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首页> 外文期刊>The Journal of continuing education in the health professions >Promoting physicians' self-assessment and quality improvement: the ABIM diabetes practice improvement module.
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Promoting physicians' self-assessment and quality improvement: the ABIM diabetes practice improvement module.

机译：促进医师的自我评估和质量改善：ABIM糖尿病实践改善模块。

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INTRODUCTION: The American Board of Internal Medicine (ABIM) recognized that certification and recertification must be based on an assessment of performance in practice as well as an examination of medical knowledge. Physician self-assessment of practice performance is proposed as one method that certification boards may use to evaluate competence in practice-based learning and improvement and systems-based practice. METHODS: Sixteen practicing general internists and endocrinologists with 10-year time-limited certification participated in a beta test of the ABIM's diabetes practice improvement module (PIM) as part of their recertification program. A PIM consists of a self-directed medical record audit, practice system survey, and patient survey. A quality improvement education specialist from the Connecticut Quality Improvement Organization provided on-site and distance consultation on quality improvement methods and tools. An independent audit assessed the reliability of physician self-audit. Qualitative interviews were conducted at 2 time points to assess for physician satisfaction and behavioral change in quality improvement. RESULTS: Fourteen physicians completed the diabetes PIM. All but 1 physician found the medical record audit to provide important information about the practice. Of the 11 physicians who completed a follow-up interview, 10 stated that the quality improvement education specialist helped improve their practice. DISCUSSION: Self-assessment using the ABIM diabetes PIM as part of recertification provides valuable practice information and can lead to meaningful behavioral change by physicians. Collaboration with an educator in quality improvement appears to facilitate the effects of the practice improvement module. Future work should investigate the effect on patient outcomes.
机译：简介：美国内科医学委员会（ABIM）认识到，认证和重新认证必须基于对实践表现的评估以及对医学知识的检验。提出了医师对实践绩效的自我评估，作为认证委员会可用来评估基于实践的学习和改进以及基于系统的实践的能力的一种方法。方法：16名具有10年时限认证资格的执业普通内科医师和内分泌学家参加了ABIM糖尿病实践改进模块（PIM）的beta测试，这是其重新认证计划的一部分。 PIM由自我指导的病历审核，实践系统调查和患者调查组成。来自康涅狄格州质量改进组织的质量改进教育专家提供了有关质量改进方法和工具的现场和远程咨询。独立审核评估了医生自我审核的可靠性。在2个时间点进行定性访谈，以评估医师的满意度和行为改善的行为。结果：14位医师完成了糖尿病PIM。除一名医师外，所有医师均发现病历审核可提供有关执业的重要信息。在完成随访采访的11位医生中，有10位表示质量改进教育专家帮助改善了他们的实践。讨论：使用ABIM糖尿病PIM作为重新认证的一部分进行自我评估可提供有价值的实践信息，并可能导致医生做出有意义的行为改变。在质量改进方面与教育者合作似乎有助于实践改进模块的效果。未来的工作应调查对患者预后的影响。

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