![]() ![]() The purpose of self-assessment is to alert psychiatrists to potential knowledge deficits in order to direct their study at a CME activity. The second component is an elaboration of the previous expectation that physicians complete a minimum number of CME activities: diplomates are expected to complete an average of 30 specialty or subspecialty Category 1 CME credits and an average of 8 self-assessment CMEs per year, averaged over 3 years. The first and third components are not new: professional standing is demonstrated by holding an active and unrestricted license to practice medicine, and cognitive expertise is demonstrated by passing an ABPN board examination these have been longtime requirements for board certification. Improvement in medical practice, ie, performance in practice (PIP) Assessment of knowledge, judgment, and skillsĤ. Lifelong learning (CME) and self-assessmentģ. How can one demonstrate that he or she is keeping up with latest developments in the field? The American Board of Psychiatry and Neurology (ABPN) has identified 4 components that must be demonstrated to remain board certified:Ģ. That lifelong learning is important to professional development is inarguable, but the devil is in the details. Surely, my patients should expect the same of me. This should not be an unusual occurrence it is what I expect of my doctor. I routinely bring up studies I have read and am usually reassured that she’s read them as well and has an informed opinion as to the findings. When I see my primary care doctor to discuss my health issues, I assume that she is aware of the latest guidelines and standards as well as promising research. Why is MOC so important? The answer is simple: because our patients deserve this. Nevertheless, we are only human, and with the multiple demands on our time, voluntary educational efforts tend to make way for the more pressing exigencies life throws at us. 2 As a profession, we are a very motivated group, and we would like to think that the desire to learn and grow, to remain on the cutting edge of our field is motivation enough to remain lifelong learners in our field. However, we all know that this can range from very active participation in excellent courses to simply showing up, signing in, and heading out to the golf course.Ĭonsiderable evidence suggests that CME alone is ineffective at achieving its goal of keeping physicians up to date in their specialties. 1 Prior to formal MOC, most states required some evidence that we were keeping up with our field this was usually achieved through the accumulation of Continued Medical Education (CME) credits. ![]() The adage of the wise old doctor who improves with experience is not true: doctors’ skills tend to deteriorate after their formal training is over if they do not challenge themselves to keep up with the latest developments in their field. Although the details are complicated, the basic rationale is simple: psychiatrists need to show that once their formal training is over, they are continuing to practice lifelong learning. ![]() Few recent issues have affected us as a profession as much as Maintenance of Certification (MOC). ![]()
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