ABAI's MOC Assessment of Knowledge Program Matures: Adding Value with Continuous Learning and Assessment.

Rapid changes in modern medicine along with advances in the science of learning and memory have necessitated a shift in the way physician knowledge is assessed. Physician recertification beyond initial certification has historically consisted of retaining large amounts of knowledge over a long time span. The adult learning theory has shown that the maintenance and improvement of our knowledge base is more effective by being exposed to new concepts at regular intervals throughout one's career and reinforcing these concepts on an ongoing basis. These philosophies have spurred several American Board of Medical Specialties member boards to embark on a variety of continuous assessment models that are designed to keep physicians up to date with the use of new technologies and innovative and flexible question formats. This article describes the new American Board of Allergy and Immunology (ABAI) Continuous Assessment Program. As the ABAI departs from the traditional secure examination/test center model and embarks on its new pilot, the focus remains firmly rooted in the core competencies that patients and the public demand and deserve. Through surveys, the ABAI has laid the groundwork for initial program design by asking its diplomates to rank the most relevant aspects of a sound clinical assessment. Periodic surveys to follow will enable the ABAI to adjust program design to provide the most pertinent content to practicing physicians to improve patient care, promote professionalism, and ensure public trust.

Development of a rapid assay to detect the dinoflagellate Amyloodinium ocellatum using loop-mediated isothermal amplification (LAMP).

Amyloodinium ocellatum is a highly pathogenic dinoflagellate parasite with global distribution that causes high mortalities in the culture of tropical and sub-tropical marine and estuarine fishes. Diagnosis typically occurs through gross examination following the onset of morbidity, at which point treatment is of limited benefit. In the present study, a new molecular diagnostic tool for the rapid detection of A. ocellatum (AO) was developed using the loop-mediated isothermal amplification method (LAMP). The AO-LAMP assay designed is highly specific using a set of four primers - two outer and two inner primers targeting six different regions on the 5' end of the Small Subunit rDNA region (SSU rDNA) of A. ocellatum. The AO-LAMP assay, optimized for 25-30 min at 62°C, amplified the DNA from A. ocellatum extracted from both water and gill tissue samples and did not amplify DNA from four closely related dinoflagellate sp ecies. The detection limit of the AO-LAMP assay was 10 fg, exceptionally higher than the conventional PCR (1 pg). In addition, the standardized AO-LAMP assay was capable of detecting single tomonts and trophonts; the assay was not affected by the presence of possible inhibitory substances present in environmental water samples or gill samples. The AO-LAMP assay developed in the present study provides a novel useful tool for the simple, rapid and sensitive detection of A. ocellatum in water and gill tissue samples, which could assist in the early detection and improved control of A. ocellatum infections in aquaculture systems.