Journal articles on the topic 'Medical accreditation and licensing'
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Olenev, A. S. "ON-SITE PRE-LICENSING OF MEDICAL ORGANIZATIONS AS THE FIRST ACTIVITY STAGE OF MEDICAL LICENSING AND ACCREDITATION COMMISSIONS IN BIG CITIES." Social Aspects of Population Health 59, no. 1 (2018): 2. http://dx.doi.org/10.21045/2071-5021-2018-59-1-2.
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Mazmanian, Paul E., Robert Galbraith, Stephen H. Miller, Paul M. Schyve, Murray Kopelow, James N. Thompson, Alejandro Aparicio, David A. Davis, and Norman B. Kahn. "Accreditation, Certification, and Licensure: How Six General Competencies are Influencing Medical Education and Patient Care." Journal of Medical Regulation 94, no. 1 (March 1, 2008): 8–15. http://dx.doi.org/10.30770/2572-1852-94.1.8.
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ABSTRACT Lifelong learning and self-assessment are tenets of medical education and health care improvement; quality and patient safety care are essential to the accreditation of organizations providing either continuing medical education (CME) or patient care; accredited CME providers must assess the learning needs of physicians: Accredited health care organizations must document physician participation in education that relates to the nature of care, treatment and services provided by the hospital. The credentialing and privileging of medical staff requires ongoing focused professional practice evaluation based on six general competencies, including compassionate care, medical knowledge, practice-based learning and improvement, effective communication, demonstrated professionalism and coordinated systems-based practice. As those charged with assessment and program evaluation are challenged to produce valid and reliable results to improve education and health care, United States licensing authorities are defining good medical practice and considering competency-based maintenance of licenses. The present paper offers a framework to advance the discussion of relative value credits for gains assessed in knowledge, competence and performance of physicians. A more synchronized and aligned consortium of medical licensing boards, specialty boards and organizations granting practice privileges is recommended to inform the design of education and physician assessment to assure quality and patient safety.
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Murano, Tiffany, Michal Gajewski, Michael Anana, Machteld Hillen, Anastasia Kunac, Daniel Matassa, Lisa Pompeo, and Neil Kothari. "Mandated State Medical Licensing Board Disclosures Regarding Resident Performance." Journal of Graduate Medical Education 11, no. 3 (June 1, 2019): 307–12. http://dx.doi.org/10.4300/jgme-d-18-00970.1.
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ABSTRACT Background State medical licensing boards ask program directors (PDs) to complete verification of training (VOT) forms for licensure. While residency programs use Accreditation Council for Graduate Medical Education core competencies, there is no uniform process or set of metrics that licensing boards use to ascertain if academic competency was achieved. Objective We determined the performance metrics PDs are required to disclose on state licensing VOT forms. Methods VOT forms for allopathic medical licensing boards for all 50 states, Washington, DC, and 5 US territories were obtained via online search and reviewed. Questions were categorized by disciplinary action (investigated, disciplined, placed on probation, expelled, terminated); documents placed on file; resident actions (leave of absence, request for transfer, unexcused absences); and non-disciplinary actions (remediation, partial or no credit, non-renewal, non-promotion, extra training required). Three individuals reviewed all forms independently, compared results, and jointly resolved discrepancies. A fourth independent reviewer confirmed all results. Results Most states and territories (45 of 56) accept the Federation Credentials Verification Service (FCVS), but 33 states have their own VOT forms. Ten states require FCVS use. Most states ask questions regarding probation (43), disciplinary action (41), and investigation (37). Thirty-four states and territories ask about documents placed on file, 36 ask about resident actions, and 7 ask about non-disciplinary actions. Eight states' VOT forms ask no questions regarding resident performance. Conclusions Among the states and territories, there is great variability in VOT forms required for allopathic physicians. These forms focus on disciplinary actions and do not ask questions PDs use to assess resident performance.
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Herbst, Charles Petrus, and Gerhard H. Fick. "Radiation protection and the safe use of X-ray equipment: Laws, regulations and responsibilities." South African Journal of Radiology 16, no. 2 (June 12, 2012): 50–54. http://dx.doi.org/10.4102/sajr.v16i2.306.
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Lately, South Africa’s regulatory framework for electromagnetic medical devices has come under considerable pressure. In this article the legislative framework and regulatory infrastructure are scrutinized, by looking at how the legislature has given form to protective measures against ionizing radiation.
Although the Hazardous Substances Act provides for effective protection against radiation, poor administration led to insufficient staffing levels, uncertainty about Regulations and licensing conditions and therefore undermines a sound radiation protection infrastructure. The legal basis of enforcing licensing conditions through a website without proper consultation with interested and affected parties is questionable and ineffective in controlling radiation levels.
Effective and legal radiation control is possible by activating the National Advisory Committee on Electronic Products provided for in Regulation R326 published in 1979, but never implemented.
The possible impact of annual quality assurance tests currently enforced through licensing conditions on the radiation dose of the population is not cost effective as new training and accreditation structures had to be created. The fact that generally more than 80% of overexposures are caused by human error is a clear indication that training of the daily users of X-ray equipment should be emphasized and not the training and accreditation of the technicians responsible for a single quality assurance test per year.
Constructive engagement with the professional bodies involved in the medical use of X-rays through a National Advisory Committee on Electronic Products may be a cost effective solution for lowering radiation dose to the population.
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Johnson, David Alan. "Prospects for a National Clearinghouse on International Medical Schools." Journal of Medical Regulation 94, no. 3 (September 1, 2008): 7–11. http://dx.doi.org/10.30770/2572-1852-94.3.7.
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ABSTRACT In 2006, a special committee appointed by the Federation of State Medical Boards (FSMB) issued its report on the “Evaluation of Undergraduate Medical Education” in the United States and abroad. Satisfied with accreditation systems already providing reasonable and adequate assurance for the quality of medical education in this country, the committee turned its focus toward international medical schools. Because international medical graduates (IMGs) comprise 25 percent of the physician workforce, U.S. medical licensing boards continue to seek meaningful information on the medical schools of their licensees. The report's recommendations included a call for close monitoring of efforts to provide international accreditation systems. One of the current initiatives being closely watched is that of the Caribbean Authority for Accreditation in Medicine and Other Health Professions (CAAM). Under the auspices of the Caribbean Community, CAAM has established an accreditation system for medical schools in the region, carried out site visits and rendered decisions for a number of Caribbean schools. A complementary initiative currently underway by FSMB and ECFMG staff involves the development of a primer on IMGs and international medical education. This web-based resource is scheduled for completion in late fall 2008. The major recommendation of the special committee report called for the FSMB to work with state medical boards and the ECFMG to establish an information and data clearinghouse on international medical schools. A clearinghouse workgroup has already begun meeting and considering various quality indicators suggested by the special committee report such as admission requirements, policies relative to advanced standing and aggregate performance data on USMLE. The challenges facing the clearinghouse are significant. One approach being considered is to focus data collection efforts primarily on the eight to 10 schools currently supplying the largest number of IMGs seeking medical licensure in the United States.
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Malek, Sharafat, and Md Humayun Kabir Talukder. "Medical Migration: a review on the licensing process for International Medical Graduates in Australia and other destinations." Bangladesh Journal of Medical Education 9, no. 1 (April 2, 2018): 26–34. http://dx.doi.org/10.3329/bjme.v9i1.36236.
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Movement of health care professionals, nationally or internationally, has now become a common trend worldwide. International recruitment of efficient physicians is an ongoing process for years although some studies have identified this culture as an issue.10-11 Waves of migration to popularly Australia under ‘Skilled Migration’ and other categories started in Bangladesh in early 1970, which have been ongoing since then.1 Among over thirty thousands of such migrants living in the popularly Australian States2; the medical graduates from Bangladesh are identified through their associations/forum made in each State as well as from the data on their participation in the re-accreditation examinations.3-4, 7-8 A lack of pre-migration awareness on social and academic barriers in the host country has been found far more common in the Australian International Medical Graduates’ (IMGs) studies published before 20045. Poor knowledge on the hurdles may affect IMGs’ post-migration coping or adjustment process. Fortunately, internet facilities are widely available so, modern IMGs no more need to rely on information from relatives, friends or high commission/embassy people. Yet, full access to career and job related journals could still be out of reach for many IMGs. Updated clear knowledge around licenselegislation at the destination would help IMGs gaining smoother transition whilst preparing to build the same career, albeit in a different system. This review article at first presents the background behind strict regulations on permitting the IMGs to practise in major destinations. It then progresses with reviewing these regulations in the developed countries including Australia. Following that a detailed summary has been made on the Australian regulations. Available literature6-8 demonstrates a large discrepancy between IMGs’ success rates in the knowledge and practical part of the licensing (Australian Medical Council) process (i.e. 80% vs. 42% in case of Bangladeshi-IMGs). Therefore, this paper has properly discussed the nature and structure of the practical (AMC-Clinical) examination incorporating examples. Useful web-links on Australian IMGs’ accreditation preparation, permanent migration and finding medical jobs have been provided at relevant sections. Finally, a recommendation has been made to teach 3rd-year medical students on this important area under the ‘Community Medicine’ curriculum in Bangladesh.Bangladesh Journal of Medical Education Vol.9(1) 2018: 26-34
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Crawford, Judy, and Fred Shaffer. "Education: BCIA's Core." Biofeedback 41, no. 2 (June 1, 2013): 46–49. http://dx.doi.org/10.5298/1081-5937-41.2.05.
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The mission of the Biofeedback Certification International Alliance (BCIA) is to certify applicants who demonstrate entry-level knowledge and to progressively recertify them progressively as they expand their knowledge base and skill set through continuing education. BCIA requires accredited coursework to ensure the credibility of its credentials within the insurance and medical communities. Accreditation is provided by regional accrediting bodies, professional organizations, licensing boards, and BCIA itself. BCIA has developed flexible and inexpensive options for earning continuing education to better serve its North American and international audience.
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Burney, Richard E. "Oversight of Medical Care Quality:." Journal of Medical Regulation 101, no. 4 (December 1, 2015): 8–15. http://dx.doi.org/10.30770/2572-1852-101.4.8.
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Not long after physicians began to gather in organized groups and form professional societies in the 19th century, it became clear that education, training and practices were highly variable and that oversight to prevent outright quackery was needed. Although the situation is quite different today, experience has shown that continued oversight of medical care is still necessary. Some modern physicians may allow their knowledge, skills, and practices to become out of date, resulting in ineffective, unnecessary and expensive care. They may engage in any number of unprofessional behaviors, ranging from substance abuse to billing and insurance fraud, leading to disciplinary actions by external agencies. That said, providing oversight in today's highly complex health care delivery system is not a simple task to accomplish. Many rules, regulations, structures and processes have been put into place, all trying to ensure that medical care is safe, affordable and of high quality. This essay briefly describes the history and evolution of medical oversight — from its relatively simple beginnings in licensing and accreditation initiated over a century ago to the multiplex of oversight programs currently in place — including a look at some of the new, innovative and data-driven approaches being used today.
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Beckman, Jamie J., and Mark R. Speicher. "Characteristics of ACGME Residency Programs That Select Osteopathic Medical Graduates." Journal of Graduate Medical Education 12, no. 4 (August 1, 2020): 435–40. http://dx.doi.org/10.4300/jgme-d-19-00597.1.
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ABSTRACT Background The transition from American Osteopathic Association (AOA) and Accreditation Council for Graduate Medical Education (ACGME) residency matches to a single graduate medical education accreditation system culminated in a single match in 2020. Without AOA-accredited residency programs, which were open only to osteopathic medical (DO) graduates, it is not clear how desirable DO candidates will be in the unified match. To avoid increased costs and inefficiencies from overapplying to programs, DO applicants could benefit from knowing which specialties and ACGME-accredited programs have historically trained DO graduates. Objective This study explores the characteristics of residency programs that report accepting DO students. Methods Data from the American Medical Association's Fellowship and Residency Electronic Interactive Database Access were analyzed for percentage of DO residents in each program. Descriptive statistics and a logit link generalized linear model for a gamma distribution were performed. Results Characteristics associated with graduate medical education programs that reported a lower percentage of DO graduates as residents were surgical subspecialties, longer training, and higher US Medical Licensing Examination Step 1 scores of their residents compared with specialty average. Characteristics associated with a higher percentage of DO graduates included interviewing more candidates for first-year positions and reporting a higher percentage of female residents. Conclusions Wide variation exists in the percentage of DO graduates accepted as residents among specialties and programs. This study provides valuable information about the single Match for DO graduates and their advisers and outlines education opportunities for the osteopathic profession among the specialties with low percentages of DO students as residents.
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Fatima, Rawish, Ahmad R. Assaly, Muhammad Aziz, Mohamad Moussa, and Ragheb Assaly. "The United States Medical Licensing Exam Step 2 Clinical Skills Examination: Potential Alternatives During and After the COVID-19 Pandemic." JMIR Medical Education 7, no. 2 (April 30, 2021): e25903. http://dx.doi.org/10.2196/25903.
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We feel that the current COVID-19 crisis has created great uncertainty and anxiety among medical students. With medical school classes initially being conducted on the web and the approaching season of “the Match” (a uniform system by which residency candidates and residency programs in the United States simultaneously “match” with the aid of a computer algorithm to fill first-year and second-year postgraduate training positions accredited by the Accreditation Council for Graduate Medical Education), the situation did not seem to be improving. The National Resident Matching Program made an official announcement on May 26, 2020, that candidates would not be required to take or pass the United States Medical Licensing Examination Step 2 Clinical Skills (CS) examination to participate in the Match. On January 26, 2021, formal discontinuation of Step 2 CS was announced; for this reason, we have provided our perspective of possible alternative solutions to the Step 2 CS examination. A successful alternative model can be implemented in future residency match seasons as well.
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Hidayati, Nurul, Dedy Almasdy, and Abdi Setya Putra. "Global trade and health: an Indonesian perspective on the asean medical device directive policy." Berita Kedokteran Masyarakat 37, no. 1 (January 31, 2021): 1. http://dx.doi.org/10.22146/bkm.60819.
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Purpose: Health care equipment international trade could serve a new strategic revenue for Indonesia. Since its implementation in 2015, AFTA has been a very strategic issue in creating export opportunities for its member countries. One of the sectors that becomes a priority for ASEAN integration is in the field of medical devices which is regulated in the ASEAN Medical Device Directive (AMDD) policy. Indonesia itself has officially ratified AMDD policy since 2018, but Indonesia will have been facing the problem of quality, innovation and diversification of medical devices. This study examines the competitiveness opportunities for domestic medical devices in ASEAN Free Trade Area. Method: This study used a qualitative method where information was obtained from in-depth interviews and document review. The informants came from policy makers, implementing officers, and stakeholders. Results: Indonesia has harmonized 26 out of 31 standards mandated by AMDD. Conformity assessment bodies in Indonesia that have been certified by the National Accreditation Committee have received international recognition. Indonesia has many potential exporting innovative medical devices to ASEAN countries. Fulfillment of medical devices is carried out through compulsory licensing and parallel import mechanism.
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Wright, James R. "The History of Pathologists' Assistants: A Tale of 2 Educational Mavericks." Archives of Pathology & Laboratory Medicine 143, no. 6 (January 14, 2019): 753–62. http://dx.doi.org/10.5858/arpa.2018-0333-hp.
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Context.— The use of medical technologists to assist with clinical pathology workload has been common since the 1930s. In stark contrast, most aspects of anatomical pathology have traditionally been considered to be medical work that must be performed by pathologists or residents. Objective.— To describe the history of the pathologists' assistant profession in North America. Design.— Available primary and secondary historical sources were reviewed. Results.— The concept of physician assistants, capable of performing delegated medical tasks, was created by Eugene A. Stead Jr, MD, at Duke University in 1965. When this profession began, it was quickly embraced by the American Medical Association, which took ownership related to certification and licensing of practitioners as well as external accreditation of training programs. Because of concerns about pathology manpower in the late 1960s, Thomas D. Kinney, MD, also at Duke University, developed the first training program for pathologists' assistants in 1969. Pathologists' assistants were not immediately accepted by many academic pathologists, especially related to work in the surgical pathology gross room. Organized pathology did not help the new profession develop standards, and so in 1972 pathologists' assistants created their own professional organization, the American Association of Pathologists' Assistants. Although it took several decades, the association was eventually able to forge relationships with the National Accrediting Agency for Clinical Laboratory Sciences for training program accreditation and the American Society for Clinical Pathology for board certification for practitioners. The development of the profession in Canada is also described. Conclusions.— The pathologists' assistant profession is now well established in North America.
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Cui, David, Ingrid U. Scott, and Heidi Luise Wingert. "Ophthalmology Program Directors' Perspectives on the Impact of the United States Medical Licensing Examination Step 1 Change to Pass-Fail Scoring." Journal of Academic Ophthalmology 12, no. 02 (July 2020): e277-e283. http://dx.doi.org/10.1055/s-0040-1718569.
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Abstract Purpose This article investigates the perspectives of ophthalmology residency program directors (PDs) regarding the impact of the United States Medical Licensing Examination (USMLE) Step 1 change from graded to pass-fail scoring on ophthalmology resident selection and medical education. Methods The PDs of all United States ophthalmology residency programs accredited by the Accreditation Council for Graduate Medical Education were identified using a public, online database. An anonymous web-based survey constructed using REDCap was emailed to each PD in February 2020. Results Surveys were completed by 64 (54.2%) PDs, with the majority (81.2%) disagreeing with the change to pass-fail scoring. The majority of PDs believe this change will negatively impact the ability to evaluate residency applicants (92.1%) and achieve a fair and meritocratic match process (76.6%), and will decrease medical students' basic science knowledge (75.0%). The factors identified most frequently by PDs as becoming more important in evaluating residency applicants as a result of the Step 1 scoring change include clerkship grades (90.6%), USMLE Step 2 Clinical Knowledge score (84.4%), and a rotation in the PD's department (79.7%). The majority of PDs believe the Step 1 grading change to pass-fail will benefit applicants from elite medical schools (60.9%), and disadvantage applicants from nonelite allopathic schools (82.8%), international medical graduate applicants (76.6%), and osteopathic applicants (54.7%). Conclusion The majority of ophthalmology PDs disagree with the change in USMLE Step 1 scoring from graded to pass-fail and believe this change will negatively impact the ability to evaluate residency applicants and achieve a fair and meritocratic match process, and will decrease medical students' basic science knowledge.
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Alsamarai, Abdulghani Alsamarai, and Alaa Bashir. "Quality improvement of health care in Iraq." International Journal of Medical Sciences 1, no. 1 (April 20, 2018): 1–5. http://dx.doi.org/10.32441/ijms.v1i1.29.
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Iraqi health care experts documented that hundreds of patients die each year because of hospitals failures to adhere consistently to standard procedures of safe and effective medical care. The routine hospital care improvement is public health imperative. High quality health care [safe, effective, patient – centered, timely, equitable and efficient] is should be provided for all population. Unfortunately, the growing literature and health care professions documents a serious problem in health care delivery in Iraq, for example: Unnecessary surgery: Such as increased numbers of cesarean section with time; increasing numbers of operation for appendectomy (most of them in is later found to be normal).; High morbidity and mortality following surgery.; Inappropriate use of medications.; Inadequate prevention of diseases.; Avoidable exacerbation of chronic conditions, Malpractice, lack of accreditation and licensing system, malpractice in private pharmacy, drugs irrational use, absence of referral system, short consultation time, no consistent medical record system, no clinical standards in health care providing, fail to maintain sanitation in public health care services, non existence of quality control programs in hospital and health care centers, and non effective diseases prevention and control programs
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Dong, Ting, Steven J. Durning, William R. Gilliland, Kimberly A. Swygert, and Anthony R. Artino. "Development and Initial Validation of a Program Director's Evaluation Form for Medical School Graduates." Military Medicine 180, suppl_4 (April 1, 2015): 97–103. http://dx.doi.org/10.7205/milmed-d-14-00551.
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ABSTRACT Background: In the early 1990s, our group of interdepartmental academicians at the Uniformed Services University (USU) developed a PGY-1 (postgraduate year 1) program director evaluation form. Recently, we have revised it to better align with the core competencies established by the Accreditation Council for Graduate Medical Education. We also included items that reflected USU's military-unique context. Purpose: To collect feasibility, reliability, and validity evidence for our revised survey. Method: We collected PGY-1 data from program directors (PD) who oversee the training of military medical trainees. The cohort of the present study consisted of USU students graduating in 2010 and 2011. We performed exploratory factor analysis (EFA) to examine the factorial validity of the survey scores and subjected each of the factors identified in the EFA to an internal consistency reliability analysis. We then performed correlation analysis to examine the relationship between PD ratings and students' medical school grade point averages (GPAs) and performance on U.S. Medical Licensing Examinations Step assessments. Results: Five factors emerged from the EFA–—Medical Expertise, Military-unique Practice, Professionalism, System-based Practice, and Communication and Interpersonal Skills.” The evaluation form also showed good reliability and feasibility. All five factors were more strongly associated with students' GPA in the initial clerkship year than the first 2 years. Further, these factors showed stronger correlations with students' performance on Step 3 than other Step Examinations. Conclusions: The revised PD evaluation form seemed to be a valid and reliable tool to gauge medical graduates' first-year internship performance.
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Myers, Jeffrey L., and Joel K. Greenson. "Life-Long Learning and Self-Assessment." Archives of Pathology & Laboratory Medicine 136, no. 8 (August 1, 2012): 851–53. http://dx.doi.org/10.5858/arpa.2012-0234-ed.
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New Frontiers in Pathology is a unique educational event intended to meet the ongoing educational needs of practicing pathologists. Continuous medical education (CME) is required for maintenance of licensure by virtually all state licensing bodies. Satisfying CME requirements hinges on earning a minimum number of American Medical Association Physician Recognition Award category 1 credits through various activities, including courses like New Frontiers in Pathology that are accredited by the Accreditation Council for Continuing Medical Education. Self-assessment modules (SAMs) are a key component of the American Board of Pathology expectations for maintenance of board certification. Beginning in 2006, the American Board of Pathology granted only time-limited certificates as part of an American Board of Medical Specialties–wide process for maintenance of board certification. Maintenance of board certification has requirements in 4 categories: professional standing, life-long learning and self-assessment, cognitive expertise, and evaluation of performance in practice. Life-long learning and self-assessment includes not only the traditional elements of CME but also the SAMs that are defined as educational products comprising self-administered examinations with a predetermined minimum performance level and a mechanism for receiving feedback. New Frontiers in Pathology will offer SAMs, in addition to the American Medical Association Physician Recognition Award category 1 credits, which it has been accredited to do since its inception, at its 2012 conference scheduled for August 3 through August 5 at The Homestead Resort, Michigan's largest waterfront resort on beautiful Lake Michigan.
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Regnier, Kate, Kathy Chappell, and Dimitra V. Travlos. "The Role and Rise of Interprofessional Continuing Education." Journal of Medical Regulation 105, no. 3 (October 1, 2019): 6–13. http://dx.doi.org/10.30770/2572-1852-105.3.6.
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ABSTRACT For decades, health leadership organizations have identified interprofessional education and team-based care as a critical component of health care quality and safety. The Institute of Medicine (IOM) has issued a series of reports demonstrating the relationship between poor team performance and negative patient outcome and has called on accreditors, licensing and certifying bodies to use their oversight processes as levers for change. Toward that end, three of the national accreditors in medicine, nursing and pharmacy collaborated to create a unified accreditation system, setting standards for interprofessional continuing education (IPCE) and establishing an IPCE credit that designates activities planned by and for health care teams. There is evidence supporting the relationship between engagement in IPCE and improvements in health care professionals' knowledge, attitudes, competence and performance, as well as patient and system outcomes. The accreditors believe that this evidence base is strong enough to justify including IPCE in regulatory requirements. In 2018, the Federation of State Medical Boards (FSMB) recognized IPCE credit as an additional means of satisfying CME requirements for medical license renewal. The increasing recognition of IPCE demonstrates the pivotal role of accreditors and regulators in driving the advancement of IPCE and team care now and in the future.
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Lenjani, Basri, Merima Šišić, Verica Mišanović, Kenan Ljuhar, and Dardan Lenjani. "Challenges and Problems Affecting the Development Emergency Medical Services in Kosovo." Albanian Journal of Trauma and Emergency Surgery 5, no. 2 (July 20, 2021): 825–29. http://dx.doi.org/10.32391/ajtes.v5i2.245.
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Emergency medical service is organized as a separate field of health activities in order to provide uninterrupted emergency medical care for citizens who due to illness or injury have directly threatened the life, certain organs or certain parts of the body respectively cut the optimal time of occurrence of the emergency until the start of the final treatment process. Emergence clinic for 2020. Year ED over 100. 000-cases. The emergency health system doesn’t have a consolidated network and integrated emergency medical services. Emergency health services in Europe are being challenged by changes in life dynamics, scientific advancements, which do increase the request to further improve the way of delivering emergency services. Health-system resilience can be defined as the capacity of health actors, institutions, and populations to prepare for and effectively respond to crises, to maintain core functions when a crisis hits, and—informed by lessons learned during the crisis to reorganize if conditions require it. Emergency clinic today at UCCK offers an area of 507m2, with 22 beds in the living room (1 bed per 100,000 population). Compliance with the law on emergency medical care, support, and improvement of EMS creating a special budget for EMS. EMS Independence (Decentralization). Budget, Management, accreditation, initiation of a project of systematization doctors of nurses in an integrated system. Regulation of administrative and legal infrastructure for EMS. The increase in salary (during holidays, weekends), shortening working hours for EMS, beneficial path (stress, risk, complexity, infections, first contact with the patient), the extension of annual leave. Functionalization of the Permanent National Center for Education EMS training, licensing, relicensing (medical staff) Quality control or EMS quality.
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Fliotsos, Michael J., Sidra Zafar, Shazia Dharssi, Divya Srikumaran, Jessica Chow, Eric L. Singman, and Fasika A. Woreta. "Objective Resident Characteristics Associated with Performance on the Ophthalmic Knowledge Assessment Program Examination." Journal of Academic Ophthalmology 13, no. 01 (January 2021): e40-e45. http://dx.doi.org/10.1055/s-0040-1722311.
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Abstract Background To determine objective resident characteristics that correlate with Ophthalmic Knowledge Assessment Program (OKAP) performance, as well as to correlate OKAP performance with Accreditation Council for Graduate Medical Education (ACGME) milestone assessments, written qualifying examination (WQE) scores, and oral board pass rates. Methods Review of administrative records at an ACGME-accredited ophthalmology residency training program at an urban, tertiary academic medical center. Results The study included data from a total of 50 resident physicians who completed training from 2012 to 2018. Mean (standard deviation) OKAP percentile performance was 60.90 (27.51), 60.46 (28.12), and 60.55 (27.43) for Years 1, 2, and 3 examinations, respectively. There were no statistically significant differences based on sex, marital status, having children, MD/PhD degree, other additional degree, number of publications, number of first author publications, or grades on medical school medicine and surgery rotations. OKAP percentile scores were significantly associated with United States Medical Licensing Examination (USMLE) Step 1 scores (linear regression coefficient 0.88 [0.54–1.18], p = 0.008). Finally, continuous OKAP scores were significantly correlated with WQE (r s = 0.292, p = 0.049) and oral board (r s = 0.49, p = 0.001) scores. Conclusion Higher OKAP performance is correlated with passage of both WQE and oral board examinations during the first attempt. USMLE Step 1 score is the preresidency academic factor with the strongest association with success on the OKAP examination. Programs can utilize this information to identify those who may benefit from additional OKAP, WQE, and oral board preparation assistance.
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Hamdan, Saif A., Alan T. Makhoul, Brian C. Drolet, Jennifer L. Lindsey, and Janice C. Law. "Ophthalmology Program Director Perspectives of Scoring Step 1 Pass/Fail." Journal of Academic Ophthalmology 12, no. 02 (July 2020): e251-e254. http://dx.doi.org/10.1055/s-0040-1718568.
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Abstract Background Scoring for the United States Medical Licensing Examination (USMLE) Step 1 was recently announced to be reported as binary as early as 2022. The general perception among program directors (PDs) in all specialties has largely been negative, but the perspective within ophthalmology remains uncharacterized. Objective This article characterizes ophthalmology residency PDs' perspectives regarding the impact of pass/fail USMLE Step 1 scoring on the residency application process. Methods A validated 19-item anonymous survey was electronically distributed to 111 PDs of Accreditation Council for Graduate Medical Education-accredited ophthalmology training programs. Results Fifty-six PDs (50.5%) completed the survey. The median age of respondents was 48 years and the majority were male (71.4%); the average tenure as PD was 7.1 years. Only 6 (10.7%) PDs reported the change of the USMLE Step 1 to pass/fail was a good idea. Most PDs (92.9%) indicated that this will make it more difficult to objectively compare applicants, and many (69.6%) did not agree that the change would improve medical student well-being. The majority (82.1%) indicated that there will be an increased emphasis on Step 2 Clinical Knowledge (CK) scores, and many (70.4%) felt that medical school reputation will be more important in application decisions. Conclusion Most ophthalmology PDs who responded to the survey do not support binary Step 1 scoring. Many raised concerns regarding shifted overemphasis on Step 2 CK, uncertain impact on student well-being, and potential to disadvantage certain groups of medical students including international medical graduates. These concerns highlight the need for reform in the ophthalmology application process.
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Daykhes, Arkady Nikolaevich, Vladimir Anatolievich Reshetnikov, Olga Aleksandrovna Manerova, and Ilya Aleksandrovich Mikhailov. "Analysis of Current Practices of Organizing the Export of Medical Services in the United Kingdom, Italy, South Korea and China." Medical Technologies. Assessment and Choice (Медицинские технологии. Оценка и выбор), no. 1 (39) (May 1, 2020): 30–42. http://dx.doi.org/10.31556/2219-0678.2020.39.1.030-042.
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Aim of the study. Analysis of medical tourism’s organizational features based on the example of the large medical organizations in the United Kingdom, South Korea, Italy and China. Materials and methods. The data were collected by the authors by interviewing the heads of medical organizations and their deputies in the United Kingdom, South Korea, Italy and China (3–4 respondents per medical organization) using the developed questionnaire to identify the main mechanisms and tools for organizing the export of medical services. SWOT-analysis (Strengths; Weaknesses; Opportunities; Threats) was performed in order to comprehensively evaluate the received information. Results. Along with weaknesses and threats that slow down the development of medical services exports, strengths (internal factors) and opportunities ( external factors) that contribute to the development of medical tourism were also identified: the widespread popularity of the brand of medical organizations abroad which is associated with the provision of premium medical services; versatility and ability to conduct high-tech surgical operations; the presence of a separate premium class building and an international department for working with foreign patients and promoting a medical organization in the world market; well-established business relationships with assistance companies; foreign medical personnel who speak foreign languages and possess necessary skills to treat foreign patients; developed electronic medical care system; developed system of quality control of medical care; the presence of branches in other countries; the presence of a medical visa in the system of legislation; established cooperation with many countries at the embassy level; state licensing and accreditation for the provision of medical services to foreign citzens; the availability of a state website on the provision of medical assistance to foreign citizens; the possibility of the age of value added tax. Conclusion. We identified main patterns in the organization of export of medical services that can be applied to develop this direction in medical organizations of the Russian Federation during the analysis the strengths and weaknesses of four large medical organizations abroad, as well as external factors that affect the work of these medical organizations.
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Artino, Anthony R., Ting Dong, David F. Cruess, William R. Gilliland, and Steven J. Durning. "Development and Initial Validation of a Program Director's Evaluation Form for Third-Year Residents." Military Medicine 180, suppl_4 (April 1, 2015): 104–8. http://dx.doi.org/10.7205/milmed-d-14-00554.
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ABSTRACT Background: Using a previously developed postgraduate year (PGY)-1 program director's evaluation survey, we developed a parallel form to assess more senior residents (PGY-3). The PGY-3 survey, which aligns with the core competencies established by the Accreditation Council for Graduate Medical Education, also includes items that reflect our institution's military-unique context. Purpose: To collect feasibility, reliability, and validity evidence for the new PGY-3 evaluation. Methods: We collected PGY-3 data from program directors who oversee the education of military residents. The current study's cohort consisted of Uniformed Services University of the Health Sciences students graduating in 2008, 2009, and 2010. We performed exploratory factor analysis (EFA) to examine the internal structure of the survey and subjected each of the factors identified in the EFA to an internal consistency reliability analysis. We then performed correlation analysis to examine the relationships between PGY-3 ratings and several outcomes: PGY-1 ratings, cumulative medical school grade point average (GPA), and performance on U.S. Medical Licensing Examinations (USMLE) Step 1, Step 2 Clinical Knowledge, and Step 3. Results: Of the 510 surveys we distributed, 388 (76%) were returned. Results from the EFA suggested four factors: “Medical Expertise,” “Professionalism,” “Military-unique Practice,” and “Systems-based Practice.” Scores on these four factors showed good internal consistency reliability, as measured by Cronbach's α (α ranged from 0.92 to 0.98). Further, as expected, “Medical Expertise” and “Professionalism” had small to moderate correlations with cumulative medical school GPA and performance on the USMLE Step examinations. Conclusions: The new program director's evaluation survey instrument developed in this study appears to be feasible, and the scores that emerged have reasonable evidence of reliability and validity in a sample of third-year residents.
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Hidayah, Rachmadya Nur. "IS PATIENT SAFETY AT THE HEART OF MEDICAL EDUCATION IN INDONESIA? REFLECTION ON THE IMPACT OF THE NATIONAL EXAMINATION." Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education 8, no. 3 (November 25, 2019): 153. http://dx.doi.org/10.22146/jpki.48759.
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ABSTRACT Background: National examinations in Indonesia (UKMPPD) has been implemented since 2007 as a quality assurance method for medical graduates and medical schools. The impact of UKMPPD has been studied since then, where one of the consequences were related to how it affected medical education and curricula. This study explored the consequences of UKMPPD, focusing on how the students, teachers, and medical schools’ leaders relate the examination with patient care. This study aimed to explore the impact of UKMPPD on medical education, which focusing on the issue of patient safety. Methods: This study was part of a doctoral project, using a qualitative method with a modified grounded theory approach. The perspectives of multiple stakeholders on the impact of the UKMPPD were explored using interview and focus groups. Interviews were conducted with medical schools’ representatives (vice deans/ programme directors), while focus groups were conducted with teachers and students. A sampling framework was used by considering the characteristics of Indonesian medical schools based on region, accreditation status, and ownership (public/ private). Data was analysed using open coding and thematic framework as part of the iterative process. Results: The UKMPPD affected how the stakeholders viewed this high-stakes examination and the education delivered in their medical schools. One of the consequences revealed how stakeholders viewed the UKMPPD and its impact on patient care. Participants viewed the UKMPPD as a method of preparation for graduates’ real clinical practice. The lack of reference for patient safety as the impact of the UKMPPD in this study showed that there were missing links in how stakeholders perceived the examination as part of quality assurance in health care. Conclusion: The UKMPPD as a high-stakes examination has a powerful impact in changing educational policy and programmes in Indonesia. However, in Indonesia, the examination brought in the reflection on how the “patient” element was lacking from medical education. This research offers an insight on the concept of patient safety in Indonesia and how the stakeholders could approach the issue. Keywords: UKMPPD, national licensing examination, impact, competence, patient safety, curriculum
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Jagannathan, Jay, G. Edward Vates, Nader Pouratian, Jason P. Sheehan, James Patrie, M. Sean Grady, and John A. Jane. "Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity." Journal of Neurosurgery 110, no. 5 (May 2009): 820–27. http://dx.doi.org/10.3171/2009.2.jns081446.
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Object Recently, the Institute of Medicine examined resident duty hours and their impact on patient safety. Experts have suggested that reducing resident work hours to 56 hours per week would further decrease medical errors. Although some reports have indicated that cutbacks in resident duty hours reduce errors and make resident life safer, few authors have specifically analyzed the effect of the Accreditation Council for Graduate Medical Education (ACGME) duty-hour limits on neurosurgical resident education and the perceived quality of training. The authors have evaluated multiple objective surrogate markers of resident performance and quality of training to determine the impact of the 80-hour workweek. Methods The United States Medical Licensing Examination (USMLE) Step 1 data on neurosurgical applicants entering ACGME-accredited programs between 1998 and 2007 (before and after the implementation of the work-hour rules) were obtained from the Society of Neurological Surgeons. The American Board of Neurological Surgery (ABNS) written examination scores for this group of residents were also acquired. Resident registration for and presentations at the American Association of Neurological Surgeons (AANS) annual meetings between 2002 and 2007 were examined as a measure of resident academic productivity. As a case example, the authors analyzed the distribution of resident training hours in the University of Virginia (UVA) neurosurgical training program before and after the institution of the 80-hour workweek. Finally, program directors and chief residents in ACGME-accredited programs were surveyed regarding the effects of the 80-hour workweek on patient care, resident training, surgical experience, patient safety, and patient access to quality care. Respondents were also queried about their perceptions of a 56-hour workweek. Results Despite stable mean USMLE Step 1 scores for matched applicants to neurosurgery programs between 2000 and 2008, ABNS written examination scores for residents taking the exam for self-assessment decreased from 310 in 2002 to 259 in 2006 (16% decrease, p < 0.05). The mean scores for applicants completing the written examination for credit also did not change significantly during this period. Although there was an increase in the number of resident registrations to the AANS meetings, the number of abstracts presented by residents decreased from 345 in 2002 to 318 in 2007 (7% decrease, p < 0.05). An analysis of the UVA experience suggested that the 80-hour workweek leads to a notable increase in on-call duty hours with a profound decrease in the number of hours spent in conference and the operating room. Survey responses were obtained from 110 program directors (78% response rate) and 122 chief residents (76% response rate). Most chief residents and program directors believed the 80-hour workweek compromised resident training (96%) and decreased resident surgical experience (98%). Respondents also believed that the 80-hour workweek threatened patient safety (96% of program directors and 78% of chief residents) and access to quality care (82% of program directors and 87% of chief residents). When asked about the effects of a 56-hour workweek, all program directors and 98% of the chief residents indicated that resident training and surgical education would be further compromised. Most respondents (95% of program directors and 84% of chief residents) also believed that additional work-hour restrictions would jeopardize patient care. Conclusions Neurological surgery continues to attract top-quality resident applicants. Test scores and levels of participation in national conferences, however, indicate that the 80-hour workweek may adversely affect resident training. Subjectively, neurosurgical program directors and chief residents believe that the 80-hour workweek makes neurosurgical training and the care of patients more difficult. Based on experience with the 80-hour workweek, educators think that a 56-hour workweek would further compromise neurosurgical training and patient care in the US.
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Cortez, Xavier C., Ryan D. Freshman, Brian T. Feeley, C. Benjamin Ma, Drew A. Lansdown, and Alan L. Zhang. "An Evaluation of Self-Reported Publications in Orthopaedic Sports Medicine Fellowship Applications." Orthopaedic Journal of Sports Medicine 8, no. 5 (May 1, 2020): 232596712092078. http://dx.doi.org/10.1177/2325967120920782.
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Background: Orthopaedic sports medicine fellowship positions are increasing in popularity, as evidenced by the increasing number of applicants to these programs. As positions have become more competitive, greater emphasis has been placed on an applicant’s research experience. However, there has been a lack of research evaluating the accuracy of self-reported publications from fellowship applications. Purpose: To evaluate the accuracy of self-reported research publications and the outcomes of studies submitted for publication by applicants to an Accreditation Council for Graduate Medical Education (ACGME)–accredited sports medicine fellowship in the United States (US). Study Design: Cross-sectional study. Methods: Demographic and research publication data were retrospectively collected from 435 applications to an ACGME-accredited orthopaedic sports medicine fellowship program at a single high-volume academic institution from 2013 to 2017. All self-reported manuscript publications and studies in progress were analyzed with a minimum 2-year follow-up. “Submitted” publications were reviewed by searching the originally submitted journal and all publicly available sources. Publications were verified on PubMed, MEDLINE, and other open access journals. Journal impact factors were collected through use of InCites Journal Citation Reports. Results: Only 5.7% (85/1504) of papers reported as “completed” were inaccurately self-reported, with 44 (51.8%) remaining unverified and 41 (48.2%) reporting discordant authorship, in which the published study listed a different author order than reported on the application. Further, 28.3% (197/696) of papers self-reported as “submitted” remained unpublished, 21.8% (152/696) were published in a different journal than originally reported, and 7.6% (53/696) were published with a different authorship order than reported. Among 95 applicants whose papers were published in different journals than originally reported, the mean impact factor of the final accepting journal was significantly lower than that of the journal of original submission (0.97 ± 0.13 vs 3.91 ± 0.79, respectively; 95% CI of the difference, 1.34-4.54; P < .01). Univariate analysis showed no significant relationships between variables of interest (age, sex, US Medical Licensing Examination Step 1 score, American Orthopaedic Association membership, medical school ranking, and advanced degree) and the presence of an inaccuracy. Conclusion: There is a low rate of inaccurate self-reporting of “completed” publications on applications for orthopaedic sports medicine fellowships. The majority of papers listed as “submitted” on these applications were not published in the journals to which they were originally submitted.
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Skochylias-Pavlіv, Olha Vasylivna, Nataliia Viktorivna Hryshyna, Olena Ihorivna Romtsiv, and Oleksandr Stepanovich Nizhnik. "Modernization of administrative procedures for licensing and accreditation in the field of higher education in Ukraine." Revista Amazonia Investiga 9, no. 27 (March 21, 2020): 536–43. http://dx.doi.org/10.34069/ai/2020.27.03.57.
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The purpose of the article is to identify the main directions of modernization for licensing and accreditation procedures in the field of higher education in Ukraine. To achieve this goal, the following tasks are set: 1) to define the concepts of licensing and accreditation as administrative procedures; 2) to identify existing shortcomings for practical implementation of these procedures; 3) to outline the ways to improve the licensing and accreditation process in higher education. The following methods of scientific cognition were used while working on the article: structural and functional, comparative and legal, formal and logical, modeling, analysis and synthesis. Guarantee and quality assurance of higher education in Ukraine is impossible without the introduction of independent and effective administrative licensing and accreditation procedures. The content of licensing and accreditation as administrative procedures has been defined. The current state of regulatory procedures resolution for licensing educational activities and accreditation of educational programs has been considered. The main directions of the licensing and accreditation system modernization in the field of higher education in Ukraine have been highlighted. It has been emphasized that the solution of this problem requires the implementation of a number of measures to improve the licensing and accreditation procedures as components of the Ukrainian higher education control system. The study concluded that the main task in this field should be the optimization of the procedures by simplifying them, ensuring objectivity, transparency, anti-corruption; reviewing and simplifying licensing and accreditation procedures by reducing phasing and duplication of functions; possible reduction of some existing terms of case trying; introduction of a single electronic document flow during licensing or accreditation, etc.
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Hanne, Daniel. "Accountant Certification, Licensing, and Accreditation:." Journal of Business & Finance Librarianship 1, no. 3 (April 14, 1992): 79–90. http://dx.doi.org/10.1300/j109v01n03_06.
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Valentine, Bruce. "Licensing, Accreditation and Quality Improvement." Australian Journal of Public Administration 66, no. 2 (June 2007): 238–47. http://dx.doi.org/10.1111/j.1467-8500.2007.00531.x.
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Mosyagin, I. G., E. V. Kazakevich, and I. M. Boyko. "ROLE AND PLACE OF MARITIME MEDICINE IN RUSSIAN HEALTHCARESERVICE." Marine Medicine 5, no. 1 (April 6, 2019): 17–27. http://dx.doi.org/10.22328/2413-5747-2019-5-1-17-27.
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Problematic issues of the organization of maritime medicine in Russia werecovered in the article. It was noted that today there is no specialty «maritime medicine» in the Order of the Ministry of Health of the Russian Federation of October 7, 2015 No. 700n «About the nomenclature of professions of the specialists having higher medical and pharmaceutical education». Authors gave definition of maritime medicine as field of the medicine intended for preservation and health promotionof subjects of maritime activities. It was pointed that the most important sphere of responsibility of maritime medicine is scientific justification and challenges implementation of life prolongation, health promotion and maintenance of the population of seaside territorial subjects of the Russian Federation. It was noted that the state system of seamenhealth protection in Russiawas consistently dismantled from 90th years of the 20th century. The arisen vacuum in questions of statutory regulation of maritime medicine can lead to losses of quality of professional selection of seamen, deterioration of fleet personnelhealth and safety concern of navigation. In article it was paid special attention to harmonization of fundamental principlesof health service support system of seamen with requirements of the International Labor Organization Convention of 2006 No. 186 «About work in maritime industry», ratified by Russian Federation in 2012. In Russia there are no mechanisms (licensing or accreditations) regulating activity of medical commissions of fleet personnel. Authors pay attention to outstanding issues in the field of medical training of fleetpersonnel for healthcare delivery on the ships, which do not have the physician onboard. Authors stressed the need of creation of maritime medical centers based on the medical centers (clinics) of Federal Medical Biological Agency of the Russian Federation located in the large ports (Vladivostok, St. Petersburg, Novorossiysk, Arkhangelsk, Astrakhan) which met both international and national safety requirements of navigation. Authors considered that the solution of the problematical questionin the sphere of maritime medicine considered in article will allow to create the new effective state system of health service support of subject of maritime activities.
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Pokhrel, Rishi. "Medical Education in Nepal and Brain Drain." Medical Journal of Shree Birendra Hospital 16, no. 1 (August 21, 2017): 1–2. http://dx.doi.org/10.3126/mjsbh.v16i1.18076.
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It has been four decades since the beginning of undergraduate medical education in Nepal and more than three decades of postgraduate medical education.1 Currently, Institute of Medicine of Tribhuwan University and Kathmandu University are major institutions providing medical education in Nepal with the help of their affiliated medical colleges. Two other deemed universities, B P Koirala Institute of Health Sciences and Patan Academy of Health Sciences also have major contributions in producing medical doctors in Nepal. National Academy of Medical Sciences (NAMS) provides postgraduate and super specialty training for doctors. Nepal Medical Council is the regulatory body that lays down the guidelines, provides accreditation and supervises to ensure that the regulations are being followed.2 It also conducts licensing examination for medical doctors.Educationalists worldwide vary in their opinions on the aim of education3-8 but Salomon precisely includes almost all of them as “The aim (of education) is to equip the learner with portable chunks of knowledge, skill, and understandings that can serve in other contexts.”9 Adkoli has analyzed migration of health workers in south Asia 10 and found that there was no systematically collected data regarding the extent of migration of healthcare workers and its possible impact on health care in Nepal. Nepal government spends a significant chunk of its financial resources to train doctors but many students who avail this benefit of ‘scholarship’ take part in the migration described in the article. Ironically, many doctors who are currently serving their motherland were either trained overseas or the ones who did study within Nepal but without availing any support from the government. When the first medical school was established in Nepal, the idea was to develop doctors who can prevent, diagnose and treat medical ailments prevalent in Nepal (Community based curriculum) and the career planning was designed in such a way that doctors were inevitably retained in Nepal. The philosophy of this system was contrary to the definition laid down by Salomon9 but it did benefit the society and the country in the long run11. Things changed gradually over time and currently the doctors produced by oldest and state funded medical colleges of Nepal are ideal for health job markets of first world countries. This suitability coupled with adverse socieo-economic and political factors of our country has led most students who become doctors by state funding opting to serve in first world countries like United States, United Kingdom, Australia and Canada.Brain drain in Health sector is a global phenomenon12, 13, but developing countries like Nepal receive maximum brunt. Lately, Nepalese medical education sector has been receiving a fair share of attention from all including media. However, it is saddening that this issue of ‘brain drain’ is something that had not gained any attention. Coming back to Adkoli’s work, we don't even have a data on how many doctors we are losing every year?10 There have been certain restrictions and bondages but these sorts of legislations have been seen to work contrarily. What is found to be lacking is the sense of belonging and development of the feeling that ‘I am important to this society and I must work for its betterment’. Most young doctors have a feeling that ‘there is no one taking me seriously anyway and it doesn't really matter weather I stay or Leave’.It is high time policy makers ensure that the medical doctors that we produce from the common men’s hard earned money serve the country. In addition to the legislations in the form of bondage, we should be able to install the feeling of belonging and sense of importance in the hearts and minds of these young doctors. To begin with, it would be a good idea if we start maintaining the database of the medical graduates that were and will be produced from Nepalese medical colleges; taking examples from many colleges from other countries that are doing it currently.14-16 Zimmerman’s study cited earlier provides an interesting insight that medical students with pre-medical education as paramedics were twice as likely to be working in Nepal and 3.5 times as likely to be in rural Nepal, compared with students with a college science background.11 We can also include into the undergraduate medical curriculum the concepts of social ethics, moral values, social justice and the long-term benefits of serving the society and the country that has invested so much for their education.
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Gingerich, Barbara Stover. "Accreditation, Certification and Licensing Actions Certification Standards." Home Health Care Management & Practice 19, no. 6 (October 2007): 482–84. http://dx.doi.org/10.1177/1084822307304246.
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Caldwell, Benjamin E., Shelly A. Kunker, Stephen W. Brown, and Dustin Y. Saiki. "COAMFTE Accreditation and California MFT Licensing Exam Success." Journal of Marital and Family Therapy 37, no. 4 (July 27, 2011): 468–78. http://dx.doi.org/10.1111/j.1752-0606.2011.00240.x.
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Yevdokimenko, Cvvitlana. "Administrative legal principles of licensing and accreditation in educational area." Naukovyy Visnyk Dnipropetrovs'kogo Derzhavnogo Universytetu Vnutrishnikh Sprav 1, no. 1 (March 30, 2020): 61–68. http://dx.doi.org/10.31733/2078-3566-2020-1-61-68.
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Grytsay, Yana. "Licensing and Accreditation of Private Universities – the Experience of Germany." Bulletin of Luhansk Taras Shevchenko National University 2, no. 6 (329) (2019): 14–25. http://dx.doi.org/10.12958/2227-2844-2019-6(329)-2-14-25.
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Osteen, Arthur M. "Medical Licensing Requirements." JAMA: The Journal of the American Medical Association 258, no. 8 (August 28, 1987): 1053. http://dx.doi.org/10.1001/jama.1987.03400080063009.
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Osteen, A. M. "Medical licensing requirements." JAMA: The Journal of the American Medical Association 258, no. 8 (August 28, 1987): 1053–54. http://dx.doi.org/10.1001/jama.258.8.1053.
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Wells, Rebecca, Christy H. Lemak, Jeffrey A. Alexander, Tammie A. Nahra, Yining Ye, and Cynthia I. Campbell. "Do licensing and accreditation matter in outpatient substance abuse treatment programs?" Journal of Substance Abuse Treatment 33, no. 1 (July 2007): 43–50. http://dx.doi.org/10.1016/j.jsat.2006.11.010.
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Stover Gingerich, Barbara. "Accreditation, Licensing, and Certification Actions: Prospective Payment Refinement and Rate Update." Home Health Care Management & Practice 20, no. 2 (February 2008): 197–98. http://dx.doi.org/10.1177/1084822307306335.
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Lieberman, Robert E., and Christopher Bellonci. "Ensuring the preconditions for transformation through licensing, regulation, accreditation, and standards." American Journal of Orthopsychiatry 77, no. 3 (2007): 346–47. http://dx.doi.org/10.1037/0002-9432.77.3.346.
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Tivey, David, Ning Ma, Joanna Duncan, Yasoba Atukorale, Robyn Lambert, and Guy Maddern. "INAHTA IMPACT STORY: LEGISLATIVE AND ACCREDITATION REQUIREMENTS FOR OFFICE-BASED SURGERY IN AUSTRALIA." International Journal of Technology Assessment in Health Care 33, no. 4 (2017): 434–41. http://dx.doi.org/10.1017/s0266462317001052.
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Background:There is growing trend for some surgical procedures previously performed in hospitals to be done in alternative settings, including office-based facilities. There has been some safety concerns reported in the media, which document serious adverse events following procedures performed in an office-based setting. To understand the current regulatory oversight of surgery in this setting ASERNIP-S conducted a review of the legislative and accreditation process governing these facilities in Australia.Methods:Using rapid review methodology, internet searches targeted government Web sites for relevant publicly-available documents. Use of consolidated versions of legislative instruments ensured currency of information. Standards were sourced directly from the issuing authorities or those that oversee the accreditation process.Results:Within Australia, healthcare facilities for surgery and their licensing are defined by each state and territory, which results in significant jurisdictional variation. These variations relate to the need for anesthesia beyond conscious sedation and listing of procedures in legislative instruments. In 2013, Australia adopted National Safety and Quality Health Service standards (NSQHS standards) for the accreditation of hospitals and day surgery centers; however, there is no NSQHS standard for office-based facilities. The main legislative driver for compliance is access to reimbursement schemes for service delivery.Conclusions:The legislative and accreditation framework creates a situation whereby healthcare facilities that provide services outside the various legal definitions of surgery and those not covered by a reimbursement scheme, can operate without licensing and accreditation oversight. This situation exposes patients to potential increased risk of harm when receiving treatment in such unregulated facilities.
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Kulasegaram, Kulamakan M., Paul Tonin, Patricia Houston, and Cynthia Whitehead. "Accreditation drives medical education. Does evidence drive accreditation?" Medical Education 52, no. 7 (June 6, 2018): 772–73. http://dx.doi.org/10.1111/medu.13584.
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Sysoiev, Oleksii. "LICENSING AND ACCREDITATION OF HIGHER EDUCATION INSTITUTIONS: POTENTIAL AND EFFICIENCY OF ACTIVITIES." Continuing Professional Education: Theory and Practice, no. 4 (2019): 19–25. http://dx.doi.org/10.28925/1609-8595.2019.4.1925.
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Ruban, I. A., and E. V. Antonova. "STRUCTURE OF INTEGRATED INFORMATION SYSTEM FOR EDUCATIONAL ACTIVITY AND STATE ACCREDITATION LICENSING." «Современная высшая школа инновационный аспект», no. 2 (2018): 10–19. http://dx.doi.org/10.7442/2071-9620-2018-10-2-10-19.
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Benstein, Barbara, Elizabeth Plott, and James A. Robb. "Certification, licensing, accreditation, and proficiency testing in cytopathology: Let there be light!" Diagnostic Cytopathology 18, no. 3 (March 1998): 171–73. http://dx.doi.org/10.1002/(sici)1097-0339(199803)18:3<171::aid-dc1>3.0.co;2-h.
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Roy, Marguerite, Timothy J. Wood, Danielle Blouin, and Kevin W. Eva. "The Relationship Between Accreditation Cycle and Licensing Examination Scores: A National Look." Academic Medicine 95, no. 11S (October 27, 2020): S103—S108. http://dx.doi.org/10.1097/acm.0000000000003632.
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Schlechte, Janet. "American Medical Accreditation Program." Endocrinologist 8, no. 1 (January 1998): 48. http://dx.doi.org/10.1097/00019616-199801000-00013.
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Kuznetsova, O. Yu. "ACCREDITATION OF MEDICAL STUDENTS." Russian Family Doctor 19, no. 4 (December 15, 2015): 20. http://dx.doi.org/10.17816/rfd2015420-23.
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Vogel, Lauren. "Controversial medical licensing exam cancelled." Canadian Medical Association Journal 192, no. 45 (November 8, 2020): E1417—E1418. http://dx.doi.org/10.1503/cmaj.1095904.
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Singer, Jonas. "Licensing of International Medical Graduates." JAMA: The Journal of the American Medical Association 267, no. 1 (January 1, 1992): 53. http://dx.doi.org/10.1001/jama.1992.03480010061015.
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Archer, Julian, Nick Lynn, Lee Coombes, Martin Roberts, Tom Gale, and Sam Regan de Bere. "The medical licensing examination debate." Regulation & Governance 11, no. 3 (April 25, 2016): 315–22. http://dx.doi.org/10.1111/rego.12118.
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