Bernstein David I, Wasserman Stephen I, Thompson William P, Freeman Theodore M
Division of Allergy, Immunology and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
University of California, San Diego School of Medicine, La Jolla, Calif.
J Allergy Clin Immunol Pract. 2017 Jan-Feb;5(1):80-83. doi: 10.1016/j.jaip.2016.11.017.
Rapid changes in modern medicine along with advances in the science of learning and memory have necessitated a shift in the way physician knowledge is assessed. Physician recertification beyond initial certification has historically consisted of retaining large amounts of knowledge over a long time span. The adult learning theory has shown that the maintenance and improvement of our knowledge base is more effective by being exposed to new concepts at regular intervals throughout one's career and reinforcing these concepts on an ongoing basis. These philosophies have spurred several American Board of Medical Specialties member boards to embark on a variety of continuous assessment models that are designed to keep physicians up to date with the use of new technologies and innovative and flexible question formats. This article describes the new American Board of Allergy and Immunology (ABAI) Continuous Assessment Program. As the ABAI departs from the traditional secure examination/test center model and embarks on its new pilot, the focus remains firmly rooted in the core competencies that patients and the public demand and deserve. Through surveys, the ABAI has laid the groundwork for initial program design by asking its diplomates to rank the most relevant aspects of a sound clinical assessment. Periodic surveys to follow will enable the ABAI to adjust program design to provide the most pertinent content to practicing physicians to improve patient care, promote professionalism, and ensure public trust.
现代医学的快速发展以及学习与记忆科学的进步，使得医生知识评估方式必须做出转变。从历史上看，医生在初始认证之后的再认证一直包括在很长一段时间内记住大量知识。成人学习理论表明，在整个职业生涯中定期接触新概念并持续强化这些概念，对我们知识基础的维护和提升更为有效。这些理念促使美国医学专业委员会的几个成员委员会采用了多种持续评估模式，旨在使医生跟上新技术的使用以及创新和灵活的问题形式。本文介绍了美国过敏与免疫学委员会（ABAI）新的持续评估计划。随着ABAI背离传统的安全考试/考试中心模式并启动新的试点项目，重点仍然坚定地扎根于患者和公众所要求和应得的核心能力。通过调查，ABAI通过要求其证书持有者对合理临床评估中最相关的方面进行排名，为初始项目设计奠定了基础。后续的定期调查将使ABAI能够调整项目设计，为执业医生提供最相关的内容，以改善患者护理、提升专业素养并确保公众信任。
