Maintenance Of Certification Research Articles

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

A Survey Based Study on Maintenance of Certification Programs during Grand Rounds at UT Southwestern Medical Center

Background: Maintenance of Certification (MOC) is a recertification program required by the American Board of Dermatology (ABD). The program was created because continuing medical education (CME) was viewed as inadequate in keeping physicians’ knowledge up to date. In July 2016, UTSW incorporated MOC content into Grand Rounds.Objective: To identify whether dermatologists at UTSW find MOC Grand Rounds to be useful and whether this process could be utilized in other institutions.Methods: A five question survey was piloted by a few dermatologists at UTSW. The survey was emailed to dermatologists who attended the MOC Grand Rounds. Three questions were scored on a scale of 1-6 (1= strongly disagree, 2=moderately disagree, 3= neutral, 4= mildly agree, 5= moderately agree, 6=strongly agree) with 2 free response questions.Results: 13/20 dermatologists responded to the survey (65% response rate). 11/13 dermatologists (84.6%) reported that MOC at Grand Rounds is valuable to them. 11/13 dermatologists (84.6%) reported that other dermatology programs should incorporate this method of obtaining MOC credit. 9/13 dermatologists (69.2%) reported audience response sessions improve the Grand Rounds experience.Conclusion: Dermatologists found the MOC content to be useful when incorporated into Grand Rounds.

Ewolucja rozwiązań prawnych w sferze podatku przemysłowego jako element polityki podatkowej państwa polskiego w okresie międzywojennym

Podatek przemysłowy, oparty na archaicznych rozwiązaniach, od początku jego funkcjonowania budził sprzeciw, szczególnie w kontekście wprowadzenia podatku od obrotu, któremu nadano cechy podatku konsumpcyjnego, a utrzymanym świadectwom przemysłowym nadano cechy podatku przychodowego. Należy również pamiętać, że same ustawy o podatku przemysłowym były w swej treści niezwykle skomplikowane, ustawodawca w jednej ustawie starał się uregulować jak największą ilość zjawisk gospodarczych. Przyjęte rozwiązania wobec podatku przemysłowego pozwoliły ustawodawcy uzyskać stały wpływ do budżetu państwa, którego wielkość, jakkolwiek wahała się w zależności od okresu i sytuacji społecznej i gospodarczej, to średnio stanowiła 10% ogólnych wpływów budżetu państwa. Próby zracjonalizowania systemu poboru podatku przemysłowego i zerwanie z zasadą nierównomierności tego podatku, oparciu się na cechach zewnętrznych przedsiębiorstwa, czy wreszcie z mechanicznym połączeniem podatku przychodowego i podatku od obrotu, dokonała dopiero ustawa z 25 kwietnia 1938 roku o podatku obrotowym. Reforma podatkowa była efektem długo oczekiwanych przez przedsiębiorców zmian systemu podatkowego w zakresie przede wszystkim podatku przemysłowego. Niestety z uwagi na wybuch wojny, przepisy nie weszły w życie.

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

A Survey of Burnout Among Members of the American Society for Surgery of the Hand

Physician burnout affects approximately half of US physicians, significantly higher than the general working population. The aims of this study were to determine the prevalence of burnout specifically among hand surgeons and to identify factors unique to the practice of hand surgery that may contribute to burnout. A Web-based survey, developed in conjunction with the American Medical Association, was administered to all active and lifetime members of the American Society for Surgery of the Hand using the Mini Z Burnout assessment tool. Additional data were collected regarding physician demographics and practice characteristics. The final cohort included 595 US hand surgeons (American Society for Surgery of the Hand [ASSH] members) and demonstrated that 77% of respondents were satisfied with their job, although 49% regarded themselves as having burnout. Lower burnout rates were correlated with physicians aged older than 65, those who practice in an outpatient setting, practice hand surgery only, visit one facility per week, having a lower commute time, those who performed 10 or fewer surgeries per month, and being considered grandfathered for Maintenance of Certification. It was shown that sex, the use of physician extenders, compensation level, and travel club involvement had no impact on burnout rates. The survey demonstrated that nearly half of US hand surgeons experience burnout even though most are satisfied with their jobs. There is a need to increase awareness and promote targeted interventions to reduce burnout, such as creating a strong team culture, improving resiliency, and enhancing leadership. Burnout has been shown to affect physicians, their families, patient care, and the health care system as a whole negatively. The findings should promote awareness among hand surgeons and inform future quality improvement efforts targeted at reducing burnout for hand surgeons.

The American Board of Medical Specialties: Certification and the Need for Antitrust Enforcement

Certification functions as medicine’s gatekeeper. Certifying organizations ensure that their physicians meet the appropriate professional standards. Traditionally, numerous organizations have provided certification services, which often involve costly testing and exams. Competition among these organizations drove innovation and lowered healthcare costs. The domination of the American Board of Medical Specialists (ABMS) over certification is dramatically raising certification costs and indirectly accreditation costs throughout medicine, decreasing access to physicians, increasing already exploding medical budgets, and reducing healthcare innovation. Leveraging its dominant market position in certification, ABMS and its member boards are now extracting even more revenue from physicians by requiring not simply periodic recertification exams to maintain board membership but continuous participation in maintenance of certification (MOC) programs. ABMS’ growing power is spreading beyond certification. Its influence has appeared to lead to hospitals only granting privileges to, and even insurance companies only reimbursing, ABMS-certified physicians. State boards of medicine, under ABMS’ sway, are adopting policies only favoring ABMS-certified physicians. Cementing the ABMS-monopoly will only drive up healthcare costs, as physicians pass on the cost of their certification testing to patients and the government. The number of physicians will also decline, exacerbating access problems particularly in rural America.

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

Evaluation of Longitudinal Assessment for Use in Maintenance of Certification.

The aim of the study was to evaluate a longitudinal assessment program for physical medicine and rehabilitation (LA-PM&R) as a replacement for the American Board of Physical Medicine and Rehabilitation maintenance of certification examination. In this quality improvement study, randomly selected American Board of Physical Medicine and Rehabilitation diplomates were invited to participate in the LA-PM&R. Participants' maintenance of certification scaled scores were compared with LA-PM&R nonparticipants. We examined the association between LA-PM&R scores and maintenance of certification scaled scores and performance on clone items placed on both examinations. There were 2222 American Board of Physical Medicine and Rehabilitation diplomates eligible to take the maintenance of certification examination from February 2018 to February 2019. Invitations were sent to 1050 randomly selected diplomates, of whom 448 initially agreed. Three hundred eighteen individuals completed more than two quarters of LA-PM&R participation and took the maintenance of certification examination. Two hundred sixty-six diplomates took the maintenance of certification examination in the same period who did not participate in LA-PM&R. The LA-PM&R group scored higher on the maintenance of certification examination than the control group (P < 0.05). Performance on the two examinations were highly correlated, r = .50, P < 0.0001. On clone items, LA-PM&R participants had 74% correct on the LA-PM&R but 86% correct on the maintenance of certification examination (P < 0.01). The LA-PM&R program leads to better learning and retention of information than the 10-yr maintenance of certification examination.

Differences in Knowledge of Colorectal Cancer Screening and Its Contribution to Screening Practices by Ob/Gyns [27F

INTRODUCTION: Colorectal cancer is the second most commonly diagnosed cancer in women. Surveys show that physicians have an influence in the rates of colorectal screening. This study investigates whether a lack of colorectal screening knowledge prevents Ob/Gyns of different academic levels and practice types from effectively screening colorectal cancer. METHODS: An IRB approved, validated survey eliciting colorectal screening guidelines, practices, and potential barriers to screening was circulated online, at the National Medical Association national conference, ACOG District II conference, and the New York City Health + Hospitals/Metropolitan Dept of Ob/Gyn between October 2018 to January 2019. RESULTS: A total of 142 respondents answered the survey. Only one out of 142 respondents (0.7%) answered correctly the question which identified all of the risk factors for colorectal cancer. A significant difference was noted in correctly identifying risk factors when comparing attendings (36.6%) and residents (75%) P=.004. Most respondents were able to correctly identify age to start screening (93.6%), but fewer were able to correctly identify age to stop screening (23.2%). For screening intervals, 76.8% correctly answered for colonoscopy, 66.9% correctly answered for flexible sigmoidoscopy. A significant difference was noted after stratifying for age (ages 20-40 vs 50-70s P=.003), gender (women vs men P=.01), and academic level (resident vs attending P=.03): younger, resident, and female physicians provided more correct answers. CONCLUSION: Difference in colorectal cancer screening knowledge between residents and attendings contributes to less than effective screening. Education on colorectal cancer should focus on attendings through maintenance of certification and continued integration in residency education.

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

Relation between surgeon age and postoperative outcomes: a population-based cohort study.

Aging may detrimentally affect cognitive and motor function. However, age is also associated with experience, and how these factors interplay and affect outcomes following surgery is unclear. We sought to evaluate the effect of surgeon age on postoperative outcomes in patients undergoing common surgical procedures. We performed a retrospective cohort study of patients undergoing 1 of 25 common surgical procedures in Ontario, Canada, from 2007 to 2015. We evaluated the association between surgeon age and a composite outcome of death, readmission and complications. We used generalized estimating equations for analysis, accounting for relevant patient-, procedure-, surgeon- and hospital-level factors. We found 1 159 676 eligible patients who were treated by 3314 surgeons and ranged in age from 27 to 81 years. Modelled as a continuous variable, a 10-year increase in surgeon age was associated with a 5% relative decreased odds of the composite outcome (adjusted odds ratio [OR] 0.95, 95% confidence interval [CI] 0.92 to 0.98, p = 0.002). Considered dichotomously, patients receiving treatment from surgeons who were older than 65 years of age had a 7% lower odds of adverse outcomes (adjusted OR 0.93, 95% CI 0.88-0.97, p = 0.03; crude absolute difference = 3.1%). We found that increasing surgeon age was associated with decreasing rates of postoperative death, readmission and complications in a nearly linear fashion after accounting for patient-, procedure-, surgeon- and hospital-level factors. Further evaluation of the mechanisms underlying these findings may help to improve patient safety and outcomes, and inform policy about maintenance of certification and retirement age for surgeons.

Association of Regional Practice Environment Intensity and the Ability of Internists to Practice High-Value Care After Residency

Use of health care services and physician practice patterns have been shown to vary widely across the United States. Although practice patterns-in particular, physicians' ability to provide high-quality, high-value care-develop during training, the association of a physician's regional practice environment with that ability is less well understood. To examine the association between health care intensity in the region where physicians practice and their ability to practice high-value care, specifically for physicians whose practice environment changed due to relocation after residency. This cohort study included a national sample of 3896 internal medicine physicians who took the 2002 American Board of Internal Medicine initial certification examination followed approximately 1 decade (April 21, 2011, to May 7, 2015) later by the Maintenance of Certification (MOC) examination. At the time of the MOC examination, 2714 of these internists were practicing in a new region. Data were analyzed from March 6, 2016, to May 21, 2018. Intensity of care in the Dartmouth Atlas hospital referral region (HRR), measured by per-enrollee end-of-life physician visits (primary) and current practice type (secondary). The outcome, a physician's ability to practice high-value care, was assessed using the Appropriately Conservative Management (ACM) score on the MOC examination, measuring performance across all questions for which the correct answer was the most conservative option. The exposure, regional health care intensity, was measured as per-enrollee end-of-life physician visits in the Dartmouth Atlas HRR of the physician's practice. Among the 3860 participating internists included in the analysis (2030 men [52.6%]; mean [SD] age, 45.6 [4.5] years), those who moved to regions in the quintile of highest health care intensity had an ACM score 0.22 SD lower (95% CI, -0.32 to -0.12) than internists who moved to regions in the quintile of lowest intensity, controlling for postresidency ACM scores. This difference reflected scoring in the 44th compared with the 53rd percentile of all examinees. This association was mildly attenuated (0.18 SD less; 95% CI, -0.28 to -0.09) after adjustment for physician and practice characteristics. This study found that practice patterns of internists who relocate after residency training appear to migrate toward norms of the new region. The demands of practicing in high-intensity regions may erode the ability to practice high-value conservative care.

Abstract 58: Clinical Practice Patterns And Evidence-based Medicine In Cleft Palate Repair: A Sixteen-year Review Of Maintenance Of Certification Tracer Data From The American Board Of Plastic Surgery

Purpose: As a component of the Maintenance of Certification (MOC) process from 2003 to 2019, the American Board of Plastic Surgery (ABPS) tracked 20 common plastic surgery operations, or tracer procedures. By evaluating the data collected over 16 years, we are able to examine the practice patterns of pediatric/craniofacial surgeons in the United States. Methods: Cumulative data for the tracer procedure on primary cleft palate repair that had been accumulated since 2003 were reviewed as of April, 2014 and September, 2019. To assess points covered by evidence-based medicine articles, cleft palate Evidence-Based Medicine (EBM) articles published in Plastic and Reconstructive Surgery were reviewed. Changes in tracer data from 2014 to 2019 were compared using a Chi square test, Fisher’s exact test, or Student’s t-test as appropriate. Results: 2,850 cases (1,507 male, 1,343 female) had been entered into the tracer as of September, 2019. The median age of patients operated on was 12 months. 15% of patients had a “previous airway problem”. 3% of patients receiving a two-stage repair. Several significant changes in operative techniques were noted including a decrease in pushback, Von Langenbeck and Furlow palatoplasty. Several additional questions in the ABPS tracer are not addressed in the EBM literature, a few of which provide potential topics for further study. These include use of greater than 24 hours of postoperative antibiotics, and injection of epinephrine, which changed significantly from 2014 to 2019. 94.2% of the 2850 patients reported in the ABPS tracer data experienced no postoperative adverse events. 58 complications, or 34.9% of all complications, did not fit into any of the categories specified in the tracer data. Conclusion: ABPS MOC tracer data enables surgeons to evaluate their outcomes in light of national statistics. We have used these tracer data combined with published evidence-based medicine articles relevant to cleft palate repair to identify trends in cleft palate repair from 2014 to 2019. By providing an overview of areas of focus in the MOC tracer data as well as EBM articles, we hope to provide a venue for surgeons to further evaluate their own practice through review of the literature. We have additionally identified areas of cleft palate research that have not been addressed by the tracer and may be valuable to include in the MOC tracer module in the future. Finally, areas collected in the tracer but not addressed in the literature provide opportunities for further research into aspects of cleft palate repair.

ECHO Autism: Integrating Maintenance of Certification with Extension for Community Healthcare Outcomes Improves Developmental Screening.

Recent estimates indicate that most pediatricians do not consistently meet the American Academy of Pediatrics developmental screening guidelines, contributing to the delay of vital evaluations and interventions for autism spectrum disorder (ASD). Our objective was to evaluate the utility of Maintenance of Certification (MOC) Quality Improvement (QI) training designed to improve developmental screening rates in underserved, rural primary care practices. Trainings on best screening practices were disseminated to primary care providers (PCPs) through Extension for Community Healthcare Outcomes (ECHO) Autism, a virtual learning network. Across 2 cohorts, 24 PCPs were enrolled in MOC Part 4 training modules delivered through the ECHO Autism QI Learning Network. Throughout the 12 months of enrollment, PCPs reported information on general and ASD-specific developmental screenings conducted at 18- and 24-month well-child visits. A 1-year follow-up was conducted to assess the maintenance of screening rates. Baseline rates for general and ASD-specific developmental screenings were 53.3% and 68.3%, respectively. By the end of the 12-month learning module, screening rates increased significantly for general development (88.6%) and ASD-specific screenings (99.0%). At the 1-year follow-up, the rate for general developmental screening was 96.7% and for ASD-specific screening was 97.1%. Maintenance of Certification Part 4 training delivered through the ECHO Autism QI Learning Network was found to be incentivizing and highly effective in shaping and maintaining PCP developmental screening practices. Improved screening rates show promise in decreasing time to critical developmental evaluations, interventions, and resources. Our methodology is likely transferable to other ECHO communities and may facilitate expedient implementation of best practice standards in primary care.

Establishing the Knowledge and Skills Necessary in Pediatric Critical Care Medicine: A Systematic Approach to Practice Analysis.

To describe the practice analysis undertaken by a task force convened by the American Board of Pediatrics Pediatric Critical Care Medicine Sub-board to create a comprehensive document to guide learning and assessment within Pediatric Critical Care Medicine. An in-depth practice analysis with a mixed-methods design involving a descriptive review of practice, a modified Delphi process, and a survey. Not applicable. Seventy-five Pediatric Critical Care Medicine program directors and 2,535 American Board of Pediatrics Pediatric Critical Care Medicine diplomates. A practice analysis document, which identifies the full breadth of knowledge and skill required for the practice of Pediatric Critical Care Medicine, was developed by a task force made up of seven pediatric intensivists and a psychometrician. The document was circulated to all 75 Pediatric Critical Care Medicine fellowship program directors for review and comment and their feedback informed modifications to the draft document. Concurrently, data from creation of the practice analysis draft document were also used to update the Pediatric Critical Care Medicine, was developed by a task force made up of seven pediatric intensivists and a psychometrician. The document was circulated to all 75 Pediatrics Pediatric Critical Care Medicine fellowship program directors for review and comment and their feedback informed modifications to the draft document. Concurrently, data from creation of the practice analysis draft document were also used to update the Pediatric Critical Care Medicine content outline, which was sent to all 2,535 American Board of Pediatrics Pediatric Critical Care Medicine diplomates for review during an open-comment period between January 2019 and February 2019, and diplomate feedback was used to make updates to both the content outline and the practice analysis document. After review and comment by 25 Pediatric Critical Care Medicine program directors (33.3%) and 619 board-certified diplomates (24.4%), a comprehensive practice analysis document was created through a two-stage process. The final practice analysis includes 10 performance domains which parallel previously published Entrustable Professional Activities in Pediatric Critical Care Medicine. These performance domains are made up of between three and eight specific tasks, with each task including the critical knowledge and skills that are necessary for successful completion. The final practice analysis document was also used by the American Board of Pediatrics Pediatric Critical Care Medicine Sub-board to update the Pediatric Critical Care Medicine content outline. A systematic approach to practice analysis, with stakeholder engagement, is essential for an accurate definition of Pediatric Critical Care Medicine practice in its totality. This collaborative process resulted in a dynamic document useful in guiding curriculum development for training programs, maintenance of certification, and lifetime professional development to enable safe and efficient patient care.

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

ABTS Requirements for the 10-Year Milestone for Maintenance of Certification

Using Provider Incentives and an Opt-Out Strategy in a Successful Quality Initiative to Increase Chlamydia Screening

BackgroundChlamydia trachomatis (CT) is a highly prevalent sexually transmitted infection in adolescents that can lead to serious complications. San Francisco has one of the highest rates of CT infections in the United States. At baseline, screening rates at the Children's Health Center were significantly below national and network levels. This project aimed to increase screening rates for female patients age 16–24 from 29.2% to 44% in an 18-month period. MethodsThe organization engaged providers, residents, and nursing staff to understand the root causes and choose the screening approach. The following strategies were used to implement this approach in primary and urgent care: (1) universal urine collection, (2) provider and staff education, and (3) adoption of faculty Maintenance of Certification (MOC) credit and resident physician financial incentives. ResultsThe annual screening rate for CT in primary care female patients 16–24 years old increased from 29.2% to 61.5% in 18 months, and improved to 71.2% one year after the project. Screening rates for female patients over age 15 seen in the colocated urgent care also increased significantly. The research team found no instances of false positive results and had 4 positive results in high-risk patients who initially reported abstinence. ConclusionsThe intervention design and engagement of stakeholders with incentives was associated with significant and sustainable improvements in the CT screening rate for female adolescent primary care patients. This work shows how universal opt-out screening can be a sustainable and effective method to address common barriers to increasing screening for CT in adolescents.

99: Training, education for robotic performance with simulation (TERPS): Maintenance of certification for robotic surgeons

To compare performance in core robotic skills among low-volume (< 2 robotic cases per month) and high volume (≥ 2 robotic cases per month) da Vinci credentialed surgeons using da Vinci (dVSS) simulation training program. We hypothesized that robotic surgeons with no extended gaps between procedures will have shorter task time in core robotic skills regardless of specialty. This was a cross-sectional study at an urban academic center with active COEMIG designation. Robotic Surgeons (Gynecology, Urogynecology, Gynecologic Oncology, General Surgery, Cardiothoracic Surgery) were evaluated between 2016-2018. Primary outcome was the task time necessary to complete needle driving and handling exercise among low- and high-volume da Vinci credentialed surgeons. All robotically credentialed robotic surgeons were invited to evaluate their robotic surgical skills in seven core robotic skills: 1) bimanual manipulation with wristed instruments; 2) maneuver camera for optimal view; 3) manage hand position with master controller clutching; 4) use of a third instrument arm; 5) use of energy sources; 6) depth or 3-dimensional perception; 7) atraumatic handling or awareness of applied instrument force. Descriptive statistics were used. Student two-sided t-test was used to compare the means between the groups at a significant level of 0.05. Ten robotic surgeons completed exercises on dVSS. Five surgeons had less than 2 robotic cases per month (low-volume surgeons) and 5 had 2 or more robotic cases per month (high-volume surgeons). The mean age was 45.1±3.0 years (range 37-54 years old), and 50% were women. The task time to complete exercises did not differ between the groups (Table 1). While the task time between the groups did not reach statistical significance in the setting of small sample size, robotic surgeons with case load ≥ 2 per month required less time in almost all core robotic surgical skills using dVSS. This warrants further research into maintenance of robotic surgical skills among robotic surgeons.

Earn MOC Credit Through Special Annual Meeting Sessions

Back to table of contents Previous article Next article APA & MeetingsFull AccessEarn MOC Credit Through Special Annual Meeting SessionsSearch for more papers by this authorPublished Online:21 Feb 2020https://doi.org/10.1176/appi.pn.2020.b14Psychopharmacology Master Course to Offer MOC CreditAPA is offering an opportunity to earn Maintenance of Certification (MOC) credit through an innovative and interactive course at this year’s Annual Meeting. Participants in the master course “Essentials of Clinical Psychopharmacology,” directed by Alan F. Schatzberg, M.D., will be eligible to earn both self-assessment credit (Part 2 of MOC) and Performance-in-Practice (PIP) chart review (Part 4 of MOC) credit.The course will be held Tuesday, April 28, from 8 a.m. to 5 p.m. at the Marriott Downtown. It will cover the latest information on the pharmacologic treatment of major psychiatric disorders and include case discussions.For the self-assessment activity, participants will take a pretest using audience feedback technology. A projector will display each multiple-choice question on a large screen. After participants have entered their answer, the course director will reveal the correct answer, as well as the distribution of audience responses.Participants will be eligible to earn up to two hours of self-assessment credit (Part 2 of MOC) by participating in the live multiple-choice question review during the course and by completing a post-course follow-up in the APA Learning Center.For the clinical PIP module activity (completion of three stages fulfills a Part 4 MOC requirement), participants will complete Stage A by reviewing five charts prior to the course using a tool available to course registrants in the APA Learning Center. (Course registrants will be provided with an access code.) They should choose one of the following medication classes for the chart review: SSRIs, benzodiazepines, atypical antipsychotics, or anticonvulsants/lithium and assess on five charts specific quality measures for one of the medication classes.After the meeting, participants who wish to obtain MOC PIP credit must log in again to the APA Learning Center and complete Stage B of the PIP module (the improvement plan). To finish the clinical PIP module, participants must also complete Stage C by reviewing five more charts (of the same patient or different patients) after the initial completion of Stages A and B, note improvements, as well as complete an online evaluation. All stages must be completed by July 29. Course registrants will receive a Learning Center access code to claim credit for these special course elements.Psychiatrists can earn CME credit toward meeting Maintenance of Certification (MOC) requirements by participating in several special educational sessions at this year’s Annual Meeting in Philadelphia.Participants in the master course titled “Essentials of Clinical Psychopharmacology,” directed by renowned psychopharmacologist and past APA President Alan F. Schatzberg, M.D., will be eligible to earn credit toward the Self-Assessment CME (Part 2 of MOC) as well as Performance in Practice (Part 4 of MOC). The course is scheduled for Tuesday, April 28, from 8 a.m. to 5 p.m. (see box). The course includes a self-assessment (2 credits) with a series of questions for participants to answer using audience feedback technology with review of references and rationales post-course in the online APA Learning Center.Additionally, members who attend the popular interactive “Focus Live” educational sessions will be able to test their knowledge of topics in psychiatry and earn self-assessment credit for MOC Part 2. Participants in each session will be able to earn 2 credits toward MOC Part 2. Participants will use their mobile devices to answer board-type multiple-choice questions in sessions moderated by Mark Rapaport, M.D., the editor of FOCUS: The Journal of Lifelong Learning in Psychiatry. Rapaport and A. John Rush, M.D., will lead a “Focus Live” session on “Biomarkers in Psychiatry” on Monday, April 27, from 1 p.m. to 2:30 p.m. From 3 p.m. to 4:30 p.m. that same day, Joseph Goldberg, M.D., will lead the session “Evidence-Based Principles for Bipolar Disorder Treatment.” Both sessions will be held in 201A-C in the Pennsylvania Convention Center.APA has developed a pre-meeting educational activity for Annual Meeting registrants—the 2020 APA Annual Meeting Self-Assessment in Psychiatry—to help attendees assess their strengths and weaknesses and plan their meeting schedule accordingly. ■ ISSUES NewArchived

Mentorship of junior radiologists in nonacademic radiology

Junior radiologists in nonacademic settings currently face multiple challenges, including clinical productivity, climbing the ladder to partnership, maintenance of certification, and administrative requirements. Mentorship of junior radiologists in nonacademic settings can ease their transition into nonacademic practice, foster comradery, increase radiologist retention, and support career growth. Strategies to implement and sustain effective mentorship in nonacademic radiology practice settings are described. SummaryStrategies to implement and sustain mentorship in nonacademic radiology practice settings are described.