scholarly journals Relationship of Electronic Medical Knowledge Resource Use and Practice Characteristics with Internal Medicine Maintenance of Certification Examination Scores

2012 ◽  
Vol 27 (8) ◽  
pp. 917-923 ◽  
Author(s):  
Darcy A. Reed ◽  
Colin P. West ◽  
Eric S. Holmboe ◽  
Andrew J. Halvorsen ◽  
Rebecca S. Lipner ◽  
...  
Author(s):  
Robert D. Ficalora

Since 2006, more than 7,000 individuals per year have taken the ABIM initial certification examination, and between 3,000 and 5,000 individuals per year have taken the Maintenance of Certification (MOC) examination. This chapter has the following goals: review the content and format of the American Board of Internal Medicine (ABIM) examination, provide strategies for preparation for the examination, and give suggestions on how to utilize techniques to improve test-taking skills.


Based upon the popular review course from Harvard Medical School, this online resource is a comprehensive study guide for the American Board of Internal Medicine certification or maintenance of certification examination, as well as for general practice review by physicians and residents. Authoritative and thorough, it provides in-depth coverage across all specialties of internal medicine, including endocrinology, neurology, hepatology, rheumatology, gastroenterology, and more. It features numerous tables and figures, and detailed discussions with emphasis on essential learning points. It features over 350 board review questions, numerous tables and figures, detailed discussions with emphasis on essential learning points, and there is a further section dedicated to board simulation.


Author(s):  
Amit K. Ghosh

This chapter is aimed primarily at candidates preparing for the American Board of Internal Medicine's (ABIM's) certifying or maintenance of certification examination in internal medicine. However, candidates preparing for non-ABIM examinations also may benefit from the information, which covers various aspects of preparation for an examination, strategies to answer the questions effectively, and avoidance of pitfalls. The ABIM has stated that the certifying examination tests the breadth and depth of a candidate's knowledge in internal medicine to ensure that a candidate has attained the necessary proficiency required for the practice of internal medicine. According to the ABIM, the examination has 2 goals: the first is to ensure competence in the diagnosis and treatment of common disorders that have important consequences for patients, and the second is to ensure excellence in the broad domain of internal medicine.


2020 ◽  
Vol 16 (8) ◽  
pp. e641-e648
Author(s):  
Jonathan L. Vandergrift ◽  
Bradley M. Gray ◽  
Brendan J. Barnhart ◽  
Lorna A. Lynn ◽  
Rebecca S. Lipner

PURPOSE: Critics argue that the American Board of Internal Medicine’s medical oncology Maintenance of Certification examination requires medical oncologists with a narrow scope of practice to spend time studying material that is no longer relevant to their practice. However, no data are available describing the scope of practice for medical oncologists. METHODS: Using Medicare claims, we examined the scope of practice for 9,985 medical oncologists who saw 8.6 million oncology conditions in 2016, each of which was assigned to 1 of 23 different condition groups. Scope of practice was then measured as the percentage of oncology conditions within each of the 23 groups. We grouped physicians with similar scopes of practice by applying K-means clustering to the percentage of conditions seen. The scope of practice for each physician cluster was determined from the cancers that encompassed the majority of average oncology conditions seen among physicians composing the cluster. RESULTS: We found 20 distinct scope-of-practice clusters. The largest (n = 6,479 [65.5%]) had a general oncology scope of practice. The remaining physicians focused on a narrow scope of cancers, including 22.6% focused on ≥ 1 solid tumors and 11.9% focused on hematologic malignancies. The largest focused cluster accounted for 7.7% of physicians focused on breast cancer. CONCLUSION: A single American Board of Internal Medicine Maintenance of Certification assessment in medical oncology is most appropriate for approximately 65% of certified medical oncologists’ practices. However, the addition of assessments focused on breast cancer and hematologic malignancies could increase this figure to upwards of 85% of certified medical oncologists.


2018 ◽  
Vol 13 (5) ◽  
pp. 710-717 ◽  
Author(s):  
Daniel Jurich ◽  
Lauren M. Duhigg ◽  
Troy J. Plumb ◽  
Steven A. Haist ◽  
Janine L. Hawley ◽  
...  

Background and objectivesMedical 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, & measurementsThe 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. Regression analysis examined the association between In-Training Examination and first-time Nephrology Certification Examination scores as well as passing status relative to other standardized assessments.ResultsThis cohort included primarily men (62%) and international medical school graduates (62%), and fellows had an average age of 32 years old at the time of first completing the Nephrology Certification Examination. An overwhelming majority (89%) passed the Nephrology Certification on their first attempt. In-Training Examination scores showed the strongest association with first-time Nephrology Certification Examination scores, accounting for approximately 50% of the total explained variance in the model. Each SD increase in In-Training Examination scores was associated with a difference of 30 U (95% confidence interval, 27 to 33) in certification performance. In-Training Examination scores also were significantly associated with passing status on the Nephrology Certification Examination on the first attempt (odds ratio, 3.46 per SD difference in the In-Training Examination; 95% confidence interval, 2.68 to 4.54). An In-Training Examination threshold of 375, approximately 1 SD below the mean, yielded a positive predictive value of 0.92 and a negative predictive value of 0.50.ConclusionsAmerican Society of Nephrology In-Training Examination performance is significantly associated with American Board of Internal Medicine Nephrology Certification Examination score and passing status.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040699
Author(s):  
Fares Alahdab ◽  
Andrew J Halvorsen ◽  
Jayawant N Mandrekar ◽  
Brianna E Vaa ◽  
Victor M Montori ◽  
...  

BackgroundThere has been limited research on the positive aspects of physician wellness and to our knowledge there have been no validity studies on measures of resilience and grit among internal medicine (IM) residents.ObjectivesTo investigate the validity of resilience (10 items Connor-Davidson Resilience Scale (CD-RISC 10)) and grit (Short Grit Scale (GRIT-S)) scores among IM residents at a large academic centre, and assess potential associations with previously validated measures of medical knowledge, clinical performance and professionalism.MethodsWe evaluated CD-RISC 10 and GRIT-S instrument scores among IM residents at the Mayo Clinic Rochester, Minnesota between July 2017 and June 2019. We analysed dimensionality, internal consistency reliability and criterion validity in terms of relationships between resilience and grit, with standardised measures of residents’ medical knowledge (in-training examination (ITE)), clinical performance (faculty and peer evaluations and Mini-Clinical Evaluation Examination (mini-CEX)) and professionalism/dutifulness (conference attendance and evaluation completion).ResultsA total of 213 out of 253 (84.2%) survey-eligible IM residents provided both CD-RISC 10 and GRIT-S survey responses. Internal consistency reliability (Cronbach alpha) was excellent for CD-RISC 10 (0.93) and GRIT-S (0.82) overall, and for the GRIT subscales of consistency of interest (0.84) and perseverance of effort (0.71). CD-RISC 10 scores were negatively associated with ITE percentile (β=−3.4, 95% CI −6.2 to −0.5, p=0.02) and mini-CEX (β=−0.2, 95% CI −0.5 to −0.02, p=0.03). GRIT-S scores were positively associated with evaluation completion percentage (β=2.51, 95% CI 0.35 to 4.67, p=0.02) and conference attendance (β=2.70, 95% CI 0.11 to 5.29, p=0.04).ConclusionsThis study revealed favourable validity evidence for CD-RISC 10 and GRIT-S among IM residents. Residents demonstrated resilience within a competitive training environment despite less favourable test performance and grittiness that was manifested by completing tasks. This initial validity study provides a foundation for further research on resilience and grit among physicians in training.


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