Bon Secours St Francis Cancer Center, Greenville, SC.
American Society of Clinical Oncology, Alexandria, VA.
JCO Oncol Pract. 2022 Aug;18(8):e1350-e1356. doi: 10.1200/OP.21.00777. Epub 2022 Apr 1.
Medical oncologists have a variety of options for demonstrating proficiency in providing high-quality patient care. Perhaps, the best-known opportunity for demonstrating individual expertise and lifelong learning is the American Board of Internal Medicine (ABIM) maintenance of certification (MOC) program. At the practice level, ASCO has offered the Quality Oncology Practice Initiative (QOPI) as a means of optimizing cancer care delivery. In this study, we assess the association between active involvement in MOC on an individual basis and whether that individual's practice is involved with the QOPI program.
We evaluated 13,600 US medical oncologists initially certified by the ABIM and divided them into those initially certified before 1990 (the year in which ABIM started to require periodic recertification), those from 1990 to 2007, and those from 2008 to 2016. It was then determined which of these had let their certificates expire by 2020. These data were then compared with practices that participated in QOPI from 2017 to 2019, resulting in the matching of 97% of physicians.
Of individuals initially certified before 1990 (and technically with lifelong certification), 22% were in QOPI practices. Among those who did not have lifelong certification, there was an association between QOPI participation and maintenance of ABIM certification. For those initially certified between 1990 and 2007, 35% of oncologists with up-to-date ABIM certification were in QOPI practices, whereas only 11% with expired ABIM certification were QOPI participants ( < .0001). For those in the 2008-2016 category, the numbers were 36% 16%, respectively ( < .0001).
Our analysis identifies a relationship between participation in these ABIM and ASCO proficiency programs. The reasons for this are likely complex and based on a variety of institutional, professional, monetary, and personal factors.
医学肿瘤学家在提供高质量患者护理方面有多种选择来证明其能力。也许，展示个人专业知识和终身学习能力的最佳机会是美国内科医师学会（ABIM）的维持认证（MOC）计划。在实践层面上，美国临床肿瘤学会（ASCO）提供了质量肿瘤学实践倡议（QOPI），作为优化癌症护理服务的一种手段。在这项研究中，我们评估了个体积极参与 MOC 与该个体的实践是否参与 QOPI 计划之间的关联。
我们评估了最初由 ABIM 认证的 13600 名美国医学肿瘤学家，并将他们分为 1990 年之前（ABIM 开始要求定期重新认证的那一年）、1990 年至 2007 年和 2008 年至 2016 年获得认证的医生。然后确定了这些医生中哪些人的证书在 2020 年已经过期。然后将这些数据与 2017 年至 2019 年期间参与 QOPI 的实践进行比较，最终匹配了 97%的医生。
在 1990 年之前获得认证的个体（理论上具有终身认证）中，有 22%在 QOPI 实践中。在没有终身认证的医生中，QOPI 参与和 ABIM 认证的维持之间存在关联。对于 1990 年至 2007 年获得认证的医生，有更新的 ABIM 认证的肿瘤学家中有 35%在 QOPI 实践中，而 ABIM 认证过期的肿瘤学家中只有 11%是 QOPI 参与者（<.0001）。对于 2008 年至 2016 年获得认证的医生，这一数字分别为 36%和 16%（<.0001）。
我们的分析确定了参与这些 ABIM 和 ASCO 能力计划之间的关系。其原因可能很复杂，基于各种机构、专业、经济和个人因素。
