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Re: Maintainence of certification From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Thu Jul 22 19:46:42 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Inverted uterus" Previous message: Efrain Ramirez: "Re: Inverted uterus" In reply to: Anna Meenan, MD: "Maintainence of certification" At Thu, 22 Jul 2004, Anna Meenan, MD wrote: > >A question for U.S. OB's. Where is your specialty board at with the >new requirements from the American Board of Medical Specialties for a >maintainence of certification program? You ought to see what the ABFP >has cooked up. We've gone from just a requirement for 50 hours of CME >plus a written test and review of 4 charts every 6-7 years, to annual >self-assesment modules (first one took me 6 hours and I still haven't >completed the patient simulation part of it), an assessment of my >professionalism by 25 of my patients and ten of my peers, and the big >written exam and chart review are still part of the program. > >The self-assesment module, of course, only worked on a Mac if I used >their newest browser, a fact that didn't become clear until I got to >know the tech-support guys really well, and even then there were bugs in >it. That's why I haven't done the patient simulation yet. I'm afraid >to start it. > >The real kicker is that the process now costs at least twice as much as >it did before, and potentially nearly 3 times as much if you don't start >paying in installments now for the test in 7 years. > >So what has ACOG done with this? Non-US OB's, I would be interested in >hearing what your countries require to maintain specialty certification. >This whole thing is driving me batty. > >-- > Anna Meenan, MD, FAAFP > -- Ann the same thing is happening here in Canada, I think if you took an evidence based approach to the various CME programs it would surely show that non of them make any difference , about the only evidence you would find is that it is great for the CME industry. It's hard for the public and CME people to believe but their have been few proven advancements in treatment protocols in Ob/GYN over the last two decades. Off hand a few that come to mind. - Adding chemtherapy to radiotherapy for advanced or bulky early stage squamous CA of the cervix - Group B strep prophlaxis( and the evidence is not as strong as the CDC makes it sound.) - Safety of Term breach Delievery( self serving prophecy , if you do a study when the crital mass of of ob's having a minimum of 100 breach delieveries does not exit and guess what you show its not as safe.) - Laproscopic Surgery( very debateable the first large studies comparing abdominal Versus Laproscopic hyst are showing much highier morbidty with the laproscopic approach.) Take care, John Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Inverted uterus" Previous message: Efrain Ramirez: "Re: Inverted uterus" In reply to: Anna Meenan, MD: "Maintainence of certification"

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