美国医学专业委员会（ABMS）继续医学教育（MOC）第三部分考试：价值、问题及其他形式

The ABMS MOC Part III Examination: Value, Concerns, and Alternative Formats.

作者信息

Hawkins Richard E, Irons Mira Bjelotomich, Welcher Catherine M, Pouwels Mellie Villahermosa, Holmboe Eric S, Reisdorff Earl J, Cohen Joshua M, Dentzer Susan, Nichols David G, Lien Cynthia A, Horn Thomas D, Noone R Barrett, Lipner Rebecca S, Eva Kevin W, Norcini John J, Nora Lois Margaret, Gold Jeffrey P

机构信息

R.E. Hawkins is vice president, Medical Education Outcomes, American Medical Association, Chicago, Illinois. M.B. Irons is senior vice president, Academic Affairs, American Board of Medical Specialties, Chicago, Illinois. C.M. Welcher is senior policy analyst, Medical Education Outcomes, American Medical Association, Chicago, Illinois. M.V. Pouwels is director, Medical Education Collaborations, American Medical Association, Chicago, Illinois. E.S. Holmboe is senior vice president, Milestone Development and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, Illinois. E.J. Reisdorff is executive director, American Board of Emergency Medicine, East Lansing, Michigan. J.M. Cohen is director, Education, Department of Neurology, Mount Sinai Continuum; Headache Fellowship program director, Headache Institute and Adolescent Headache Center, Mount Sinai Roosevelt Hospital; and assistant professor of neurology, Icahn School of Medicine at Mount Sinai, New York, New York. S. Dentzer is senior policy adviser, Robert Wood Johnson Foundation, Washington, DC. D.G. Nichols is president and chief executive officer, American Board of Pediatrics, Chapel Hill, North Carolina. C.A. Lien is professor and vice chair for academic affairs, Department of Anesthesiology, Weill Cornell Medical Center, New York, New York. T.D. Horn is executive director, American Board of Dermatology, Newton, Massachusetts. R.B. Noone is executive director, American Board of Plastic Surgery, Philadelphia, Pennsylvania. R.S. Lipner is senior vice president, Evaluation, Research and Development, American Board of Internal Medicine, Philadelphia, Pennsylvania. K.W. Eva is associate director and senior scientist, Centre for Health Education Scholarship, and professor and director of education research and scholarship, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. J.J. Norcini is president and chief executive officer, Foundation for Advancement of International Medical Education and Research, Philadelphia, Pennsylvania. L.M. Nora is president and chief executive officer, American Board of Medical Specialties, Chicago, Illinois. J.P. Gold is chancellor, University of Nebraska Medical Center, Omaha, Nebraska.

出版信息

Acad Med. 2016 Nov;91(11):1509-1515. doi: 10.1097/ACM.0000000000001291.

DOI:10.1097/ACM.0000000000001291

PMID:27355778

Abstract

This article describes the presentations and discussions at a conference co-convened by the Council on Medical Education of the American Medical Association (AMA) and by the American Board of Medical Specialties (ABMS). The conference focused on the ABMS Maintenance of Certification (MOC) Part III Examination. This article, reflecting the conference agenda, covers the value of and evidence supporting the examination, as well as concerns about the cost of the examination, and-given the current format-its relevance. In addition, the article outlines alternative formats for the examination that four ABMS member boards are currently developing or implementing. Lastly, the article presents contrasting views on the approach to professional self-regulation. One view operationalizes MOC as a high-stakes, pass-fail process while the other perspective holds MOC as an organized approach to support continuing professional development and improvement. The authors hope to begin a conversation among the AMA, the ABMS, and other professional stakeholders about how knowledge assessment in MOC might align with the MOC program's educational and quality improvement elements and best meet the future needs of both the public and the physician community.

摘要

本文介绍了由美国医学协会（AMA）医学教育委员会和美国医学专业委员会（ABMS）联合召开的一次会议的报告内容及讨论情况。该会议聚焦于ABMS认证维持（MOC）第三部分考试。本文按照会议议程，涵盖了该考试的价值及支持其的证据，以及对考试成本的担忧，鉴于当前的考试形式，还探讨了其相关性。此外，本文概述了ABMS四个成员委员会目前正在开发或实施的考试替代形式。最后，本文呈现了关于专业自我监管方法的不同观点。一种观点将MOC作为一个高风险、通过或失败的过程来实施，而另一种观点则认为MOC是一种支持持续专业发展和改进的有组织方法。作者希望在AMA、ABMS和其他专业利益相关者之间展开一场关于MOC中的知识评估如何与MOC计划的教育及质量改进要素相契合，并如何最好地满足公众和医师群体未来需求的对话。