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Maintenance of certification for practicing physicians: a review of current challenges and considerations

Maintenance of certification (MOC) has become increasingly important in medicine to ensure maintenance of competence throughout a physician’s career. This paper reviews current issues and challenges associated with MOC in medicine, including how to define medical competencies for practicing physicia...

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Detalles Bibliográficos
Autores principales: Cordovani, Ligia, Wong, Anne, Monteiro, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Medical Education Journal 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082474/
https://www.ncbi.nlm.nih.gov/pubmed/32215145
http://dx.doi.org/10.36834/cmej.53065
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author Cordovani, Ligia
Wong, Anne
Monteiro, Sandra
author_facet Cordovani, Ligia
Wong, Anne
Monteiro, Sandra
author_sort Cordovani, Ligia
collection PubMed
description Maintenance of certification (MOC) has become increasingly important in medicine to ensure maintenance of competence throughout a physician’s career. This paper reviews current issues and challenges associated with MOC in medicine, including how to define medical competencies for practicing physicians, assessment, and how best to support physicians’ lifelong learning in a continuous and self-motivated way. We explore how the combination of self-monitoring, regular feedback, and peer support could improve self-assessment. Effective MOC programs are learner-driven, focused on every day practice, and incorporate educational principles. We discuss the importance of MOC to the physicians’ actual practice to improve acceptability. We review the benefits of tailored programs as well as decentralization of MOC programs to better characterize the physician’s practice. Lastly, we discuss the value of simulation-based medical education in MOC programs. Simulation-based education could be used to practice uncommon complications, life-threatening scenarios, non-technical skills improvement, and become proficient with new technology. As learners find simulation experiences educationally valuable, clinically relevant, and positive, simulation could be a way of increasing physicians’ participation in MOC programs.
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spelling pubmed-70824742020-03-25 Maintenance of certification for practicing physicians: a review of current challenges and considerations Cordovani, Ligia Wong, Anne Monteiro, Sandra Can Med Educ J Review Papers and Meta-Analyses Maintenance of certification (MOC) has become increasingly important in medicine to ensure maintenance of competence throughout a physician’s career. This paper reviews current issues and challenges associated with MOC in medicine, including how to define medical competencies for practicing physicians, assessment, and how best to support physicians’ lifelong learning in a continuous and self-motivated way. We explore how the combination of self-monitoring, regular feedback, and peer support could improve self-assessment. Effective MOC programs are learner-driven, focused on every day practice, and incorporate educational principles. We discuss the importance of MOC to the physicians’ actual practice to improve acceptability. We review the benefits of tailored programs as well as decentralization of MOC programs to better characterize the physician’s practice. Lastly, we discuss the value of simulation-based medical education in MOC programs. Simulation-based education could be used to practice uncommon complications, life-threatening scenarios, non-technical skills improvement, and become proficient with new technology. As learners find simulation experiences educationally valuable, clinically relevant, and positive, simulation could be a way of increasing physicians’ participation in MOC programs. Canadian Medical Education Journal 2020-03-16 /pmc/articles/PMC7082474/ /pubmed/32215145 http://dx.doi.org/10.36834/cmej.53065 Text en © 2020 Cordovani, Wong, Monteiro; licensee Synergies Partners http://creativecommons.org/licenses/by/2.0 This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Papers and Meta-Analyses
Cordovani, Ligia
Wong, Anne
Monteiro, Sandra
Maintenance of certification for practicing physicians: a review of current challenges and considerations
title Maintenance of certification for practicing physicians: a review of current challenges and considerations
title_full Maintenance of certification for practicing physicians: a review of current challenges and considerations
title_fullStr Maintenance of certification for practicing physicians: a review of current challenges and considerations
title_full_unstemmed Maintenance of certification for practicing physicians: a review of current challenges and considerations
title_short Maintenance of certification for practicing physicians: a review of current challenges and considerations
title_sort maintenance of certification for practicing physicians: a review of current challenges and considerations
topic Review Papers and Meta-Analyses
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082474/
https://www.ncbi.nlm.nih.gov/pubmed/32215145
http://dx.doi.org/10.36834/cmej.53065
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