Sorry, you need to enable JavaScript to visit this website.

Blog

15
Sep

Physician Reflects on Participating in MOCA-Peds Focus Group

By Vanessa G. Carroll, MD

As a practicing pediatrician, I am excited to hear about the potential upcoming changes to the Maintenance of Certification (MOC) Part 3 Exam currently in the works at the American Board of Pediatrics. 

I recognized the importance of having physician representation in the creation of this new certification process, so I volunteered to be a member of the MOC 3 Development User Group. I was fortunate enough to be one of 37 pediatricians from across the country randomly chosen by RTI International, an independent research institute, to provide clear feedback and specific direction on the new pilot structure starting in early 2016, which was referenced in a previous blog. This group has played a vital role in the shaping of the MOCA-Peds initiative by providing real world insight into the lives, challenges, and competency goals of practicing pediatricians and pediatric subspecialists alike. As a group member, I am proud of the meaningful changes to come in the certification process and appreciate the ABP’s willingness to adjust and respond to the needs of its physicians.

This new MOCA-Peds initiative is designed to replace the current 10 year, 200 question secure site testing method with an interactive quarterly assessment program of 20 questions per quarter (~80 questions/year) that allows the diplomate to individualize the recertification process while improving learning. Pediatricians will now be able to determine when and where they take questions, such as on a desktop at work between patients, on the smart phone while away from the office, or on a tablet at home when life slows down and gets quiet. This level of flexibility actually allows physicians to decide when is truly the best time for them to test their knowledge, instead of a single, stress-inducing exam day, which may require several months of preparation, associated expenses from course attendance or text book purchases and monopolization of already precious time. The ABP seems to appreciate the rigors of work-life balance doctors face today, as well as the mounting burdens in the health care system, which greatly contribute to burnout, and is sincerely trying to make life for its doctors better while also assuring competency in caring for our patients.

General pediatricians also will be able to direct the learning pathway towards an inpatient, outpatient, or combined focus so that the assessment will truly gauge necessary knowledge and aim to improve physician performance in applicable ways. As a pediatric hospitalist, it is very reassuring to know that my test questions will actually be directed towards issues that I deal with on a daily basis, or be major concepts of which all physicians should be aware. MOCA-Peds questions will be directed towards the 40 published, yearly learning objectives so that physicians can narrow the area of concentration prior to starting questions. These questions will be in the standard multiple choice format with a time limit. Once the response is submitted, the correct answer will be displayed, along with the rationale behind it and links to references and additional learning materials designed to facilitate the diplomate’s learning process.

As an ABP diplomate, I am grateful for the attention that the organization has devoted to revising the certification process. Being a participant of this user group has given me a chance to truly see the energy and focus numerous people within the organization have devoted to this important project. User feedback has been candid with clear direction, and the ABP has been consistently receptive and many modifications have been implemented in order to make this project physician-guided and meaningful.

Since January 2016, user members have met on a regular basis to shape and continuously revise this certification process. Everything from question structure, reference listings, computer displays, time constraints with work, security testing, and perceived stress for subspecialists with multiple certifications have been addressed. At each step in this drafting process, the primary focus has been us, the pediatricians, with the ultimate goal of ensuring competency while recognizing the challenges physicians face today. 

I am pleased with this new direction of testing and look forward to additional member feedback to come.


About the AuthorVanessa G. Carroll, MD

Dr. Carroll earned her medical degree from Tulane Medical School where she was elected to Alpha Omega Alpha Medical Honor Society. She completed her internship and residency in Pediatrics at Tulane and Ochsner Health System. She was honored as one of the "Best Doctors in America" in 2007. She is board certified in Pediatrics and joined the Ochsner staff in 2006.

 

4 Responses

Vovanmed

Proizvoditeli, rasskazyvaya o preimushchestvah "novogo analoga", obyazatelno upominayut o vozmozhnostyah ispolzovat sushchestvuyushchie koaksialnye linii tradicionnyh sistem nablyudeniya, a takzhe bolee protyazhennye linii,
chem v sluchae IP-resheniy. K sozhaleniyu, pri perehode na novoe analogovoe oborudovanie kachestvo sushchestvuyushchih liniy svyazi chasto ne udovletvoryaet sovremennym trebovaniyam dlya peredachi kartinki v vysokom razreshenii. Pri
vybore IP-
videosposterezhennya, peredacha upravlyayushchih signalov i pitaniya po tomu zhe kabelyu, chto i videosignal, otlichnaya masshtabiruemost sistem. IP-registratory s RoE-kommutatorami Kombinirovannye resheniya v bolshinstve sluchaev razrabatyvayutsya dlya malyh i srednih sistem bezopasnosti. Udobstvo primeneniya PoE-kommutatorov, sovmeshchennyh s registratorami, zaklyuchaetsya v tom, chto montazh i zapusk takoy sistemy znachitelno uproshchaetsya. Posle prokladki kabelnoy infrastruktury deystvuet princip Plug and Play - eto znachitelno sokrashchaet vremya na ustanovku oborudovaniya i umenshaet kolichestvo kabelya, chto polozhitelno vliyaet na nadezhnost, i vnosit esteticheskuyu sostavlyayushchuyu, kotoraya okazhetsya nemalovazhnoy, naprimer, pri stroitelstve sistemy bezopasnosti v kvartirah i domah ili nebolshih magazinah.
besprovodnoe videonablyudenie V sovremennyh analogovyh sistemah analogovoy sostavlyayushchey imeetsya ne tak uzh mnogo. Kamera i registrator davno prevratilis v cifrovye ustroystva, a analogovym ostalsya signal v kabele mezhdu nimi.
Takim obrazom, raznica v zaderzhke signala zaklyuchaetsya vo vremeni, kotoroe uhodit na paketizaciyu videopotoka i ego transportirovku v seti. V nebolshih setyah s pravilno sproektirovannoy i postroennoy infrastrukturoy rech idet o zaderzhke, ne prevyshayushchey neskolkih (2-3) soten millisekund, kotoraya ne kritichna, poskolku videonablyudenie v redkih sluchayah mozhno rascenivat, kak sistemu realnogo vremeni, kotoraya by trebovala mgnovennoy reakcii. V slozhnyh sistemah s udalennym dostupom, gde vozmozhny znachitelnye setevye zaderzhki, analogovoe reshenie pochti vsegda okazhetsya slozhnorealizuemym.
Razreshenie svyshe 1080r fotolovushka
Vybor razresheniya kamer dolzhen v pervuyu ochered byt obosnovan specifikoy primeneniya. Nesmotrya na to, chto marketingovaya gonka megapikseley vesma uspeshno migrirovala s rynka cifrovyh fotoapparatov na rynok videonablyude-
niya, a konechnye potrebiteli chasto osobenno raduyutsya sochnoy kartinke vysokogo razresheniya, primenenie kamer vysokogo razresheniya ne vsegda opravdano.

reotoenergy

obogrev dachnogo doma ooo montazh inzhenernyh sistem montazh kanalizacii v roshalimontazh radiatorov otopleniya v luhovicah montazh lyubyh vidov sistem otopleniya otoplenie kottedzha antracit forummontazh kotlov na ugle cenaraschet otopleniya v chastnom dome kalkulyator zamena otopleniya aprelevka montazh kotlov cena raboty raschet radiatoriv otopleniya stoimost proekta po vodosnabzheniyumontazh parapetnogo gazovogo kotla avtonomnoe otoplenie moskovskaya oblast

reotootoplenie

montazh kotlov otopleniya uslugi samaya prostaya sistema otopleniya montazh batarey otopleniya v naro fominske konsultirovanie na osnovnyh etapah montazha inzhenernyh sistem avtonomnaya kanalizaciya dlya kottedzha montazh otopleniya volokolamsk montazh batarey otopleniya v zheleznodorozhnom otogalereya ooo"'elisa" montazh nastennyh gazovyh kotlov otoplenie egorevsk

Progonnemia

slow soft hard q sad glad happy o merry kind angry j evil polite rude q gentle brave coward 2 shy hardworking lazy

Add new comment