The Evidence and Rationale for Maintenance of Licensure

Chaudhry, Humayun J.; Cain, Frances E.; Staz, Mark; Talmage, Lance; Rhyne, Janelle A.; Thomas, Jon

doi:10.30770/2572-1852-99.1.19

Cited by 5 publications

(2 citation statements)

References 25 publications

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“…A systematic review of assessment services (http://www.gmc-uk.org/doctors/revalidation.asp)21 and published papers22–28 that explored variables to query was completed. A preliminary survey of pediatric orthopaedic surgical leaders18 was sent out to 75 members of the International Pediatric Orthopaedic Think Tank (IPOTT) to better frame the questions and understand all the issues for surgeons and surgical leaders alike.…”

Section: Methodsmentioning

confidence: 99%

Later in Career Surgeon Performance Assessment: Why, When, What, and by Whom

Waters

Williams²

2021

Journal of Pediatric Orthopaedics

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Background:The average age of practicing surgeons is increasing, consistent with the overall population; one third of Americans are over 55 years of age. Aging is clearly associated with varying loss of skills, yet there are no age-based state or federal requirements for professional skill assessment; or age-specific criteria for board certification, recertification, or retirement. Capability based policies are preferred to age based criteria (3) but very few organizations have such policies in place. Methods: A Delphi method study was utilized to answer: When should a surgeon's performance be assessed? If mandatory, then at what age? If adverse events triggered, then what events? What should be assessed? By whom? And, who determines the resultbased actions? A systematic literature review indicated institutional stakeholders. On the basis of this a 20-member expert panel was created drawing from 13 US pediatric institutions: orthopaedic surgical department-division chiefs ( 14), children's hospital general counsel (3), surgical chief responsible for hospital bylaws-medical peer review (1), OR nursing managers (2). Three rounds of iterative questionnaires were utilized. Results: A 100% response rate was achieved. Consensus supported recommendations included: Mandatory assessments should start at the age of 65 years, after a medical disability, and or at the request of other health care professionals. Assessments should include criteria for behavioral health, mental capacity, physical health, surgical performance, 360 human resource reviews, and surgical adverse events. Assessments should be performed by an external group with validated tools and reviewed by the department and overall surgeon-in-chief. The final decisions for an action plan based on results should be made by departmental and overall surgeon-in-chief. Conclusions: Our expert panel Delphi method study recognized aging is a risk factor in performance and recommended surgeon assessments should be automatically triggered by the age of 65 years, negative health events, or serious performance concerns. Assessments should be multifaceted, fair, reliable with minimal bias, and performed by an external professional group. Decisions should be managed by departmental and surgical chiefs. Level of Evidence: Level V.

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Section: Methodsmentioning

confidence: 99%

Later in Career Surgeon Performance Assessment: Why, When, What, and by Whom

Waters

Williams²

2021

Journal of Pediatric Orthopaedics

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“…Maybe incorporating best educational practices to promote performance improvement should be the ACCME's predominant educational requirement—the perfect meld of simplification and effectiveness. Certainly, performance improvement is what the emerging maintenance of certification and maintenance of licensure systems in the United States have articulated as priorities for their diplomates and licensees …”

mentioning

confidence: 99%