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NCQA CErtification

MAINTENANCE OF LICENSURE (MOL)

MOL-Related Research and Studies:

The rationale for development of a new system of Maintenance of Licensure (MOL) in the United States is supported by a variety of studies and research. This web page provides links to relevant research, articles, reports and commentary related to MOL.

Please note that many of the links below provide access to copies of the articles in full; however, some are abstracts and are only available by purchase.

You may click on the links below to move to that topic of research:

Quick Links:
Public Perceptions and Expectations of Physicians

  Clinical Experience and Relationship to Quality of Care 

Choudry NK, Fletcher R. Systematic Review: The Relationship between Clinical Experience and Quality of Health Care. Ann Intern Med. 2005;142(4):260-273.
http://www.annals.org/cgi/content/full/142/4/260

Eva KW. The Aging Physician: Changes in Cognitive Processes and Their Impact on Medical Practice. Acad Med. 2002;77(10)(suppl):S1-S6.
http://www.academicmedicine.org/pt/re/acmed/fulltext.00001888-200210001-00002.htm;jsessionid=L3LDq7bQx73QfX75fTk2QG1JsG574sZznPJ1npMc5yLQ7GbbqJGh!536197444!181195628!8091!-1

 Continuing Medical Education (CME) 

Marinopoulos SS, Dorman T, Ratanawongsa N, Wilson LM, Ashar BH, Magaziner JL, Miller RG, Thomas PA, Prokopowicz GP, Qayyum R, Bass EB . Effectiveness of Continuing Medical Education. Evidence Report/Technology Assessment No. 149 (Prepared by the Johns Hopkins Evidence-based Practice Center, under Contract No. 290-02-0018.) AHRQ Publication No. 07-E006. Rockville, MD: Agency for Healthcare Research and Quality. January 2007.
http://ahrqpubs.ahrq.gov/OA_HTML/ibeCCtpItmDspRte.jsp?a=b&item=31949

Robertson MK, Umble KE, Cervero RM. Impact Studies in Continuing Education for Health Professions: Update. The Journal of Continuing Education in the Health Professions. 2003;23:146-156.
http://www.jcehp.com/vol23/2303_robertson.asp

Davis D, O’Brien M, Freemantle N, Wolf F, Mazmanian P, Taylor-Vaisey A. Impact of Formal Continuing Medical Education. Do Conferences, Workshops, Rounds, and Other Traditional Continuing Education Activities Change Physician Behavior or Health Care Outcomes? JAMA. 1999;282:867-874.
http://jama.ama-assn.org/cgi/content/full/282/9/867

Cantillon P, Jones, R. Does continuing medical education in general practice make a difference? BMJ. 1999;318:1276-1279.
http://www.bmj.com/cgi/content/short/318/7193/1276

The Josiah Macy, Jr Foundation. Continuing Education in the Health Professions: Improving Healthcare through Lifelong Learning. New York, New York: The Josiah Macy, Jr. Foundation, 2008.
http://www.josiahmacyfoundation.org/index.php?section=publications

The Josiah Macy, Jr Foundation. Chairman’s Summary of the Conference on Continuing Education in the Health Professions: Improving Healthcare through Lifelong Learning. New York, New York: The Josiah Macy, Jr. Foundation, 2008.
http://www.josiahmacyfoundation.org/index.php?section=publications

Miller SH, Thompson JN, Mazmanina PE, Aparicio A, Davis DA, Spivey BE, Kahn NB. Continuing medical education, professional development, and requirements for medical licensure: A white paper of the Conjoint Committee on Continuing Medical Education. J Contin Educ Health Prof. 2007; 28(2):95.
http://www.jcehp.com/vol28/2802_miller.asp

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 Continuous Professional Development/Lifelong Learning 

Davis D, Evans M, Jadad A, Perrier L, Rath D, Ryan D, Sibbald G, Straus S, Rappolt S, Wowk M, Zwarenstein M. The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003;327;33-35. Available at:
http://www.bmj.com/cgi/content/full/327/7405/33

Wasserman SI, Kimball HR, Duffy FD. Recertification in Internal Medicine: A Program of Continuous Professional Development. Ann Intern Med. 2000;133:202-208.
http://www.annals.org/cgi/content/abstract/133/3/202

The Josiah Macy, Jr Foundation. Continuing Education in the Health Professions: Improving Healthcare through Lifelong Learning. New York, New York: The Josiah Macy, Jr. Foundation, 2008.
http://www.josiahmacyfoundation.org/index.php?section=publications

The Josiah Macy, Jr Foundation. Chairman’s Summary of the Conference on Continuing Education in the Health Professions: Improving Healthcare through Lifelong Learning. New York, New York: The Josiah Macy, Jr. Foundation, 2008.
http://www.josiahmacyfoundation.org/index.php?section=publications

Lifelong Learning (see Continuous Professional Development)

 Public Perceptions and Expectations of Physicians  

AARP. Strategies to Improve Health Care Quality in Virginia: Survey of Residents Age 50+. Washington, DC: AARP, 2007.
http://www.aarp.org/research/health/carequality/va_care_07.html

 Physician Surveys 

Campbell EG, Regan S, Gruen RL, Ferris TG, Rao SR, Cleary PD, Blumenthal D. Professionalism in Medicine: Results of a National Survey of Physicians. Ann Intern Med . 2007;147:795-802.
http://www.annals.org/cgi/content/abstract/147/11/795

Quality of Care 

Asch SM, Kerr EA, Keesey J, Adams JL, Setodji CM, Malik S, McGlynn EA. Who Is at Greatest Risk for Receiving Poor-Quality Health Care? New England Journal of Medicine. 2006;354:1147-1156.
http://www.rand.org/news/press.06/03.15b.html

Holmboe ES, Lipner RS, Greiner A. Assessing Quality of Care: Knowledge Matters. JAMA. 2008; 299(3):338-340.
http://jama.ama-assn.org/cgi/reprint/299/3/338.pdf?ijkey=HGjUvlzrRQbUJH8&keytype=finite

The Measurement of Health Care Performance: A Primer from the CMSS. Council of Medical Specialties. 2008.
http://www.entnet.org/qualityimprovement/upload/MaintHlthCarePerf.pdf

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Self-Assessment 

The Journal of Continuing Education in the Health Professions. Volume 28, Issue 1, Winter 2008. (Note: This edition of the Journal of Continuing Education in the Health Professions contains numerous articles regarding self-assessment, any of which may be of interest. Therefore, this edition of the Journal is listed as a whole, rather than by article. A link to the Table of Contents, which contains links to the individual articles, is provided below.)
http://www.jcehp.com/vol28/2801.asp

Specialty Board Certification 

Brennan TA, Horwitz RI, Duffy D, Cassel CK, Goode LD, Lipner RS. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292:1038-1043.
http://jama.ama-assn.org/cgi/content/abstract/292/9/1038

Wasserman SI, Kimball HR, Duffy FD. Recertification in Internal Medicine: A Program of Continuous Professional Development. Ann Intern Med. 2000;133:202-208.
http://www.annals.org/cgi/content/abstract/133/3/202

A detailed bibliography of the literature looking at the relationship between board certification and patient outcomes is available at
http://www.certificationmatters.org/research-supports-benefits-of-board-certification.aspx

National dialogue calling for physicians' greater accountability to the public  

Cohen JJ, Cruess S, Davidson C. Alliance Between Society and Medicine The Public's Stake in Medical Professionalism. JAMA. 2007;298:670-673.
http://jama.ama-assn.org/cgi/content/extract/298/6/670

Institute of Medicine. To Err is Human: building a safer health system. Washington, DC: National Academy Press; 1999.
http://www.nap.edu/openbook.php?isbn=0309068371

Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press, 2001.
http://www.nap.edu/openbook.php?isbn=0309072808

Institute of Medicine. Health Professions Education: A Bridge to Quality. Washington, DC: National Academy Press, 2003.
http://www.nap.edu/catalog.php?record_id=10681

Finocchio L J, Dower C M, McMahon T, Gragnola C M and the Taskforce on Health Care Workforce Regulation. Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century. San Francisco, CA: Pew Health Professions Commission, 1995.
http://futurehealth.ucsf.edu/pdf_files/reforming.pdf

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