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Maintenance of certification: Adequate or not?
What is the point of MOC?
The intended point is to demonstrate to the general public that a physician has kept up in their field and can therefore be considered competent. I think where the sticking point comes in is where many physicians feel they are already doing that with various CME activities although in a non-measured way. I think that where the crust of disagreement comes from. They question whether the proposed measurement system is adequate to determine competence.
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View the MOC Member-Survey Results
In February 2015, AAEM sent a message to our members with a survey regarding the Maintenance of Certification process. Those results are now available online. View the survey results.
Spring AAEM Oral Board Review Course — Limited Spots Remain!
Join us in Las Vegas from April 15-16 or in Los Angeles from April 18-19 for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register, here.
Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
MEMC-GREAT 2015 — Registration Now Open!
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract, and book your hotel! Look for more details to be announced soon. Register today!
New Online CME in AAEM's Online Learning Library
Superb, AAEM-quality educational content with AMA PRA Category 1 Credits™ available. Online learning optimized for your convenience. Get started today with the 2014 Scientific Assembly or 2014 Written Board Review Course. Look for information about the 2015 Scientific Assembly coming soon!
Save the Date — AAEM Written Board Review Course
Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more!
Will Medicaid expansion create a care shortage for addicts?
A drastic expansion of insurance coverage among people with drug and alcohol abuse disorders will exacerbate several states' already-severe shortage of behavioral health professionals, according to Pew Charitable Trusts. The number of professionals available per 1,000 people with substance use disorders varies state by state, from 70 in Vermont to 11 in Nevada. There is no consensus as to the necessary proportion but experts agree there are not enough professionals in most regions of the country. More than 2 million of the 18 million adults nationwide eligible for Medicaid post-expansion have SUDs, according to the report.
House provision offers doctors more protection against malpractice suits
The New York Times
A little-noticed provision of a bill passed by the House of Representatives with overwhelming bipartisan support would provide doctors new protections against medical malpractice lawsuits. The bill, which requires the government to measure the quality of care that doctors provide and rate their performance on a scale of zero to 100, protects doctors by stipulating that the quality-of-care standards used in federal health programs — Medicare, Medicaid and the Affordable Care Act — cannot be used in malpractice cases.
3 ways Congress could still kill ICD-10
Healthcare IT News
As the U.S. House of Representatives inked the latest episode in the sustainable growth rate saga, many eyes of the industry were watching to see whether anything related to ICD-10 landed among that bill’s pages. A collective sigh of relief followed the House’s passage of the Medicare Access and CHIP Reauthorization Act this past week when that alphanumeric acronym was nowhere to be found. Instead, the House bill promises to finally fix the looming 21 percent reduction in what Medicare pays doctors.
Cardiac monitoring: Hospital-wide education and staff competence
Dimensions of Critical Care Nursing
The numbers of patients in acute care hospitals who require cardiac monitoring are increasing. Unpredictable fluctuations in patient flow may result in shortages of telemetry beds for patients who need this level of care.
Why is it so difficult to recruit patients to research in emergency care? Lessons from the AHEAD study
Emergency Medical Journal
Many of the barriers to recruiting patients for research studies encountered by research nurses have previously been reported in the literature, but there remain consistent problems. Until solutions are found, researchers will continue to miss recruitment targets and this will have implications for the efficiency and quality of emergency medicine research in the U.K.
Hospital credentialing and privileging of surgeons: A potential safety blind spot
This Viewpoint reviews an important legal ruling on robotic surgery that highlights potential safety concerns in hospital credentialing and privileging with regard to new technologies.
Innovative procedures and technologies are regularly introduced into clinical practice. Although the U.S. Food and Drug Administration (FDA) exercises strict regulatory control over new drugs, it exerts minimal oversight for new devices and no oversight for new surgical techniques. When technology such as the da Vinci robot enters the field of surgery, it is less clear who is responsible for ensuring its safe introduction.
Patient quality: Minding the P's and Q's of healthcare
The buzzword in healthcare circles these days is value. In fact, HHS recently announced its goals and timeline for shifting Medicare payments to value-based payments, sparking more conversation about what is value in healthcare. This is, of course, generally a good thing.
Increasing patient safety through training
According to the World Health Organization, as many as one in 10 patients are harmed while receiving hospital care — seven out of 100 hospitalized patients acquire health care-associated infections. "Medicine, by its inherent nature, can presents risks on a daily basis," said Kathleen Davitt, nurse educator assigned to Naval Hospital Jacksonville’s Staff Education and Training department.
More patients use ER to treat complex, chronic conditions
The rate of patients in California who visit the emergency department (ED) for non-injury conditions has increased, indicating a shift in the ED's role in healthcare, according to a study published in Health Affairs.
Researchers led by Renee Y. Hsia, M.D., of the University of California San Francisco, analyzed records of California ED visits between 2005 and 2011.
POLST and DNR: Misunderstandings that confound critical care
Medscape (free login required)
An advance directive (AD) form — a living will is the oldest type of AD — often accompanies a patient who presents to the emergency department (ED) for emergent care. But despite evidence suggesting that misunderstandings can lead to inappropriate care, few studies until TRIAD have actually examined provider understanding of that document and its effects on patient care.
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How providers can reduce unnecessary ER visits
Utilization of U.S. emergency rooms has been rising for years; however, a good portion of the care received in ERs is non-emergent. In fact, the US spends around $60 billion a year on ER care, about 2 percent of the total $2.6 trillion spent on healthcare nationally, according to the Health Care Service Corporation (HCSC). HCSC 2013 claims data shows that roughly 50 percent of ER claims and 23% of ER claims payments for non-HMO members were for non-emergent care — equating to about 36,000 claims and more than $30 million in claims payments.
Collaboration between nurses and physicians decreases rates of HAIs in critical care
Collaborative relationships between nurses and physicians decrease rates of healthcare-associated infections (HAIs) in critical care, according to an article in the April issue of Critical Care Nurse (CCN).
The article, "Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care," examines the association between nurses' perception of their working relationships with physicians and the rates of two of the most common HAIs.
Pulmonary embolism risk scoring could guide treatment, ease burden on EDs
An analysis led by University of Cincinnati (UC) emergency medicine researchers shows that a simplified severity scoring tool for pulmonary embolism could be used in emergency departments to guide treatment decisions and, ultimately, ease the burden placed on emergency departments and hospitals. "Patients with symptoms of pulmonary embolism who enter emergency departments in the United States are overwhelmingly admitted to the hospital," says Gregory Fermann, M.D.
Data is no less secure even as HIPAA enforcement is here
By Lindy Benton
The headlines are endless and ever-growing: Healthcare data is at risk.
Exposure is happening because a scourge of people worldwide is illegally trying to benefit from the information; because of improper protection of sensitive information; or because of some other sort of breach. However, despite continued efforts to address security loopholes across the sector, simply "taking action" to mitigate damage is not an effective strategy, and it won't work long term.
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