Certification: Compliance with a set of standards defined by non-governmental organizations. Certification is applied for by individuals on a voluntary basis and represents a professional status when achieved, e.g., certification for a medical specialty.Specialty Boards: Organizations which certify physicians and dentists as specialists in various fields of medical and dental practice.Work Capacity Evaluation: Assessment of physiological capacities in relation to job requirements. It is usually done by measuring certain physiological (e.g., circulatory and respiratory) variables during a gradually increasing workload until specific limitations occur with respect to those variables.Death Certificates: Official records of individual deaths including the cause of death certified by a physician, and any other required identifying information.Sick Leave: An absence from work permitted because of illness or the number of days per year for which an employer agrees to pay employees who are sick. (Webster's New Collegiate Dictionary, 1981)Specialties, Nursing: Various branches of nursing practice limited to specialized areas.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Osteopathic Physicians: Licensed physicians trained in OSTEOPATHIC MEDICINE. An osteopathic physician, also known as D.O. (Doctor of Osteopathy), is able to perform surgery and prescribe medications.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Licensure: The legal authority or formal permission from authorities to carry on certain activities which by law or regulation require such permission. It may be applied to licensure of institutions as well as individuals.American Recovery and Reinvestment Act: Public Law No: 111-5, enacted February 2009, makes supplemental appropriations for job preservation and creation, infrastructure investment, energy efficiency and science, assistance to the unemployed, and State and local fiscal stabilization, for fiscal year ending September 30, 2009.Credentialing: The recognition of professional or technical competence through registration, certification, licensure, admission to association membership, the award of a diploma or degree, etc.Osteopathic Medicine: A medical discipline that is based on the philosophy that all body systems are interrelated and dependent upon one another for good health. This philosophy, developed in 1874 by Dr. Andrew Taylor Still, recognizes the concept of "wellness" and the importance of treating illness within the context of the whole body. Special attention is placed on the MUSCULOSKELETAL SYSTEM.Library AssociationsCoroners and Medical Examiners: Physicians appointed to investigate all cases of sudden or violent death.United StatesLicensure, Medical: The granting of a license to practice medicine.Medicine: The art and science of studying, performing research on, preventing, diagnosing, and treating disease, as well as the maintenance of health.Doulas: Trained lay women who provide emotional and/or physical support during obstetric labor and the postpartum period for mothers and their partners.Fetoscopy: Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or uterine entry.Cyclin G1: A cyclin G subtype that is constitutively expressed throughout the cell cycle. Cyclin G1 is considered a major transcriptional target of TUMOR SUPPRESSOR PROTEIN P53 and is highly induced in response to DNA damage.Licensure, Hospital: The granting of a license to a hospital.Pacific States: The geographic designation for states bordering on or located in the Pacific Ocean. The states so designated are Alaska, California, Hawaii, Oregon, and Washington. (U.S. Geologic Survey telephone communication)Specialization: An occupation limited in scope to a subsection of a broader field.Physicians: Individuals licensed to practice medicine.Governing Board: The group in which legal authority is vested for the control of health-related institutions and organizations.Cyclic Nucleotide-Regulated Protein Kinases: A group of enzymes that catalyzes the phosphorylation of serine or threonine residues of proteins and is dependent on cyclic nucleotides.Specialties, Surgical: Various branches of surgical practice limited to specialized areas.Sleep Medicine Specialty: A medical specialty concerned with the diagnosis and treatment of SLEEP WAKE DISORDERS and their causes.Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Test Taking Skills: Skills and strategies, unrelated to the traits a test is intended to measure, that may increase test takers' scores -- may include the effects of coaching or experience in taking tests. (ERIC Thesaurus)Fasciculation: Involuntary contraction of the muscle fibers innervated by a motor unit. Fasciculations can often by visualized and take the form of a muscle twitch or dimpling under the skin, but usually do not generate sufficient force to move a limb. They may represent a benign condition or occur as a manifestation of MOTOR NEURON DISEASE or PERIPHERAL NERVOUS SYSTEM DISEASES. (Adams et al., Principles of Neurology, 6th ed, p1294)Apomorphine: A derivative of morphine that is a dopamine D2 agonist. It is a powerful emetic and has been used for that effect in acute poisoning. It has also been used in the diagnosis and treatment of parkinsonism, but its adverse effects limit its use.Education, Continuing: Educational programs designed to inform individuals of recent advances in their particular field of interest. They do not lead to any formal advanced standing.Social Determinants of Health: The circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics (http://www.cdc.gov/socialdeterminants/).Education, Medical: Use for general articles concerning medical education.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Poliomyelitis: An acute infectious disease of humans, particularly children, caused by any of three serotypes of human poliovirus (POLIOVIRUS). Usually the infection is limited to the gastrointestinal tract and nasopharynx, and is often asymptomatic. The central nervous system, primarily the spinal cord, may be affected, leading to rapidly progressive paralysis, coarse FASCICULATION and hyporeflexia. Motor neurons are primarily affected. Encephalitis may also occur. The virus replicates in the nervous system, and may cause significant neuronal loss, most notably in the spinal cord. A rare related condition, nonpoliovirus poliomyelitis, may result from infections with nonpoliovirus enteroviruses. (From Adams et al., Principles of Neurology, 6th ed, pp764-5)Malta: An independent state consisting of three islands in the Mediterranean Sea, south of Sicily. Its capital is Valetta. The major island is Malta, the two smaller islands are Comino and Gozo. It was a Phoenician and Carthaginian colony, captured by the Romans in 218 B.C. It was overrun by Saracens in 870, taken by the Normans in 1090, and subsequently held by the French and later the British who allotted them a dominion government in 1921. It became a crown colony in 1933, achieving independence in 1964. The name possibly comes from a pre-Indoeuropean root mel, high, referring to its rocks, but a more picturesque origin derives the name from the Greek melitta or melissa, honey, with reference to its early fame for its honey production. (From Webster's New Geographical Dictionary, 1988, p719 & Room, Brewer's Dictionary of Names, 1992, p330)Purkinje Fibers: Modified cardiac muscle fibers composing the terminal portion of the heart conduction system.Physician's Role: The expected function of a member of the medical profession.Physicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.Respiratory Protective Devices: Respirators to protect individuals from breathing air contaminated with harmful dusts, fogs, fumes, mists, gases, smokes, sprays, or vapors.Cause of Death: Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint.Personnel Administration, Hospital: Management activities concerned with hospital employees.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Acrosin: A trypsin-like enzyme of spermatozoa which is not inhibited by alpha 1 antitrypsin.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Surgery, Plastic: The branch of surgery concerned with restoration, reconstruction, or improvement of defective, damaged, or missing structures.Laboratory Infection: Accidentally acquired infection in laboratory workers.Glomerulosclerosis, Focal Segmental: A clinicopathological syndrome or diagnostic term for a type of glomerular injury that has multiple causes, primary or secondary. Clinical features include PROTEINURIA, reduced GLOMERULAR FILTRATION RATE, and EDEMA. Kidney biopsy initially indicates focal segmental glomerular consolidation (hyalinosis) or scarring which can progress to globally sclerotic glomeruli leading to eventual KIDNEY FAILURE.Technology, Radiologic: The application of scientific knowledge or technology to the field of radiology. The applications center mostly around x-ray or radioisotopes for diagnostic and therapeutic purposes but the technological applications of any radiation or radiologic procedure is within the scope of radiologic technology.Education: Acquisition of knowledge as a result of instruction in a formal course of study.Library Schools: Educational institutions for individuals specializing in the field of library science or information.Self-Evaluation Programs: Educational programs structured in such a manner that the participating professionals, physicians, or students develop an increased awareness of their performance, usually on the basis of self-evaluation questionnaires.Library Science: Study of the principles and practices of library administration and services.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Laboratories: Facilities equipped to carry out investigative procedures.Job Description: Statement of the position requirements, qualifications for the position, wage range, and any special conditions expected of the employee.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Autopsy: Postmortem examination of the body.Reference Standards: A basis of value established for the measure of quantity, weight, extent or quality, e.g. weight standards, standard solutions, methods, techniques, and procedures used in diagnosis and therapy.Purchasing, Hospital: Hospital department responsible for the purchasing of supplies and equipment.Health Facility Size: The physical space or dimensions of a facility. Size may be indicated by bed capacity.Deoxycytidine Kinase: An enzyme that catalyzes reversibly the phosphorylation of deoxycytidine with the formation of a nucleoside diphosphate and deoxycytidine monophosphate. Cytosine arabinoside can also act as an acceptor. All natural nucleoside triphosphates, except deoxycytidine triphosphate, can act as donors. The enzyme is induced by some viruses, particularly the herpes simplex virus (HERPESVIRUS HOMINIS). EC Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter.Education, Pharmacy, Continuing: Educational programs designed to inform graduate pharmacists of recent advances in their particular field.

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Oncology Nursing Certification Corporation: The Oncology Nursing Certification Corporation (ONCC) was established for the development, administration, and evaluation of a program for certification in oncology nursing. Incorporated in 1984 and governed by a board of directors, ONCC is the certifying body for oncology nursing and meets standards established by the Accreditation Board for Specialty Nursing Certification and the National Commission for Certifying Agencies.American Board of Anesthesiology: The American Board of Anesthesiology sets standards and exams for the accreditation of Board certified anesthesiologists coming to the end of their residency. It is one of the 24 medical specialty boards that constitutes the American Board of Medical Specialties.Certificate of relief from disabilities: A Certificate of relief from disabilities is issued by a state of the United States of America to a person who has committed a felony or misdemeanor but has subsequently shown that he or she has been rehabilitated. The closely related "Certificate of good conduct" is given to a person who has committed two or more felonies and has demonstrated rehabilitation.Sick leave: Sick leave (or paid sick days or sick pay) is time off from work that workers can use to stay home to address their health and safety needs without losing pay. Paid sick leave is a statutory requirement in many nations around the world.National Accreditation Board for Testing and Calibration Laboratories: National Accreditation Board for Testing and Calibration Laboratories (NABL).California Society of Addiction Medicine: California Society of Addiction Medicine (CSAM) is the California organization of physicians who specialize in treating addiction. Addiction medicine is the medical specialty that provides care and treatment for people with substance use disorder.Cornell NanoScale Science and Technology Facility: The Cornell NanoScale Science and Technology Facility (CNF) is a scientific user facility and cleanroom which is located at Cornell University in Ithaca, New York. The CNF is one of the fourteen sites of the National Nanotechnology Infrastructure Network.Yisrael Mordecai Safeek: (BS) (MD)American Osteopathic Board of Neurology and Psychiatry: United StatesHenry Charlton Bastian: Henry Charlton Bastian (26 April 1837 in Truro, Cornwall, England – 17 November 1915 in Chesham Bois, Buckinghamshire) was an English physiologist and neurologist. Fellow of Royal Society in 1868.Christine Maggiore: Christine Joy Maggiore (July 25, 1956 – December 27, 2008) was an HIV-positive activist and promoter of AIDS denialism (the belief that HIV is not the cause of AIDS). She was the founder of Alive & Well AIDS Alternatives, an organization which disputes the link between HIV and AIDS and urges HIV-positive pregnant women to avoid anti-HIV medication.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,USMLE Step 2 Clinical Knowledge: The USMLE-Step 2-CK ("Clinical Knowledge") is the nine-hour-long multiple-choice portion of the second part of the United States Medical Licensure Examination.Step 2 CK Content Description Online, from United States Medical Licensing Examination, accessed 22 December, 2009 It assesses clinical knowledge through a traditional, multiple-choice examination.FetoscopySamuel Bard (physician): Samuel Bard (April 1, 1742 – May 24, 1821) was an American physician. He founded the first medical school in New York.Cement board: A cement board is a combination of cement and reinforcing fibers formed into 4 foot by 8 foot sheets (or 3 foot by 5 foot sheets), 1/4 to 1/2 inch thick that are typically used as a tile backing board. Cement board can be nailed or screwed to wood or steel studs to create a substrate for vertical tile and attached horizontally to plywood for tile floors, kitchen counters and backsplashes.List of MeSH codes (D12.776.476): This is a sub-part (intracellular signaling peptides and proteins only) of List of MeSH codes (D12.776), itself a part of the list of the "D" codes for MeSH.Fast and Realistic OpenGL Displayer: FROG (The Fast & Realistic OpenGl Displayer) is a generic framework dedicated to visualize events in a given geometry. It has been written in C++ and use OpenGL cross-platform libraries.Benign fasciculation syndrome: Benign fasciculation syndrome (BFS) is a neurological disorder characterized by fasciculation (twitching) of various voluntary muscles in the body. The twitching can occur in any voluntary muscle group but is most common in the eyelids, arms, legs, and feet.ApomorphineSocial determinants of health in poverty: The social determinants of health in poverty describe the factors that affect impoverished populations’ health and health inequality. Inequalities in health stem from the conditions of people's lives, including living conditions, work environment, age, and other social factors, and how these affect people's ability to respond to illness.Home of the future: The home of the future, similar to the office of the future, is a concept that has been popular to explore since the early 20th century, or perhaps earlier. There have been many exhibits, such as at World's Fairs and theme parks, purporting to show how future homes will look and work, as well as standalone model "homes of the future" sponsored by builders, developers, or technology companies.Upsilon Phi Delta: Upsilon Phi Delta (ΥΦΔ) is the national academic honor society for students in healthcare administration in the United States. The organization was formed in 1965 to further the profession of health administration and the professional competence and dedication of its members.PoliomyelitisMalta in the Eurovision Song Contest 2007: Malta chose their entry for the Eurovision Song Contest 2007 during the Malta Song for Europe 2007. After a semi-final on 1 February and a final on 3 February, the Maltese televoters decided that Olivia Lewis would represent Malta at Eurovision with the song "Vertigo".Breathing tube (breathing apparatus): A breathing tube is a flexible tube for breathing through, as part of a scuba set or other breathing apparatus or a medical oxygen apparatus or anaesthetic apparatus (Here they are distinguished from the medium-pressure hoses which are often found as parts of modern breathing apparatus.)Acrosin: Acrosin is a digestive enzyme that acts as a protease. In humans, acrosin is encoded by the ACR gene.Aesthetic Surgery Journal: Aesthetic Surgery Journal is a peer-reviewed medical journal that covers the field of plastic surgery. The journal's editor-in-chief is Foad Nahai (Emory University School of Medicine).John Howie (businessman): John Howie (12 March 1833 – 20 September 1895) was a wealthy Victorian captain of industry and investor, the proprietor of the renowned J & R Howie Hurlford Fireclay Works. He would have been about 350th on a notional Rich List of Britain at the time, with a fortune equal to over £200 million today.FresolimumabCardiovascular technologistSpecial Program of Assisted Reproduction: The Special Program of Assisted Reproduction (SPAR) is a program offered to HIV discordant couples (serodiscordant) at the Bedford Research Foundation’s clinical laboratory. The program takes advantage of ART (Assisted Reproduction Technology) procedures (including "sperm washing") to assist couples achieve a pregnancy who would otherwise risk transmitting the father's HIV infection to the mother and the child through intercourse.Realia (library science): Realia}}Electron Microscopy Center: The Electron Microscopy Center is a scientific user facility at Argonne National Laboratory. The EMC works to solve materials problems using their unique capabilities for electron beam characterization.MillwrightDeath of Ludwig van Beethoven: The death of Ludwig van Beethoven on 26 March 1827 followed a prolonged illness. It was witnessed by his sister-in-law and by his close friend Anselm Hüttenbrenner, who provided a vivid description of the event.Certified reference materials: Certified Reference Materials (CRMs) are ‘controls’ or standards used to check the quality and metrological traceability of products, to validate analytical measurement methods, or for the calibration of instruments.DeoxycytidineClimate change in Sweden: The issue of climate change has received significant public and political attention in Sweden and the mitigation of its effects has been high on the agenda of the two latest Governments of Sweden, the previous Cabinet of Göran Persson (-2006) and the current Cabinet of Fredrik Reinfeldt (2006-). Sweden aims for an energy supply system with zero net atmospheric greenhouse gas emissions by 2050.Pious fraud: Pious fraud (Latin: pia fraus) is used to describe fraud in religion or medicine. A pious fraud can be counterfeiting a miracle or falsely attributing a sacred text to a biblical figure due to the belief that the "end justifies the means", in this case the end of increasing faith by whatever means available.

(1/559) Competency, board certification, credentialing, and specialization: who benefits?

Pharmacists are concerned with the rapid changes in the healthcare system and what the requirements will be for a pharmacist in the near future. The emergence of board certification, credentialing, and other certification programs for pharmacists are causing significant concern among pharmacists. Pharmacists must assess certification programs and decide on the value of certification to their careers and to the patients they serve. Employers of pharmacists and those paying for healthcare and pharmacy services must also evaluate the value of pharmacists certification. Perhaps the most direct and significant benefit of pharmacist certification lies in the ability of the pharmacist to provide better and more comprehensive care to patients or selected groups of patients (eg, diabetic patients). Better and more comprehensive care provided by a pharmacist benefits the patient, other healthcare professionals, the healthcare system generally, and payers of healthcare and pharmacy services. Demonstrated competence of the pharmacist to provide pharmaceutical care is essential to achieving this benefit. Board certification of pharmacists in current board-recognized specialty areas of nutrition support pharmacy, pharmacotherapy, psychiatric pharmacy, nuclear pharmacy, and oncology pharmacy totaled 2075 board certified pharmacists in the United States as of January 1997.  (+info)

(2/559) The importance of surgeon volume and training in outcomes for vascular surgical procedures.

PURPOSE: Mortality and morbidity rates after vascular surgical procedures have been related to hospital volume. Hospitals in which greater volumes of vascular surgical procedures are performed tend to have statistically lower mortality rates than those hospitals in which fewer procedures are performed. Only a few studies have directly assessed the impact of the surgeon's volume on outcome. Therefore, the purpose of this study was to review a large state data set to determine the impact of surgeon volume on outcome after carotid endarterectomy (CEA), lower extremity bypass grafting (LEAB), and abdominal aortic aneurysm repair (AAA). METHODS: The Florida Agency for Health Care Administration state admission data from 1992 to 1996 were obtained. The data included all nonfederal hospital admissions. Frequencies were calculated from first-listed International Classification of Diseases-9 codes. Multiple logistic regression was used to test the significance on outcome of surgeon volume, American Board of Surgery certification for added qualifications in general vascular surgery, hospital size, hospital volume, patient age, and gender. RESULTS: During this interval, there were 31,172 LEABs, 45,744 CEAs, and 13,415 AAAs performed. The in-hospital mortality rate increased with age. A doubling of surgeon volume was associated with a 4% reduction in risk for adverse outcome for CEA (P =.006), an 8% reduction for LEAB, and an 11% reduction for AAA ( P =.0002). However, although hospital volume was significant in predicting better outcomes for CEA and AAA procedures, it was not associated with better outcomes for LEAB. Certification for added qualifications in general vascular surgery was a significant predictor of better outcomes for CEA and AAA. Certified vascular surgeons had a 15% lower risk rate of death or complications after CEA (P =.002) and a 24% lower risk rate of a similar outcome after AAA (P =.009). However, for LEAB, certification was not significant. CONCLUSION: Surgeon volume and certification are significantly related to better patient outcomes for patients who undergo CEA and AAA. In addition, surgeons with high volumes demonstrated consistently lower mortality and morbidity rates than did surgeons with low volumes. Hospital volume for a given procedure also is correlated with better outcomes.  (+info)

(3/559) Characteristics of nurse-midwife patients and visits, 1991.

OBJECTIVES: This study describes the patient populations served by and visits made to certified nurse-midwives (CNMs) in the United States. METHODS: Prospective data on 16,729 visits were collected from 369 CNMs randomly selected from a 1991 population survey. Population estimates were derived from a multistage survey design with probability sampling. RESULTS: We estimated that approximately 5.4 million visits were made to nearly 3000 CNMs nationwide in 1991. Most visits involved maternity care, although fully 20% were for care outside the maternity cycle. Patients considered vulnerable to poor access or outcomes made 7 of every 10 visits. CONCLUSIONS: Nurse-midwives substantially contribute to the health care of women nationwide, especially for vulnerable populations.  (+info)

(4/559) Consistency, inter-rater reliability, and validity of 441 consecutive mock oral examinations in anesthesiology: implications for use as a tool for assessment of residents.

BACKGROUND: Oral practice examinations (OPEs) are used extensively in many anesthesiology programs for various reasons, including assessment of clinical judgment. Yet oral examinations have been criticized for their subjectivity. The authors studied the reliability, consistency, and validity of their OPE program to determine if it was a useful assessment tool. METHODS: From 1989 through 1993, we prospectively studied 441 OPEs given to 190 residents. The examination format closely approximated that used by the American Board of Anesthesiology. Pass-fail grade and an overall numerical score were the OPE results of interest. Internal consistency and inter-rater reliability were determined using agreement measures. To assess their validity in describing competence, OPE results were correlated with in-training examination results and faculty evaluations. Furthermore, we analyzed the relationship of OPE with implicit indicators of resident preparation such as length of training. RESULTS: The internal consistency coefficient for the overall numerical score was 0.82, indicating good correlation among component scores. The interexaminer agreement was 0.68, indicating moderate or good agreement beyond that expected by chance. The actual agreement among examiners on pass-fail was 84%. Correlation of overall numerical score with in-training examination scores and faculty evaluations was moderate (r = 0.47 and 0.41, respectively; P < 0.01). OPE results were significantly (P < 0.01) associated with training duration, previous OPE experience, trainee preparedness, and trainee anxiety. CONCLUSION: Our results show the substantial internal consistency and reliability of OPE results at a single institution. The positive correlation of OPE scores with in-training examination scores, faculty evaluations, and other indicators of preparation suggest that OPEs are a reasonably valid tool for assessment of resident performance.  (+info)

(5/559) The American Society of Tropical Medicine and Hygiene initiative to stimulate educational programs to enhance medical expertise in tropical diseases.

More than a decade ago, at a time when current and emerging tropical diseases posed growing threats to the United States, expert panels convened by the Institute of Medicine of the U.S. National Academy of Sciences concluded that medical expertise within the United States competent to address diseases of the tropics had declined. Recognizing a national need to encourage and enhance such, The American Society of Tropical Medicine and Hygiene developed a program to stimulate new postgraduate medical education in diseases of the tropics. The Society formally requested academic institutions within the United States and Canada to propose new postgraduate programs. To assure the quality of these new curricular offerings, the Society developed an outline of key areas of competency and agreed to offer an examination that would grant physicians a Certificate of Knowledge in Clinical Tropical Medicine and Travelers Health. The certifying examination was to be an integral component of a program to stimulate academic institutions to provide instructional programs in tropical diseases and to encourage physicians to become trained, evaluated, and recognized for their knowledge of clinical tropical diseases and travelers' health. The Society's initiative to stimulate educational programs in tropical medicine is reviewed.  (+info)

(6/559) Experiences of ethnic minority primary care physicians with managed care: a national survey.

OBJECTIVES: To determine if ethnic minority physicians experience more barriers in acquiring and maintaining managed care contracts than white physicians, and to determine if the physician's perceptions of his or her ability to provide appropriate care to patients varies with physician ethnicity. STUDY DESIGN: Using a national sample, we identified 4 research areas germane to this topic and analyzed them by physician ethnic group. METHODS: Analysis involved a pre-existing data set from a national survey that employed a random sampling approach to achieve reasonably accurate national population estimates with acceptable margins of error (95% CI = +/- 2). RESULTS: A total of 1032 primary care physicians completed the survey (response rate of 48%). After controlling for confounding variables, we found that Asian physicians have the most difficulty keeping managed care contracts. Type of practice varies with physician ethnicity, and solo practitioners have more problems securing contracts than physicians in other types of practices. Board-certified physicians are more likely to have managed care contracts than those who are not. Latino physicians have significantly fewer managed care patients than primary care physicians who are white, African American, or Asian. The perceptions of the physicians of their ability to deliver appropriate care overall did not vary by ethnicity, but 2 major subcategories of this item did vary by physician ethnicity: quality of care, and limitations to providing care. CONCLUSIONS: Although we did not find overwhelming evidence of discrimination against ethnic minority physicians, differences in rates of termination, type of practice, board certification rates, and managed care affiliation were related to physician ethnicity.  (+info)

(7/559) Differences between generalists and specialists in characteristics of patients receiving gastrointestinal procedures.

BACKGROUND: As a result of market forces and maturing technology, generalists are currently providing services, such as colonoscopy, that in the past were deemed the realm of specialists. OBJECTIVE: To determine whether there were differences in patient characteristics, procedure complexity, and clinical indications when gastrointestinal endoscopic procedures were provided by generalists versus specialists. DESIGN: Retrospective cohort study. PATIENTS: A random 5% sample of aged Medicare beneficiaries who underwent rigid and flexible sigmoidoscopy, colonoscopy, and esophagogastroduodenoscopy (EGD) performed by specialists (gastroenterologists, general surgeons, and colorectal surgeons) or generalists (general practitioners, family practitioners, and general internists). MEASUREMENTS: Characteristics of patients, indications for the procedure, procedural complexity, and place of service were compared between generalists and specialists using descriptive statistics and logistic regression. MAIN RESULTS: Our sample population had 167,347 gastrointestinal endoscopies. Generalists performed 7.7% of the 57, 221 colonoscopies, 8.7% of the 62,469 EGDs, 42.7% of the 38,261 flexible sigmoidoscopies, and 35.2% of the 9,396 rigid sigmoidoscopies. Age and gender of patients were similar between generalists and specialists, but white patients were more likely to receive complex endoscopy from specialists. After adjusting for patient differences in age, race, and gender, generalists were more likely to have provided a simple diagnostic procedure (odds ratio [OR] 4.2; 95% confidence interval [95% CI] 4.0, 4.4), perform the procedure for examination and screening purposes (OR 4.9; 95% CI, 4. 3 to 5.6), and provide these procedures in rural areas (OR 1.5; 95% CI 1.4 to 1.6). CONCLUSIONS: Although generalists perform the full spectrum of gastrointestinal endoscopies, their procedures are often of lower complexity and less likely to have been performed for investigating severe morbidities.  (+info)

(8/559) Physician-nutrition-specialist track: if we build it, will they come? Intersociety Professional Nutrition Education Consortium.

The Intersociety Professional Nutrition Education Consortium (IPNEC) has made substantial progress in its first 2 y. With support from 9 participating nutrition societies and certification organizations and with funding from the National Institutes of Health and several nutrition industry partners, a sustained, functioning consortium has been established. The consortium's 2 principal aims are to establish educational standards for fellowship training of physician nutrition specialists (PNSs) and to create a unified mechanism for certifying physicians who are so trained. Its long-term goals are to increase the pool of PNSs to enable every US medical school to have at least one PNS on its faculty and to surmount obstacles that currently impede the incorporation of nutrition education into the curricula of medical schools and residency programs. The consortium formulated and refined a paradigm for PNSs, conducted a national role delineation survey to define the scope of the discipline of clinical nutrition, and developed a preliminary curriculum template for training PNSs that can be completed in a minimum of 6 mo. IPNEC and its sponsoring societies are strategically positioned to play an important long-term role in nutrition education for physicians. We intend to continue soliciting broad input, especially from directors of fellowship training programs in nutrition and closely related subspecialties; to develop the core content for fellowships in nutrition and related subspecialties; and to initiate a unified PNS certification examination.  (+info)


  • The operator certification exam is based on a manual entitled Manual for Pesticide Operator s Certification. (ct.gov)
  • If a candidate violates any testing rule, exam policy or term within the exam agreement (NDA), or engages in any misconduct that diminishes the security and integrity of the Microsoft Certification Program in any way, the candidate may be permanently prohibited from taking any future Microsoft Certification exams. (microsoft.com)


  • To prove your expertise in building solutions to bring your business into the cloud, consider earning the new Microsoft Certified Solutions Associate (MCSA) certification . (microsoft.com)
  • Validate your skills in building and implementing databases across your organization by earning your MCSA: SQL 2016 Database Development certification. (microsoft.com)


  • Please check the withdrawn exams and withdrawn certifications pages for specific retirement dates. (microsoft.com)
  • Around the world, partners and customers look to Microsoft to deliver the highest quality exams and certifications. (microsoft.com)


  • The ASME BPE Certification Program is unique in the world, having resulted from widespread industry requests for standardization. (asme.org)
  • Companies that rigorously apply the ASME BPE Certification Program can often achieve production efficiencies, lower development and manufacturing costs, and increase quality and safety, while complying with regulations. (asme.org)
  • AUSTIN, Texas , April 12, 2017 /PRNewswire/ -- latakoo, a worldwide provider of video transfer and encoding technology, has achieved certification under the Avid Alliance Partner Program. (prnewswire.com)
  • Ops Academy Certification gives users the opportunity to assess their program knowledge and allows organizations to assess their resource readiness to transact in this program. (microsoft.com)
  • In addition, the candidate may be decertified from the Microsoft Certification Program and test scores and certifications may be revoked. (microsoft.com)


  • MCTS certifications are no longer in development. (microsoft.com)


  • AS9100 certification reflects Stock Drive Products (SDP) commitment to meeting and surpassing the strict industry standards and assures that their manufacturing processes meet all requirements of the most challenging applications. (prweb.com)


  • Learn about MTA certification for new entrants . (microsoft.com)
  • SHRM Certification Group Your forum to discuss and learn about SHRM Certification and the SHRM-CP/SHRM-SCP credentials. (shrm.org)


  • It is to USANA's further credit that it voluntarily sought ConsumerLab.com's third-party certification of the quality of this and other products. (prnewswire.com)
  • Additionally, USANA has obtained Certification of Label claims on six core products, and several products are Certified for Sport, meaning its products do not contain banned substances. (prnewswire.com)
  • The Carbon free ® Product Certification is a meaningful, transparent way for you to provide environmentally-friendly, carbon neutral products to your customers. (carbonfund.org)
  • Designatronics is pleased to announce that Stock Drive Products has achieved AS9100C certification. (prweb.com)
  • Stock Drive Products is the second brand of Designatronics, in addition to Sterling Instrument, to attain the AS9100C certification. (prweb.com)

quality manage

  • Certification of the quality management system for organizations manufacturing or supplying tubing and fittings under the scope of the ASME BPE standard, "Bioprocessing Equipment. (asme.org)


  • In addition to earning ConsumerLab.com's seal of approval for multiple supplements, USANA has three different NSF Certifications. (prnewswire.com)


  • A Microsoft Certified Technology Specialist certification proves your skills on a particular Microsoft technology, such as the Windows operating system, Microsoft Exchange Server, Microsoft SQL Server or Microsoft Visual Studio. (microsoft.com)


  • Each site makes an independent decision about seeking site-level certifications, and six of our manufacturing facilities have obtained third-party certification. (bms.com)


  • The Certification Mark with a BPE Designator indicates that components bearing the mark have been manufactured and certified by an ASME BPE Certificate Holder. (asme.org)


  • Society for Human Resource Management (SHRM) SHRM's official page includes posts about SHRM Certification. (shrm.org)


  • This article provides information about what Ops Academy Certification is. (microsoft.com)


  • Perform a Life-Cycle Assessment (LCA) or Product Carbon Footprint (PCF) to determine the carbon footprint of your product(s) using our Carbon free ® Product Certification Carbon Footprint Protocol and one of the leading LCA product methodologies. (carbonfund.org)


  • However, your MCTS certification will remain valuable as long as companies are using the technology on which it certifies. (microsoft.com)


  • By adding the AS9100 certification to the company's ISO 9001:2008 Quality System we are pledging our continued support to the customers in the aerospace, defense and aviation markets. (prweb.com)


  • Other listings frequently include information and posts about SHRM Certification. (shrm.org)