality physicians. The purpose of this study is to describe the practice characteristics of our USU graduates and to compare data with the national cohort of U.S. MD graduates. Materials and Methods: To accomplish this, we performed a retrospective analysis of U...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29589821/the-2017-diabetes-educator-and-the-diabetes-self-management-education-national-practice-survey
#20
Joanne Rinker, Jane K Dickinson, Michelle L Litchman, Ann S Williams, Leslie E Kolb, Carla Cox, Ruth D Lipman
Purpose The American Association of Diabetes Educators conducts the National Practice Survey (NPS) biennially to document current practice in diabetes education in the United States. The purpose of the study is to obtain insight about factors influencing the work of the diabetes educator. Method The 2017 NPS was comprised of 100 questions covering diabetes educator demographics, profile populations of people with diabetes, practice information, program accreditation, program curriculum, staffing, education delivery methods, data collection, and reporting...
March 1, 2018: Diabetes Educator
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