Continuing Medical Education, Maintenance of Certification, and Physician Reentry

Abstract

Continuing medical education serves a central role in the licensure and certification for practicing physicians. This chapter explores the different modalities that constitute CME along with their effectiveness, including simulation and best education practices. The evolution to maintenance of certification and the requirements for both the American Board of Surgery and the American Board of Colon and Rectal Surgery are delineated. Further progress in the education of practicing surgeons is evidenced through the introduction of laparoscopic colectomy and the improvements made from the introduction of laparoscopic cholecystectomy. Finally, reentry of physicians into practice following a voluntary leave of absence, a new and challenging issue for surgeons, is also discussed.

Keywords

continuing medical education - maintenance of certification - physician reentry

• References

• 1 Josseran L, Chaperon J. History of continuing medical education in the United States. Presse Med 2001; 30 (10) 493-497 (in French)
• 2 Accreditation Council for Continuing Medical Education. ACCME Annual Report Data. Chicago, IL: Accreditation Council for Continuing Medical Education; 2004: 1-12
• 3 Davis DA, Taylor-Vaisey A. Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ 1997; 157 (4) 408-416
• 4 Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 1993; 342 (8883) 1317-1322
• 5 Davis D, Galbraith R. American College of Chest Physicians Health and Science Policy Committee. Continuing medical education effect on practice performance: effectiveness of continuing medical education: American College of Chest Physicians Evidence-based Educational Guidelines. Chest 2009; 135 (3 suppl) 42S-48S
• 6 O'Neil KM, Addrizzo-Harris DJ. American College of Chest Physicians Health and Science Policy Committee. Continuing medical education effect on physician knowledge application and psychomotor skills: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest 2009; 135 (3, Suppl) 37S-41S
• 7 Marinopoulos SS, Dorman T, Ratanawongsa N , et al. Effectiveness of Continuing Medical Education (Evidence Report/Technology Assessment No. 149). Rockville, MD: Agency for Healthcare Research and Quality; 2007
• 8 Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005; 27 (1) 10-28
• 9 McGaghie WC, Siddall VJ, Mazmanian PE, Myers J ; American College of Chest Physicians Health and Science Policy Committee. Lessons for continuing medical education from simulation research in undergraduate and graduate medical education: effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest 2009; 135 (3, Suppl) 62S-68S
• 10 American Board of Surgery. Maintenance of certification. Available at: http://www.absurgery.org . Accessed November 13, 2011
• 11 American Board of Colon and Rectal Surgery. Maintenance of certification—what you need to know. Available at: http://www.abcrs.org/recertification . Accessed November 13, 2011
• 12 Ellison EC, Carey LC. Lessons learned from the evolution of the laparoscopic revolution. Surg Clin North Am 2008; 88 (5) 927-941 , v
• 13 Moore MJ, Bennett CL. The learning curve for laparoscopic cholecystectomy. The Southern Surgeons Club. Am J Surg 1995; 170 (1) 55-59
• 14 Ortega AE, Beart Jr RW, Steele Jr GD, Winchester DP, Greene FL. Laparoscopic Bowel Surgery Registry. Preliminary results. Dis Colon Rectum 1995; 38 (7) 681-685 , discussion 685–686
• 15 The American Society of Colon and Rectal Surgeons. Approved statement on laparoscopic colectomy. Dis Colon Rectum 1994; 37 (12) A14
• 16 Laparoscopic Colectomy for Curable Cancer. Position Statement of the American Society of Colon and Rectal Surgeons (ASCRS) Endorsed by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Available at: http://www.fascrs.org/physicians/position_statements/laparoscopic_colectomy/ . Accessed November 13, 2011
• 17 Jewett EA, Brotherton SE, Ruch-Ross H. A national survey of 'inactive' physicians in the United States of America: enticements to reentry. Hum Resour Health 2011; 9: 7
• 18 The American Academy of Pediatricians. The Physician Reentry into the Workforce Project History and Timeline. Available at: http://www.physicianreentry.org . Accessed November 17, 2011
• 19 Freed GL, Dunham KM, Switalski KE. Clinical inactivity among pediatricians: prevalence and perspectives. Pediatrics 2009; 123 (2) 605-610
• 20 American Medical Association. Fact sheet on physician re-entry. Available at: http://www.ama-assn.org/ama/pub/education-careers/finding-position/physician-reentry.page . Accessed November 17, 2011
• 21 American Academy of Pediatrics. A Physician Reentry into the Workforce Inventory. Elk Grove Village, IL: American Academy of Pediatrics; 2010
• 22 Physician Reentry into the Workforce Project. Physician Reentry: What Employers Need to Know. Elk Grove Village, IL: American Academy of Pediatrics; 2011
• 23 American Medical Association. Finding a position: physician reentry: reentry programs. Available at: http://www.ama-assn.org/ama/pub/education-careers/finding-position/physician-reentry.page . Accessed November 4, 2011
• 24 American College of Surgeons. Homepage. Available at: http://www.facs.org/ . Accessed November 4, 2011
• 25 Parker K, Parikh SV. Applying Prochaska's model of change to needs assessment, programme planning and outcome measurement. J Eval Clin Pract 2001; 7 (4) 365-371