why we should value maintenance of...
TRANSCRIPT
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Why We Should Value Maintenance of
Certification
G. Donald Frey, Ph.D. Associate Executive Director
American Board of Radiology
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American Board of Radiology Mission
“To serve patients, the public, and the medical profession. . .”
“By certifying that its diplomates have acquired, demonstrated, and maintained a requisite standard of knowledge, skill, and understanding. . .”
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Which of the following would you rather do?
A) Have a dental extraction
B) Pass a kidney stone
C) Take a MOC exam
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Most people don’t like MOC
• Takes up time
• Causes anxiety
• Value is not self-evident
• Program is new and has changed
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Why Do We Have MOC
Studies have shown that the performance of professionals deteriorates as time from certification increases unless they undertake specific activities to improve and advance their skills
MOC is an organized process to help us maintain our skills at peak levels
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MOC
The point of MOC is to move individuals and
thus the profession to a higher level of performance.
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Why Should We Have MOC?
Performance of Diplomates
Num
ber
of D
iplo
mate
s
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Individual Performance without active effort tends to deteriorate over time
Performance of Diplomates
Num
ber
of D
iplo
mate
s
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Without an Active Effort Group Performance Also Deteriorates
Performance of Diplomates
Num
ber
of D
iplo
mate
s
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MOC Shifts the Histogram
Performance of Diplomates
Num
ber
of D
iplo
mate
s
MOC prevents the histogram from moving to the left and instead moves it to the right
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Shifting the Histogram
Part 2 – Lifelong Learning
Part 3 – Cognitive Examination
Part 4 - PQI
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Individual Performance
Performance of Diplomates
Num
ber
of D
iplo
mate
s
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Improving Individual Performance
Part 2 – Lifelong Learning
Part 3 – Cognitive Examination
Part 4 - PQI
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Unacceptable Performance
Performance of Diplomates
Num
ber
of D
iplo
mate
s
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Removing the Tail tail tends to be small
Part 1 – Licensure and Attestation
Part 3 – Cognitive Examination
Most diplomates can move
from unacceptable
performance to acceptable
performance by SA-CE.
Those that cannot should
lose their certification
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Support for MOC
The American Board of Medical Specialties
ahttp://www.abms.org/Maintenance_of_Certification/value_of_MOC.aspx
• Addresses common myths
• Has library of published research
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Myth - Example
MYTH : The benefits of the ABMS MOC program are not based in evidence.
• Early studies show a link between MOC and improved clinical
performance and outcomes
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General Benefits
Recognized by JCAHO
Recognized by most hospital accreditation groups
Easy demonstration of certification status
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Why Should I Enroll in MOC?
• Demonstrates commitment to lifelong learning and self-assessment
• Allows the physicist to self-direct own continuing education
• Results in continuous quality improvement
• State licensing boards & institutions are becoming more interested in MOC as a way to reach their goals
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