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Justin E Juskewitch, Andrew P Norgan, Ryan D Johnson, Vipul A Trivedi, Curtis A Hanson, Darci R Block
INTRODUCTION: Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are common laboratory assays used as markers of inflammation. ESR suffers from higher false positive and false negative rates than CRP. To that end, the American Board of Internal Medicine's (ABIM's) Choosing Wisely campaign has recommended against ESR testing for those with undiagnosed conditions in favor of CRP testing. This study describes the impact of a computerized provider order entry (CPOE) decision support rule against ESR/CRP co-ordering within a community health system that predates the ABIM's Choosing Wisely national guidance...
January 31, 2019: Clinical Biochemistry
Timothy J Lynch, Daniel B Wolfson, Richard J Baron
The authors describe the importance of trust in health care, while noting with concern the documented decline in Americans' trust in the medical system, its leaders, and to a lesser degree, physicians themselves. They examine a number of reasons for this decline, including both larger societal trends and elements that are specific to health care. They then link trust to medical professionalism, explaining why the ABIM Foundation has decided to champion trust as an issue in the coming years. Finally, they offer thoughts on the specific actions the ABIM Foundation may take, including the launch of a Trust Practice Challenge designed to uncover practices that are currently working to build trust in a variety of practice settings and health care relationships, and the exploration of potential avenues to combat medical misinformation...
January 14, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Taku Taira, Sally A Santen, Nicole K Roberts
Introduction: Problem residents are common in graduate medical education, yet little is known about their characteristics, deficits, and the consequences for emergency medicine (EM) residencies. The American Board of Internal Medicine (ABIM) defines a problem resident as "a trainee who demonstrates a significant enough problem that requires intervention by someone of authority, usually the program director [PD] or chief resident." Although this is a comprehensive definition, it lacks specificity...
January 2019: Western Journal of Emergency Medicine
David R Karp
Rheumatologists love a debate. A "Great Debate" has become one of the highlights of our annual meeting. Our consultations often include lengthy differential diagnoses so that even the rarest of rheumatological conditions is not missed. Our treatment guidelines discuss the pros and cons of multiple therapies so that we can chose the best option for the individual patient. However, there seems to be one issue upon which rheumatologists are certain - their unhappiness with the current process of Maintenance of Certification (MOC) required by the American Board of Internal Medicine (ABIM)...
December 20, 2018: Arthritis Care & Research
Frances Collichio, Elaine A Muchmore
The American Society of Hematology (ASH)/ASCO Curricular Milestones is a tool for assessment and teaching for fellows in hematology/oncology. The expectations of the Next Accreditation System of the Accreditation Council of Graduate Medical Education (ACGME) was developed over years from the creation of the six core competencies in 1999 to the current data-driven outcomes-based system. The current internal medicine subspecialty milestones (ACGME reporting milestones) follow the general rubric of the general internal medicine milestones...
May 23, 2018: American Society of Clinical Oncology Educational Book
Zain Ul Abideen Asad, Cole Tunnell
No abstract text is available yet for this article.
September 18, 2018: Journal of the American College of Cardiology
Samir Nangia
No abstract text is available yet for this article.
August 24, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
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...
October 2018: Annals of Surgical Oncology
C Michael Valentine, Richard A Chazal, William J Oetgen
No abstract text is available yet for this article.
July 3, 2018: Journal of the American College of Cardiology
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
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
David Raslau, Mary Jo Kasten, Esayas Kebede, Arya Mohabbat, Basem Ratrout, Michael Mikhail
Background: Patients undergoing surgery are becoming increasingly complex and internists are becoming more involved in their perioperative care. Therefore, new requirements from the ACGME/ABIM necessitate education in this area. We aim to discuss how our institution adapted a perioperative curriculum to fill this need. Methods: Perioperative education is primarily given to the residents during their one month rotation through the General Internal Medicine Consult Service rotation...
July 2017: Journal of Education in Perioperative Medicine: JEPM
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
Adam Fleischer
No abstract text is available yet for this article.
January 2018: Journal of the American Podiatric Medical Association
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...
August 2018: Journal of General Internal Medicine
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
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
(no author information available yet)
Choosing Wisely is an initiative of the ABIM Foundation in partnership with Consumer Reports that seeks to advance a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures. The American Association for Neuromuscular & Electrodiagnostic Medicine's (AANEM) Professional Practice Committee (PPC) identified areas in neuromuscular and electrodiagnostic medicine that have the greatest potential for overuse/misuse and provided five recommendations for both patients and physicians to consider before proceeding with the specified test or treatment...
February 2018: Muscle & Nerve
Heiner Raspe
The Choosing Wisely Initiative (CWI) started in 2012 follows a proposal by Howard Brody (2010). Using CWI, the US ABIM Foundation continued its work to strengthen medical professionalism. The text describes CWI's development, aims, mission, and dissemination. It discusses some of its limits and problems. An appendix tabulates similarities and differences between CWI and a (2016) subsequent initiative from the German Society of Internal Medicine (DGIM: Klug Entscheiden Empfehlungen/decide wisely recommendations)...
December 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Karl Horvath, Andrea Siebenhofer
The Choosing Wisely initiative (CWI), a campaign led by the American Board of Internal Medicine (ABIM) Foundation, promotes doctor-patient communication and reducing waste in healthcare. At present, many of the top 5 lists from the Choosing Wisely Initiative appear to be primarily eminence-based and influenced by self-interest. The implementation of recommendations from these lists may mean taking a step backwards to the time before evidence-based medicine. On the other hand, despite all the challenges that the Choosing Wisely initiatives are currently facing, it is difficult to deny that they also hold great potential in terms of making healthcare systems more efficient and beneficial to patients...
December 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
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