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1.
AMIA Annu Symp Proc ; : 1117, 2008 Nov 06.
Article in English | MEDLINE | ID: mdl-18998816

ABSTRACT

In order to model motivational interviewing in a simulated case of alcohol abuse, a system of creating conversations was added to a computerized patient simulator.


Subject(s)
Alcoholism/prevention & control , Communication , Counseling/methods , Interviews as Topic , Medical History Taking/methods , Motivation , Patients , Therapy, Computer-Assisted/methods , Humans , Kentucky
2.
J Am Board Fam Med ; 19(4): 398-403, 2006.
Article in English | MEDLINE | ID: mdl-16809655

ABSTRACT

INTRODUCTION: In 2000, the American Board of Medical Specialties adopted Maintenance of Certification (MOC) to replace intermittent, periodic recertification. MOC consists of 4 components: demonstration of professionalism (part I); commitment to life-long learning (part II); demonstration of cognitive expertise (part III); and evaluation of performance in practice (part IV). The American Board of Family Medicine (ABFM) implemented Maintenance of Certification for Family Physicians (MC-FP) in 2004, with its MC-FP part II self-assessment modules (SAMs) as the focus of the first year's activities. METHODS: The SAMs use materials and resources provided at the ABFM's website (www.theabfm.org). As of April 2005, approximately 7000 Diplomates had successfully completed SAMs in essential hypertension (N = 2351) and type 2 diabetes mellitus (N = 4648). Participants completed categorical modified Likert scale evaluations to receive continuing education credit, and many offered unstructured free-text comments regarding the clinical simulation component. These free-text comments were entered into the AnSWR qualitative analysis program from the Centers for Disease Control and Prevention. Text coding was performed by 2 authors (MDH, DJI). As no inferential analyses or comparisons were anticipated, the authors conducted no studies of inter-rater consistency. Results are reported as means (SD) and medians for continuous data, and as frequencies for count data. RESULTS: Likert-scale ratings indicated generally favorable responses (predominantly 5 to 6 on a 6-point scale) to the hypertension and diabetes SAMs. In addition, over half (ie, 55% for hypertension and 54% for diabetes participants) of the respondents indicated that the experience would lead to changes in their practices. Navigation and system operation issues predominated in the free-text comments offered for the diabetes and hypertension simulations. CONCLUSION: The MC-FP SAMs received generally favorable ratings in the program's first year. The SAMs underwent a number of modifications and improvements during the first year, largely in response to feedback and suggestions from ABFM Diplomates.


Subject(s)
Certification , Family Practice , Surveys and Questionnaires , Education, Medical, Continuing , Humans , Professional Competence , United States
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