Perceived value of Board certification and the Maintenance of Certification in Anesthesiology Program (MOCA®)
Abstract Study Objective To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. Design Survey instrument. Setting American Board of Anesthesiolo...
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Published in: | Journal of clinical anesthesia Vol. 25; no. 1; pp. 12 - 19 |
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Abstract | Abstract Study Objective To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. Design Survey instrument. Setting American Board of Anesthesiology, Raleigh, NC, USA. Subjects Diplomates of the ABA. Measurements A SurveyMonkey link was sent to 3,000 randomly selected 1) non-time-limited diplomates who were not enrolled in MOC, 2) non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA (1,000 survey requests per group). The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA). Main Results 17% to 27% of diplomates from each group completed the survey. The majority of these diplomates perceived Board certification to be of value in demonstrating competence, although fewer believed that Board certification reflected competence. The elements of Professional Standing and Lifelong Learning and Self-Assessment were perceived to be significantly more relevant to the practice of the diplomates than were the Cognitive Examination and Practice Performance Assessment and Improvement activities. Diplomates demonstrated concerns about the cost and complexity of MOC, a lack of evidence that it improves practice, and a belief that the Cognitive Examination covered topics that were not relevant to their current practice. Conclusions Although diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented. |
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AbstractList | To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. Survey instrument. American Board of Anesthesiology, Raleigh, NC, USA. Diplomates of the ABA. A SurveyMonkey link was sent to 3,000 randomly selected 1) non-time-limited diplomates who were not enrolled in MOC, 2) non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA (1,000 survey requests per group). The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA). 17% to 27% of diplomates from each group completed the survey. The majority of these diplomates perceived Board certification to be of value in demonstrating competence, although fewer believed that Board certification reflected competence. The elements of Professional Standing and Lifelong Learning and Self-Assessment were perceived to be significantly more relevant to the practice of the diplomates than were the Cognitive Examination and Practice Performance Assessment and Improvement activities. Diplomates demonstrated concerns about the cost and complexity of MOC, a lack of evidence that it improves practice, and a belief that the Cognitive Examination covered topics that were not relevant to their current practice. Although diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented. To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. Survey instrument. American Board of Anesthesiology, Raleigh, NC, USA. Diplomates of the ABA. A SurveyMonkey link was sent to 3,000 randomly selected 1) non-time-limited diplomates who were not enrolled in MOC, 2) non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA (1,000 survey requests per group). The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA). 17% to 27% of diplomates from each group completed the survey. The majority of these diplomates perceived Board certification to be of value in demonstrating competence, although fewer believed that Board certification reflected competence. The elements of Professional Standing and Lifelong Learning and Self-Assessment were perceived to be significantly more relevant to the practice of the diplomates than were the Cognitive Examination and Practice Performance Assessment and Improvement activities. Diplomates demonstrated concerns about the cost and complexity of MOC, a lack of evidence that it improves practice, and a belief that the Cognitive Examination covered topics that were not relevant to their current practice. Although diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented. Abstract Study Objective To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components. Design Survey instrument. Setting American Board of Anesthesiology, Raleigh, NC, USA. Subjects Diplomates of the ABA. Measurements A SurveyMonkey link was sent to 3,000 randomly selected 1) non-time-limited diplomates who were not enrolled in MOC, 2) non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA (1,000 survey requests per group). The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA). Main Results 17% to 27% of diplomates from each group completed the survey. The majority of these diplomates perceived Board certification to be of value in demonstrating competence, although fewer believed that Board certification reflected competence. The elements of Professional Standing and Lifelong Learning and Self-Assessment were perceived to be significantly more relevant to the practice of the diplomates than were the Cognitive Examination and Practice Performance Assessment and Improvement activities. Diplomates demonstrated concerns about the cost and complexity of MOC, a lack of evidence that it improves practice, and a belief that the Cognitive Examination covered topics that were not relevant to their current practice. Conclusions Although diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented. STUDY OBJECTIVETo determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance of Certification (MOC),and the specific components.DESIGNSurvey instrument.SETTINGAmerican Board of Anesthesiology, Raleigh, NC, USA.SUBJECTSDiplomates of the ABA.MEASUREMENTSA SurveyMonkey link was sent to 3,000 randomly selected 1) non-time-limited diplomates who were not enrolled in MOC, 2) non-time-limited diplomates who were enrolled in MOC, and 3) time-limited diplomates of the ABA (1,000 survey requests per group). The surveys queried demographics, attitudes about the value of Board certification, and attitudes and knowledge about Maintenance of Certification in Anesthesiology (MOCA).MAIN RESULTS17% to 27% of diplomates from each group completed the survey. The majority of these diplomates perceived Board certification to be of value in demonstrating competence, although fewer believed that Board certification reflected competence. The elements of Professional Standing and Lifelong Learning and Self-Assessment were perceived to be significantly more relevant to the practice of the diplomates than were the Cognitive Examination and Practice Performance Assessment and Improvement activities. Diplomates demonstrated concerns about the cost and complexity of MOC, a lack of evidence that it improves practice, and a belief that the Cognitive Examination covered topics that were not relevant to their current practice.CONCLUSIONSAlthough diplomates of the ABA highly value Board certification and report that the components of the MOCA program have potential relevance to their practices, they expressed significant concerns about the program as it is currently implemented. |
Author | Harman, Ann E., PhD Culley, Deborah J., MD Warner, David O., MD Sun, Huaping, PhD |
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Cites_doi | 10.1056/NEJMclde1003227 10.1097/ALN.0b013e3182475ebf 10.2106/JBJS.H.01574 10.7326/0003-4819-144-1-200601030-00007 |
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Keywords | Core competencies American Board of Anesthesiology Maintenance of Certification Maintenance of Certification in Anesthesiology Program Board certification Anesthesiologists American Certification American Board of Professional competence Anesthesiologist Anesthesiology Occupational education Occupational training Public health |
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References | Kritek, Drazen (bb0010) 2010; 362 Lipner, Bylsma, Arnold, Fortna, Tooker, Cassel (bb0015) 2006; 144 Day, Norcini, Webster, Viner, Chirico (bb0025) 1988; 27 American Board of Medical Specialties (bb0005) Tessler, Shrier, Steele (bb0020) 2012; 116 Sprague, Quigley, Bhandari (bb0030) 2009; 91 Sprague (10.1016/j.jclinane.2012.09.001_bb0030) 2009; 91 American Board of Medical Specialties (10.1016/j.jclinane.2012.09.001_bb0005) Kritek (10.1016/j.jclinane.2012.09.001_bb0010) 2010; 362 Lipner (10.1016/j.jclinane.2012.09.001_bb0015) 2006; 144 Tessler (10.1016/j.jclinane.2012.09.001_bb0020) 2012; 116 Day (10.1016/j.jclinane.2012.09.001_bb0025) 1988; 27 |
References_xml | – volume: 362 start-page: e54 year: 2010 ident: bb0010 article-title: Clinical decisions. American Board of Internal Medicine maintenance of certification program–polling results publication-title: N Engl J Med contributor: fullname: Drazen – ident: bb0005 article-title: ABMS Maintenance of Cerfitication® contributor: fullname: American Board of Medical Specialties – volume: 144 start-page: 29 year: 2006 end-page: 36 ident: bb0015 article-title: Who is maintaining certification in internal medicine–and why? A national survey 10 years after initial certification publication-title: Ann Intern Med contributor: fullname: Cassel – volume: 27 start-page: 139 year: 1988 end-page: 144 ident: bb0025 article-title: The effect of changes in medical knowledge on examination performance at the time of recertification publication-title: Res Med Educ contributor: fullname: Chirico – volume: 116 start-page: 574 year: 2012 end-page: 579 ident: bb0020 article-title: Association between anesthesiologist age and litigation publication-title: Anesthesiology contributor: fullname: Steele – volume: 91 start-page: 27 year: 2009 end-page: 34 ident: bb0030 article-title: Survey design in orthopaedic surgery: getting surgeons to respond publication-title: J Bone Joint Surg Am contributor: fullname: Bhandari – volume: 362 start-page: e54 year: 2010 ident: 10.1016/j.jclinane.2012.09.001_bb0010 article-title: Clinical decisions. American Board of Internal Medicine maintenance of certification program–polling results publication-title: N Engl J Med doi: 10.1056/NEJMclde1003227 contributor: fullname: Kritek – volume: 116 start-page: 574 year: 2012 ident: 10.1016/j.jclinane.2012.09.001_bb0020 article-title: Association between anesthesiologist age and litigation publication-title: Anesthesiology doi: 10.1097/ALN.0b013e3182475ebf contributor: fullname: Tessler – ident: 10.1016/j.jclinane.2012.09.001_bb0005 contributor: fullname: American Board of Medical Specialties – volume: 91 start-page: 27 issue: Suppl 3 year: 2009 ident: 10.1016/j.jclinane.2012.09.001_bb0030 article-title: Survey design in orthopaedic surgery: getting surgeons to respond publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.H.01574 contributor: fullname: Sprague – volume: 144 start-page: 29 year: 2006 ident: 10.1016/j.jclinane.2012.09.001_bb0015 article-title: Who is maintaining certification in internal medicine–and why? A national survey 10 years after initial certification publication-title: Ann Intern Med doi: 10.7326/0003-4819-144-1-200601030-00007 contributor: fullname: Lipner – volume: 27 start-page: 139 year: 1988 ident: 10.1016/j.jclinane.2012.09.001_bb0025 article-title: The effect of changes in medical knowledge on examination performance at the time of recertification publication-title: Res Med Educ contributor: fullname: Day |
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Snippet | Abstract Study Objective To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board... To determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board certification, Maintenance... STUDY OBJECTIVETo determine the attitudes and perceptions of diplomates of the American Board of Anesthesiology (ABA) regarding the value of Board... |
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SubjectTerms | Age discrimination Aged American Board of Anesthesiology Anesthesia & Perioperative Care Anesthesiologists Anesthesiology Anesthesiology - education Anesthesiology - standards Attitude of Health Personnel Attitudes Biological and medical sciences Board certification Certification Clinical Competence Core competencies Education, Medical, Continuing - methods Education, Medical, Continuing - standards Female Humans Lifelong learning Maintenance of Certification Maintenance of Certification in Anesthesiology Program Male Medical sciences Middle Aged Pain Medicine Participation Perceptions Physicians Professional development Program Evaluation - methods Public health. Hygiene Public health. Hygiene-occupational medicine Self-Assessment Specialty Boards Teaching. Deontology. Ethics. Legislation United States |
Title | Perceived value of Board certification and the Maintenance of Certification in Anesthesiology Program (MOCA®) |
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