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Research ArticleCommentary

Connecting Purpose and Performance: Rethinking the Purpose of Maintenance of Certification

Ann E. Harman, David O. Warner and Daniel J. Cole
The Journal of the American Board of Family Medicine September 2020, 33 (Supplement) S15-S20; DOI: https://doi.org/10.3122/jabfm.2020.S1.190400
Ann E. Harman
From the American Board of Anesthesiology, Raleigh, NC, USA (AEH); Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN (DOW); Department of Anesthesiology and Perioperative Medicine, University of California−Los Angeles, Los Angeles, CA (DJC).
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David O. Warner
From the American Board of Anesthesiology, Raleigh, NC, USA (AEH); Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN (DOW); Department of Anesthesiology and Perioperative Medicine, University of California−Los Angeles, Los Angeles, CA (DJC).
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Daniel J. Cole
From the American Board of Anesthesiology, Raleigh, NC, USA (AEH); Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN (DOW); Department of Anesthesiology and Perioperative Medicine, University of California−Los Angeles, Los Angeles, CA (DJC).
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Figures

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    Figure 1.

    Two performance curves of physicians as their career matures over time following completion of their residency. The dashed line is the ideal curve of improvement with experience that physicians aspire to. The solid line is a composite curve constructed from data that demonstrates decline in knowledge and application of knowledge (performance) over time.7–11.

  • Figure 2.
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    Figure 2.

    Hypothetical population curves for initial certification assessment (A), and maintenance of certification assessment (B). The curve in panel A identifies a summative assessment for initial certification that maps the physician’s competency to the specialty with a standard that some may not achieve (darkened area of the curve). The curve in panel B identifies a more formative assessment for maintenance of certification for which primacy is to shift the “quality curve” of the entire population of practicing diplomate anesthesiologists, elevating practice and improving the quality of patient care (improvement arrow) and reducing variation (Figure adapted courtesy of Tom Granitar).

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    Figure 3.

    Example of the screen a diplomate views when participating in MOCA Minute. A, the first screen in which the diplomate has 60 seconds to read and answer the question. B, a second screen in which the correct answer, key points, and references for learning are displayed.

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The Journal of the American Board of Family   Medicine: 33 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 33, Issue Supplement
September-October 2020
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Connecting Purpose and Performance: Rethinking the Purpose of Maintenance of Certification
Ann E. Harman, David O. Warner, Daniel J. Cole
The Journal of the American Board of Family Medicine Sep 2020, 33 (Supplement) S15-S20; DOI: 10.3122/jabfm.2020.S1.190400

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Connecting Purpose and Performance: Rethinking the Purpose of Maintenance of Certification
Ann E. Harman, David O. Warner, Daniel J. Cole
The Journal of the American Board of Family Medicine Sep 2020, 33 (Supplement) S15-S20; DOI: 10.3122/jabfm.2020.S1.190400
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