Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
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Home Research Research Library Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study Physicians’ Choice of Board Certification Activity Is Unaffected by Baseline Quality of Care: The TRADEMaRQ Study 2022 Author(s) Peterson, Lars E, Johannides, John, and Phillips, Robert L Topic(s) Education & Training, Family Medicine Certification, Role of Primary Care, and Achieving Health System Goals Keyword(s) Cognitive Expertise, Health Information Technology (HIT), Performance Improvement, and Quality Of Care Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE: Physicians’ use of self-assessment to guide quality improvement or board certification activities often does not correlate with more objective measures, and they may spend valuable time on activities that support their strengths instead of addressing gaps. Our objective was to study whether viewing quality measures, with peer comparisons, would affect the selection of certification activities. METHODS: We conducted a cluster-randomized controlled trial-the Trial of Data Exchange for Maintenance of certification and Raising Quality (TRADEMaRQ)-with 4 partner organizations during 2015-2017. Physicians were presented their quality data within their online certification portfolios before (intervention) vs after (control) they chose board certification activities. The primary outcome was whether the selected activity addressed a quality gap (a quality area in which the physician scored below the mean for the study population). RESULTS: Of 2,570 invited physicians, 254 physicians completed the study: 130 in the intervention group and 124 in the control group. Nearly one-fifth of participating physicians did not complete any certification activities during the study. A sizable minority of those in the intervention group, 18.4%, never reviewed their quality dashboard. Overall, just 27.2% of completed certification activities addressed a quality gap, and there was no significant difference in this outcome in the intervention group vs the control group in either bivariate or adjusted analyses (odds ratio = 1.28; 95% CI, 0.90-1.82). CONCLUSIONS: Physicians did not use quality performance data in choosing certification activities. Certification boards are being pressed to make their programs relevant to practice, less burdensome, and supportive of quality improvement in alignment with value-based payment models. Using practice data to drive certification choices would meet these goals. ABFM Research Read all 2021 Developing measures to capture the true value of primary care Go to Developing measures to capture the true value of primary care 2022 Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis Go to Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis 2022 Family Medicine’s Gender Pay Gap Go to Family Medicine’s Gender Pay Gap 2016 Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference Go to Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference
Author(s) Peterson, Lars E, Johannides, John, and Phillips, Robert L Topic(s) Education & Training, Family Medicine Certification, Role of Primary Care, and Achieving Health System Goals Keyword(s) Cognitive Expertise, Health Information Technology (HIT), Performance Improvement, and Quality Of Care Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2021 Developing measures to capture the true value of primary care Go to Developing measures to capture the true value of primary care 2022 Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis Go to Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis 2022 Family Medicine’s Gender Pay Gap Go to Family Medicine’s Gender Pay Gap 2016 Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference Go to Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference
2021 Developing measures to capture the true value of primary care Go to Developing measures to capture the true value of primary care
2022 Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis Go to Multinational primary health care experiences from the initial wave of the COVID-19 pandemic: A qualitative analysis
2016 Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference Go to Accelerating Momentum Toward Improved Health for Patients and Populations: Family Medicine as a Disruptive Innovation-A Perspective from the Keystone IV Conference