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https://read.qxmd.com/read/30711389/impact-of-an-electronic-decision-support-rule-on-esr-crp-co-ordering-rates-in-a-community-health-system-and-projected-impact-in-the-tertiary-care-setting-and-a-commercially-insured-population
#1
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
https://read.qxmd.com/read/30643600/defining-the-problem-resident-and-the-implications-of-the-unfixable-problem-the-rationale-for-a-front-door-solution
#2
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
https://read.qxmd.com/read/30616651/effects-of-gender-in-resident-evaluations-and-certifying-examination-pass-rates
#3
Melanie S Sulistio, Amit Khera, Kathryn Squiers, Monika Sanghavi, Colby R Ayers, Weifeng Weng, Salahuddin Kazi, James de Lemos, David H Johnson, Lynne Kirk
BACKGROUND: Though the proportion of female Internal Medicine (IM) residents and faculty has increased, there is minimal large scale modern data comparing resident performance by gender. This study sought to examine the effects of resident and faculty gender on resident evaluations. METHODS: Retrospective observational study over 5 years in a single IM program. IM certifying examination pass rates were obtained from the American Board of IM. RESULTS: Four hundred eighty-eight residents (195 women, 293 men), evaluated by 430 attending physicians (163 women, 270 men) were included...
January 7, 2019: BMC Medical Education
https://read.qxmd.com/read/30570830/we-all-agree-nobody-likes-maintenance-of-certification
#4
EDITORIAL
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
https://read.qxmd.com/read/30551842/oral-medicine-today-s-future-can-become-tomorrow-s-reality
#5
EDITORIAL
Craig S Miller, Douglas E Peterson
There have been strategic clinical, educational, and research advances in the field of Oral Medicine over the past several decades. In many cases, Oral Medicine experts are contributing the lead role in these advances nationally and internationally. In addition, American Board of Dental Specialty recognition of Oral Medicine as a specialty in 2015 has positioned Oral Medicine professionals to substantively enhance the delivery of oral health care to medically complex patients as well. It is now important and timely to capitalize on this contemporary foundation, to advance the field of Oral Medicine in the United States for the next generation of Oral Medicine specialists and practitioners...
November 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://read.qxmd.com/read/30526039/the-meanings-of-pediatric-drug-development
#6
Klaus Rose, Jane M Grant-Kels
Pediatric drug development (PDD) became an industry goal when the Food and Drug Administration (FDA) granted patent extensions. This was later expanded to obligations for pediatric studies and to the European Medicines Agency's (EMA's) strict pediatric investigation plans (PIPs). Industry now sponsors many often international studies in young patients that are difficult or impossible to recruit. PDD's intellectual foundations characterize children as "therapeutic orphans," allegedly discriminated in drug treatment and development...
December 9, 2018: Therapeutic Innovation & Regulatory Science
https://read.qxmd.com/read/30514279/utility-of-intermittent-online-quizzes-as-an-early-warning-for-residents-at-risk-of-failing-the-pediatric-board-certification-examination
#7
Rebecca Wallihan, Keely G Smith, Mark D Hormann, Rajesh R Donthi, Kimberly Boland, John D Mahan
BACKGROUND: Traditionally, quizzes have been applied as a tool for summative assessment, though literature suggests their use as a formative assessment can improve motivation and content retention. With this premise, we implemented a series of intermittent, online quizzes known as the Board Examination Simulation Exercise (BESE). We sought to demonstrate an association between BESE participation and scores and performance on the American Board of Pediatrics (ABP) Certifying Examination (CE)...
December 4, 2018: BMC Medical Education
https://read.qxmd.com/read/30512126/stress-electrocardiography-vs-radionuclide-myocardial-perfusion-imaging-among-patients-admitted-for-chest-pain-comparison-of-teaching-and-nonteaching-hospital-services
#8
Karishma Samtani, Abdulfatah Issak, Jared Liston, Ronald J Markert, Dean Bricker
OBJECTIVES: The American Board of Internal Medicine Foundation's Choosing Wisely initiative has identified the routine use of stress cardiac imaging among lower-risk patients as an expensive test that should be questioned by both physicians and patients. The objectives of this study were to determine how often patients hospitalized for chest pain are assessed with stress electrocardiography (stress ECG) compared with radionuclide myocardial perfusion imaging (rMPI) and to evaluate whether the cardiac testing guidelines of the American Heart Association and the Choosing Wisely campaign are being followed...
December 2018: Southern Medical Journal
https://read.qxmd.com/read/30358733/the-2017-hormone-therapy-position-statement-of-the-north-american-menopause-society
#9
(no author information available yet)
The 2017 Hormone Therapy Position Statement of The North American Menopause Society (NAMS) updates the 2012 Hormone Therapy Position Statement of The North American Menopause Society and identifies future research needs. An Advisory Panel of clinicians and researchers expert in the field of women's health and menopause was recruited by NAMS to review the 2012 Position Statement, evaluate new literature, assess the evidence, and reach consensus on recommendations, using the level of evidence to identify the strength of recommendations and the quality of the evidence...
November 2018: Menopause: the Journal of the North American Menopause Society
https://read.qxmd.com/read/30323637/the-role-of-a-best-practice-alert-in-the-electronic-medical-record-in-reducing-repetitive-lab-tests
#10
Harini Bejjanki, Lazarus K Mramba, Stacy G Beal, Nila Radhakrishnan, Rohit Bishnoi, Chintan Shah, Nikhil Agrawal, Neil Harris, Robert Leverence, Kenneth Rand
Background: The recommendations of the American Board of Internal Medicine Foundation's "Choosing Wisely® " initiative recognize the importance of improving the appropriateness of testing behavior and reducing the number of duplicate laboratory tests. Objective: To assess the effectiveness of an electronic medical record Best Practice Alert (BPA or "pop up") intervention aimed at reducing duplicate laboratory tests and hospital costs. Design: Comparison of the number of duplicated laboratory tests performed on inpatients before and after the intervention...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://read.qxmd.com/read/30283259/what-is-lifestyle-medicine
#11
George E Guthrie
Lifestyle Medicine is still being defined. The ACLM is making significant progress in defining it within the house of medicine. The new American and International Boards of Lifestyle Medicine go a long way in identifying the clinical parameters for this new specialty. The board review course defines the academic corpus in a clear way. Now that Lifestyle Medicine has clear borders it needs to be spread throughout the cultures of the world. People in all walks of life and levels of responsibility need to hear stories of individuals and communities that have their health improved by following the principles of Lietyle Medicine...
September 2018: American Journal of Lifestyle Medicine
https://read.qxmd.com/read/30231329/the-american-society-of-hematology-and-asco-curricular-milestones-for-assessment-of-fellows-in-hematology-oncology-development-reflection-and-next-steps
#12
REVIEW
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
https://read.qxmd.com/read/30228751/the-onerous-rules-of-the-american-board-of-internal-medicine-and-the-national-quality-forum-reward-bureaucrats-undermine-physician-morale-and-do-not-improve-patient-care
#13
https://read.qxmd.com/read/30166201/transforming-the-american-board-of-internal-medicine-abim-and-maintenance-of-certification-moc
#14
EDITORIAL
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
https://read.qxmd.com/read/30160616/taking-societal-cost-into-clinical-consideration-u-s-physicians-views
#15
Alissa R Stavig, Hyo Jung Tak, John D Yoon, Farr A Curlin
BACKGROUND: Recent campaigns (e.g., the American Board of Internal Medicine Foundation's Choosing Wisely) reflect the increasing role that physicians are expected to have in stewarding health care resources. We examine whether physicians believe they should pay attention to societal costs or refuse requests for costly interventions with little chance of patient benefit. METHODS: We conducted a secondary analysis of data from a 2010 national survey of 2016 U.S...
August 30, 2018: AJOB Empirical Bioethics
https://read.qxmd.com/read/30144861/a-broader-view-of-quality-choosing-wisely-recommendations-from-other-specialties-with-high-relevance-to-emergency-care
#16
Brandon C Maughan, Elaine Rabin, Stephen V Cantrill
STUDY OBJECTIVE: The American College of Emergency Physicians (ACEP) joined the Choosing Wisely campaign in 2013 and has contributed 10 recommendations to reduce low-value care. Recommendations from other specialties may also identify opportunities to improve quality and patient safety in emergency care. The Choosing Wisely work group of the ACEP Quality and Patient Safety Committee seeks to identify and characterize the Choosing Wisely recommendations from other professional societies with the highest relevance to emergency care...
September 2018: Annals of Emergency Medicine
https://read.qxmd.com/read/30118412/the-founding-of-neurology-as-a-specialty-the-american-situation-in-context
#17
Peter J Koehler
With few exceptions, neurology in Europe as well as in the United States emerged from internal medicine and psychiatry, and neurology and psychiatry in particular have long remained connected in clinical practice and teaching. When the American Board of Psychiatry and Neurology (ABPN, 1934) and the American Academy of Neurology (AAN, 1948) were founded, the emancipation of neurology as an independent specialty was still evolving. During the First International Neurological Congress (Berne, Switzerland, in September 1931), a special conference was organized on the "Relation of Neurology to General Medicine and Psychiatry in Universities and Hospitals of the Various Countries," at which representatives from several countries described the situation in their countries...
July 2018: Journal of the History of the Neurosciences
https://read.qxmd.com/read/30052961/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#18
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise and consumer preference? SUMMARY ANSWER: International evidence-based guidelines, including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
September 1, 2018: Human Reproduction
https://read.qxmd.com/read/30044257/the-impact-of-formal-training-and-certification-on-the-relationship-between-volume-and-outcomes-in-percutaneous-coronary-interventions
#19
Habib A Dakik, Wassef Karowni, Katia El-Sibai, Semaan Kobrossi, Karrar Abdul-Ameer, Hani Tamim
BACKGROUND: Little data are available on the impact of formal training and certification on the relationship between volumes and outcome in percutaneous coronary interventions (PCIs).The objective of this report is to study the relationship between PCI volume and outcome for a formally trained interventional cardiologist who is certified by the American Board on Internal Medicine - Interventional Cardiology subspecialty board. METHODS: The operator witnessed 3 different PCI volumes/yr over a 15-year practice period (2000-2014): <50 PCI/yr (years 2000-2006; n = 179), 50-100 PCI/yr (years 2007-2010; n = 256), and >100 PCI/yr (years 2011-2014; n = 427)...
September 2018: Critical Pathways in Cardiology
https://read.qxmd.com/read/30033227/recommendations-from-the-international-evidence-based-guideline-for-the-assessment-and-management-of-polycystic-ovary-syndrome
#20
Helena J Teede, Marie L Misso, Michael F Costello, Anuja Dokras, Joop Laven, Lisa Moran, Terhi Piltonen, Robert J Norman
STUDY QUESTION: What is the recommended assessment and management of women with polycystic ovary syndrome (PCOS), based on the best available evidence, clinical expertise, and consumer preference? SUMMARY ANSWER: International evidence-based guidelines including 166 recommendations and practice points, addressed prioritized questions to promote consistent, evidence-based care and improve the experience and health outcomes of women with PCOS. WHAT IS KNOWN ALREADY: Previous guidelines either lacked rigorous evidence-based processes, did not engage consumer and international multidisciplinary perspectives, or were outdated...
August 2018: Fertility and Sterility
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