Outcomes of the American Board of Dermatology focused Practice Improvement program 2016-2023.
continuing certification
general dermatology
practice improvement
Journal
Journal of the American Academy of Dermatology
ISSN: 1097-6787
Titre abrégé: J Am Acad Dermatol
Pays: United States
ID NLM: 7907132
Informations de publication
Date de publication:
22 Oct 2024
22 Oct 2024
Historique:
received:
14
05
2024
revised:
19
08
2024
accepted:
26
09
2024
medline:
25
10
2024
pubmed:
25
10
2024
entrez:
24
10
2024
Statut:
aheadofprint
Résumé
Board-certified dermatologists experience diverse practice gaps. Identify the top self-selected focused Practice Improvement (fPI) modules completed over time by board-certified dermatologists during the program's first 8 years. Cohort study of dermatologists certified by American Board of Dermatology (ABD) completing fPI modules from 2016 to 2023. This descriptive analysis reports modules completed by topic, subspecialty, relevance, and self-reported changes to subsequent patient care related to modules. 19143 fPI modules were completed by 7378 unique ABD diplomates, representing 48.8% of all current ABD-certified dermatologists (n = 15118). Modules were rated relevant by 18917 participants (99%). Care gaps requiring improvement efforts and performance remeasurement occurred in 2919 (15.2%) completed modules. Acne and medication-related laboratory monitoring were popular topics requiring improvement. Diplomates reported care improvements resulting from completing modules in 8397 instances (43.9%), and improved patient outcomes in at least one patient 5310 times (27.7%). Finally, diplomates stated they would recommend fPI modules to peers 18633 (97.3%) times. Dermatologists who started but did not complete modules would not have rated the module. Attribution bias on care impact is possible and potentially overestimated. The ABD fPI program is helping board-certified dermatologists identify and improve gaps in care with reported patient outcome improvements.
Sections du résumé
BACKGROUND
BACKGROUND
Board-certified dermatologists experience diverse practice gaps.
OBJECTIVE
OBJECTIVE
Identify the top self-selected focused Practice Improvement (fPI) modules completed over time by board-certified dermatologists during the program's first 8 years.
METHODS
METHODS
Cohort study of dermatologists certified by American Board of Dermatology (ABD) completing fPI modules from 2016 to 2023. This descriptive analysis reports modules completed by topic, subspecialty, relevance, and self-reported changes to subsequent patient care related to modules.
RESULTS
RESULTS
19143 fPI modules were completed by 7378 unique ABD diplomates, representing 48.8% of all current ABD-certified dermatologists (n = 15118). Modules were rated relevant by 18917 participants (99%). Care gaps requiring improvement efforts and performance remeasurement occurred in 2919 (15.2%) completed modules. Acne and medication-related laboratory monitoring were popular topics requiring improvement. Diplomates reported care improvements resulting from completing modules in 8397 instances (43.9%), and improved patient outcomes in at least one patient 5310 times (27.7%). Finally, diplomates stated they would recommend fPI modules to peers 18633 (97.3%) times.
LIMITATIONS
CONCLUSIONS
Dermatologists who started but did not complete modules would not have rated the module. Attribution bias on care impact is possible and potentially overestimated.
CONCLUSION
CONCLUSIONS
The ABD fPI program is helping board-certified dermatologists identify and improve gaps in care with reported patient outcome improvements.
Identifiants
pubmed: 39447760
pii: S0190-9622(24)03039-1
doi: 10.1016/j.jaad.2024.09.071
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024. Published by Elsevier Inc.