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Maintenance Of Certification (MOC)
Maintenance of Certification (MOC) is a process of physician certification maintenance through one of the 24 approved Medical specialist, medical specialty boards of the American Board of Medical Specialties (ABMS) and the 18 approved medical specialty boards of the American Osteopathic Association (AOA). Variously implemented between 1990 and 2000 in response to quality concerns in the healthcare system, the MOC process is a voluntary certification process and is controversial within the medical community. Starting with Oklahoma in 2016, a growing number of states have passed or are considering passage of legislation prohibiting use of participation in Maintenance of Certification as a reason to exclude a physician from hospital staff appointment or from insurance company physician panels. Medical community Some major medical organizations gain profit from and have expressed support for the Maintenance of Certification program including the following: * American Board of Medic ...
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Medical Specialist
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy. Examples include those branches of medicine that deal exclusively with children (pediatrics), cancer ( oncology), laboratory medicine (pathology), or primary care ( family medicine). After completing medical school or other basic training, physicians or surgeons and other clinicians usually further their medical education in a specific specialty of medicine by completing a multiple-year residency to become a specialist. History of medical specialization To a certain extent, medical practitioners have long been specialized. According to Galen, specialization was common among Roman physicians. The particular system of modern medical specialties evolved gradually during the 19th century. Informal social recognition of medical specialization evolved before the formal legal system. The particular subdivision of the practice of medicine into various spec ...
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Association Of American Physicians And Surgeons
The Association of American Physicians and Surgeons (AAPS) is a Conservatism in the United States, politically conservative non-profit association that promotes conspiracy theories and Pseudoscience, medical misinformation, such as HIV/AIDS denialism, the abortion–breast cancer hypothesis, and Causes of autism#Vaccines, vaccine and autism connections, through its official publication, the ''Journal of American Physicians and Surgeons''. The association was founded in 1943 to oppose a government attempt to nationalize health care. The group has included notable members, including American Republican politicians Ron Paul, Rand Paul and Tom Price (American politician), Tom Price. History During the winter of 1943, the medical committee of Lake County, Indiana and the conservative National Physicians Committee opposed the newly proposed Wagner-Murray-Dingell Bill, that if passed, would provide government health care for most U.S. citizens. The American Medical Association (AMA) had ...
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Journal Of The American Medical Association
''JAMA'' (''The Journal of the American Medical Association'') is a peer-reviewed medical journal published 48 times a year by the American Medical Association. It publishes original research, reviews, and editorials covering all aspects of biomedicine. The journal was established in 1883 with Nathan Smith Davis as the founding editor. Kirsten Bibbins-Domingo of the University of California San Francisco became the journal editor-in-chief on July 1, 2022, succeeding Howard Bauchner of Boston University. According to ''Journal Citation Reports'', the journal's 2024 impact factor is 63.1, ranking it 4th out of 168 journals in the category "Medicine, General & Internal". History The journal was established in 1883 by the American Medical Association and superseded the ''Transactions of the American Medical Association''. ''Councilor's Bulletin'' was renamed the ''Bulletin of the American Medical Association'', which later was absorbed by the ''Journal of the American Medi ...
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Patient Safety
Patient safety is a specialized field about enhancing healthcare quality through the systematic prevention, reduction, reporting, and analysis of medical errors and preventable harm that contribute to severe outcomes for the patient. While healthcare risks have always existed, patient safety only gained formal recognition in the 1990s after multiple nations reported alarming rates of medical error-related injuries. The urgency of the issue was underscored when the World Health Organization (WHO) identified that 1 in 10 patients globally experience harm due to healthcare errors, declaring patient safety an "Endemic (epidemiology), endemic concern" in modern medicine. Today, patient safety stands as a distinct Health care, healthcare discipline, supported by a growing—though still evolving—scientific framework. A robust Transdisciplinarity, transdisciplinary body of theoretical and empirical research underpins this field, with emerging technologies like MHealth, mobile health ap ...
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Knowledge Base
In computer science, a knowledge base (KB) is a set of sentences, each sentence given in a knowledge representation language, with interfaces to tell new sentences and to ask questions about what is known, where either of these interfaces might use inference. It is a technology used to store complex structured data used by a computer system. The initial use of the term was in connection with expert systems, which were the first knowledge-based systems. Original usage of the term The original use of the term knowledge base was to describe one of the two sub-systems of an expert system. A knowledge-based system consists of a knowledge-base representing facts about the world and ways of reasoning about those facts to deduce new facts or highlight inconsistencies. Properties The term "knowledge-base" was coined to distinguish this form of knowledge store from the more common and widely used term ''database''. During the 1970s, virtually all large management information sy ...
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Annals Of Internal Medicine
''Annals of Internal Medicine'' is an academic medical journal published by the American College of Physicians (ACP). It is one of the most widely cited and influential specialty medical journals in the world. ''Annals'' publishes content relevant to the field of internal medicine Internal medicine, also known as general medicine in Commonwealth nations, is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of diseases in adults. Its namesake stems from "treatment of diseases of ... and related sub-specialties. ''Annals'' publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine. Selected articles in the journal are freely available; these include pat ...
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Meta-analysis
Meta-analysis is a method of synthesis of quantitative data from multiple independent studies addressing a common research question. An important part of this method involves computing a combined effect size across all of the studies. As such, this statistical approach involves extracting effect sizes and variance measures from various studies. By combining these effect sizes the statistical power is improved and can resolve uncertainties or discrepancies found in individual studies. Meta-analyses are integral in supporting research grant proposals, shaping treatment guidelines, and influencing health policies. They are also pivotal in summarizing existing research to guide future studies, thereby cementing their role as a fundamental methodology in metascience. Meta-analyses are often, but not always, important components of a systematic review. History The term "meta-analysis" was coined in 1976 by the statistician Gene V. Glass, Gene Glass, who stated ''"Meta-analysis refers t ...
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Myocardial Infarction
A myocardial infarction (MI), commonly known as a heart attack, occurs when Ischemia, blood flow decreases or stops in one of the coronary arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom is retrosternal Angina, chest pain or discomfort that classically radiates to the left shoulder, arm, or jaw. The pain may occasionally feel like heartburn. This is the dangerous type of acute coronary syndrome. Other symptoms may include shortness of breath, nausea, presyncope, feeling faint, a diaphoresis, cold sweat, Fatigue, feeling tired, and decreased level of consciousness. About 30% of people have atypical symptoms. Women more often present without chest pain and instead have neck pain, arm pain or feel tired. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an Cardiac arrhythmia, irregular heartbeat, cardiogenic shock or cardiac arrest. Most MIs occur d ...
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Mortality Rate
Mortality rate, or death rate, is a measure of the number of deaths (in general, or due to a specific cause) in a particular Statistical population, population, scaled to the size of that population, per unit of time. Mortality rate is typically expressed in units of deaths per 1,000 individuals per year; thus, a mortality rate of 9.5 (out of 1,000) in a population of 1,000 would mean 9.5 deaths per year in that entire population, or 0.95% out of the total. It is distinct from "morbidity", which is either the prevalence or Incidence (epidemiology), incidence of a disease, and also from the incidence rate (the number of newly appearing cases of the disease per unit of time). An important specific mortality rate measure is the crude death rate, which looks at mortality from all causes in a given time interval for a given population. , for instance, the Central Intelligence Agency, CIA estimates that the crude death rate globally will be 7.7 deaths per 1,000 people in a population p ...
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News Release
A press release (also known as a media release) is an official statement delivered to members of the news media for the purpose of providing new information, creating an official statement, or making an announcement directed for public release. Press releases are also considered a primary source, meaning they are original informants for information. A press release is traditionally composed of nine structural elements, including a headline, dateline, introduction, body, and other components. Press releases are typically delivered to news media electronically, ready to use, and sometimes subject to "do not use before" time, known as a news embargo. A special example of a press release is a communiqué (; ), which is a brief report or statement released by a public agency. A communiqué is typically issued after a high-level meeting of international leaders. Using press releases can benefit media corporations because they can contribute to reducing costs and improve the amount ...
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Educational Commission For Foreign Medical Graduates
According to the US Department of Education, the Educational Commission for Foreign Medical Graduates (ECFMG) is "the authorized credential evaluation and guidance agency for non-U.S. physicians and graduates of non-U.S. medical schools who seek to practice in the United States or apply for a U.S. medical residency program. It provides comprehensive information and resources on licensure, the U.S. Medical Licensure Examination (USMLE), residencies, and recognition." Through its program of certification, the ECFMG assesses the readiness of international medical graduates to enter residency or fellowship programs in the United States that are accredited by the Accreditation Council for Graduate Medical Education (ACGME). ECFMG acts as the registration and score-reporting agency for the USMLE for foreign medical students/ graduates, or in short, it acts as the designated Dean's office for International Medical Graduates (IMGs) in contrast to the American Medical Graduates (AMGs) ...
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American Board Of Medical Specialties
The American Board of Medical Specialties (ABMS) is a non-profit organization established in 1933 which represents 24 broad areas of specialty medicine. ABMS is the largest and most widely recognized physician-led specialty certification organization in the United States. The other certification organizations in the United States are the American Board of Physician Specialties (recognized in parts of the United States) and American Osteopathic Association Bureau of Osteopathic Specialists. ABMS Member Boards have maintained a rigorous process for the evaluation and Board certification of medical specialists, though none of the processes have been confirmed by independent third-party review. They certify specialists in more than 150 medical specialties and subspecialties. More than 80 percent of practicing physicians in the United States have achieved Board Certification by one or more of the ABMS Member Boards. The Member Boards support lifelong learning by physicians throug ...
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