The american board of internal medicine recertification program in rheumatology.код для вставкиСкачать
ARTHRITIS & RHEUMATISM Vol. 38, No. 8, August 1995, p 1169 0 1995, American College of Rheumatology 1169 THE AMERICAN BOARD OF INTERNAL MEDICINE RECERTIFICATION PROGRAM IN RHEUMATOLOGY W. G. JOHANSON, ROLAND W. MOSKOWITZ, and LYNN 0. LANGDON Patients deserve assurances about their physicians. The great majority of rheumatologists who are certified by the American Board of Internal Medicine (ABIM) are competent physicians. However, the knowledge base of medicine is continually expanding, and rheumatologists, along with other internists, have not been required to demonstrate that they have kept up. The Board’s new recertification program (Glassock RJ, Benson JA, Jr, Copeland RB, Godwin HA, Jr, Johanson WG Jr, Point W, Popp RL, Scherr L, Stein JH, Taunton OD: Time-limited certification and recertification: the program of the American Board of Internal Medicine. Ann Intern Med 1145942, 1991) provides a mechanism for keeping pace with advances in rheumatology and in the broad field of internal medicine. In fact, the goal of recertification is to foster a lifetime of scholarship. Unlike initial certification, recertification in rheumatology does not require recertification in internal medicine. Certified rheumatologists can seek recertification in the subspecialty only or in both internal medicine and rheumatology, depending on personal interest and the characteristics of their practice. The recertification program consists of 3 components. The first component, clinical competency, will be determined for most rheumatologists at the local level through existing privileging and credentialing processes. Special arrangements may be necessary for a few physicians who do not practice in an environment where such processes are required. The Self-Evaluation Process (SEP) is the second component. SEP consists of a series of 60-question test modules to be completed at home. These will be “open-book” tests, and completion of them in study groups or by other creative arrangements is encouraged. The SEP modules will be available for general internal medicine and all of the subspecialties and will include recent advances in medicine, with emphasis on information that has been new in the last 10 years or so. Participants will be able to select the content of some of the SEP modules to focus their preparaW. G . Johanson, MD, Newark, NJ: Member, ABIM Recertification Committee; Roland W. Moskowitz, MD, Cleveland, OH: Chair, ABIM Subspecialty Board on Rheumatology; Lynn 0. Langdon, MS, Philadelphia, PA: Vice President for Subspecialty Internal Medicine, ABIM. ABIM Recertification Committee: Michael A. LaCombe, MD, (Chair);Hugh Clark, MD; Janice G . Douglas, MD; William B. Galbraith, MD; Harvey M. Golomb, MD; W. G . Johanson, MD; Harry R. Kimball, MD; Richard F. LeBlond, MD; James L. Reinertsen, MD; Stephen I. Wasserman, MD. Submitted for publication May 2, 1955; accepted in revised form May 29, 1995. tion. After successfully completing 5 SEP modules the candidate will be eligible for the last component of recertification, the final examination. This will be a secured, proctored examination to maintain the credibility of the recertification process. The recertification process has created an opportunity for the ABIM to develop an entirely new, continuing relationship with its diplomates. The Board will now communicate with all diplomates on a regular basis to keep them informed about the recertification program. Many Boardcertified practicing rheumatologists are participating in the development of the rheumatology recertification examinations. The ABIM has had great success with its “diplomategenerated item” project, in which practicing rheurnatologists and other internists have been asked to contribute questions appropriate for recertification in their field. This technique for the generation of potential test questions will be continued. In addition, all examination questions will be reviewed by practicing rheumatologists to be certain that the material covered is relevant to the practice. The ABIM would welcome additional volunteers for these important tasks; if you would like to contribute, please contact the Board. For many years, an ABIM certificate was “good for life.” But professional accountability and a commitment to high-quality medical care have demanded periodic reevaluation through recertification by the Board. Board certificates with 10-year validity were introduced for critical care medicine in 1987, for geriatric medicine in 1988, and for all certificates, including rheumatology, in 1990. Diplomates certified before 1990 have lifetime certificates, but the Board believes that they should voluntarily hold themselves to the same standard of continuing assessment as those more recently certified. Those certified before 1990 are therefore encouraged to participate in recertification. Their lifetime certificates will not be at risk. Registration for recertification opens in July 1995. SEP modules will be available in October, and the final examination will be offered annually beginning in 1996. Fees for the first examination will be offered at a discount. Further details can be obtained by contacting the Board. This continuous recertification process ushers in a new era for rheumatology, one in which patients can be assured that a recertified rheumatologist has recently demonstrated continuing scholarship and clinical competency. Patients deserve this commitment from the profession.