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Home Research Research Library Family physician participation in maintenance of certification Family physician participation in maintenance of certification 2011 Author(s) Xierali, Imam M, Rinaldo, Jason C, Green, Larry A, Petterson, Stephen M, Phillips, Robert L, Bazemore, Andrew W, Newton, Warren P, and Puffer, James C Topic(s) Family Medicine Certification Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE: The American Board of Family Medicine has completed the 7-year transition of all of its diplomates into Maintenance of Certification (MOC). Participation in this voluntary process must be broad-based and balanced for MOC to have any practical national impact on health care. This study explores family physicians’ geographic, demographic, and practice characteristics associated with the variations in MOC participation to examine whether MOC has potential as a viable mechanism for dissemination of information or for altering practice. METHODS: To investigate characteristics associated with differential participation in MOC by family physicians, we performed a cross-sectional comparison of all active family physicians using descriptive and multinomial logistic regression analyses. RESULTS: Eighty-five percent of active family physicians in this study (n = 70,323) have current board certification. Ninety-one percent of all active board-certified family physicians eligible for MOC are participating in MOC. Physicians who work in poorer neighborhoods (odds ratio [OR] = 1.105; 95% confidence interval [CI], 1.038-1.176), who are US-born or foreign-born international medical graduates (OR = 1.221; 95% CI, 1.124-1.326; OR = 1.444; 95% CI, 1.238-1.684, respectively), or who are solo practitioners (OR = 1.460; 95% CI, 1.345-1.585) are more likely to have missed initial MOC requirements than those from a large, undifferentiated reference group of certified family physicians. When age is held constant, female physicians are less likely to miss initial MOC requirements (OR = 0.849; 95% CI, 0.794-0.908). Physicians practicing in rural areas were found to be performing similarly in meeting initial MOC requirements to those in urban areas (OR = 0.966; 95% CI, 0.919-1.015, not significant). CONCLUSION: Large numbers of family physicians are participating in MOC. The significant association between practicing in underserved areas and lapsed board certification, however, warrants more research examining causes of differential participation. The penetrance of MOC engagement shows that MOC has the potential to convey substantial practice-relevant medical information to physicians. Thus, it offers a potential channel through which to improve health care knowledge and medical practice. Read More ABFM Research Read all 2006 “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process. Go to “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process. 2018 Predictors of Attrition From Family Medicine Board Certification Go to Predictors of Attrition From Family Medicine Board Certification 2019 Improving Quality Improvement Go to Improving Quality Improvement 2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians
Author(s) Xierali, Imam M, Rinaldo, Jason C, Green, Larry A, Petterson, Stephen M, Phillips, Robert L, Bazemore, Andrew W, Newton, Warren P, and Puffer, James C Topic(s) Family Medicine Certification Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2006 “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process. Go to “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process. 2018 Predictors of Attrition From Family Medicine Board Certification Go to Predictors of Attrition From Family Medicine Board Certification 2019 Improving Quality Improvement Go to Improving Quality Improvement 2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians
2006 “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process. Go to “Performance in Practice” Modules in the American Board of Family Medicine Maintenance of Certfication for Family Physicians Process.
2018 Predictors of Attrition From Family Medicine Board Certification Go to Predictors of Attrition From Family Medicine Board Certification
2015 Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians Go to Response: Re: Performance on the Maintenance of Certification for Family Physicians (MC-FP) Examination: Comparison of Initial Certifiers with Experienced Physicians