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James N. Thompson, MD

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April 17, 2007 ~ Baltimore, MD WWW.FSMB.ORG Assessing Competence: Maintenance of Licensure and the National Alliance for Physician Competence James N. Thompson, MD – PowerPoint PPT presentation

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Title: James N. Thompson, MD


1
MedBiquitous Annual Conference April 17, 2007
Baltimore, MD
WWW.FSMB.ORG
Assessing Competence Maintenance of Licensure
and the National Alliance for Physician Competence
  • James N. Thompson, MD
  • President and CEO
  • Federation of State Medical Boards of the U.S.,
    Inc.

2
overview
  • The Federation of State Medical Boards (FSMB)
    The Organization
  • The Expanding Role in Assessing Physician
    Competence
  • Maintenance of Licensure (MOL)
  • National Alliance for Physician Competence

3
FSMB ?The Organization its Mission
  • Organization
  • 70 member state medical boards
  • Non-Profit Association since 1912
  • Located in Dallas/Fort Worth
  • Mission
  • Continual improvement in the quality, safety and
    integrity of health care through the development
    and promotion of high standards for physician
    licensure and practice.

4
History
IAMRA
Mission Goals
Leadership
Member Boards
Employment Opportunities
Related Organizations
Staff List
Phones and E-mail
 
 
 
 
 
 
 
 
 
 
 
Organizational Chart
70 Member Boards
Board of Directors
Vice President Member Resource Centers and
Services
Vice President Professional Affairs
Executive Office President/CEO and Senior Vice
President/COO
Vice President Government Relations, Policy
Education
Vice President Examination Post-Licensure
Assessment Services
Director Leadership Services
Director Information Services
Director Human Resources
Comptroller
5
FSMB Member Boards
6
Forces of Change
  • Forces influencing 2002 decision to add MOL to
    strategic plan
  • IOM reports
  • ABMS Maintenance of Certification
  • Nevada and Texas initiatives
  • Direct request from PLAS Governing Committee

7
FSMB Strategies
  • Special Committee on Maintenance of Licensure
  • Develop policy position
  • Develop recommendations for state medical boards
  • Explore interface between MOL and MOC
  • Monitor developments in CME community

8
Special Committee on Maintenance of Licensure
  • Established May 2003
  • Policy statement approved by HOD in 2004 State
    medical boards have a responsibility to the
    public to ensure the ongoing competence of
    physicians seeking relicensure.

9
Special Committee ?Policy Development in Progress
  • Special Committee on Maintenance of Licensure
  • Currently drafting the Re-entry to Practice
    Guidelines that may be broadly applied to all
    health professions regulated by state medical
    boards

10
Competence
  • Competence Possessing the requisite abilities
    and qualities (cognitive, non-cognitive, and
    communicative) to perform effectively in the
    scope of professional physician practice while
    adhering to professional ethical standards.
  • FSMB Policy Quality of Care Maintenance of
    Competence (1999)

11
Implementation of Maintenance of Competence
Programs
  • Avoid duplication of efforts
  • Not overly burdensome for physicians
  • Non-punitive (improve practice and retain
    license, if possible)
  • Remediation must be available
  • Collaborate with other groups
  • Licensing boards cannot evaluate entire licensee
    population alone
  • Work together to develop tools and resources

12
Physician Accountability for Physician Competence
(PAPC) Initiative
  • Rationale
  • Medical boards cant do it alone
  • Need to change the climate
  • Many initiatives, limited coordination
  • To address the question How does the healthcare
    community evaluate and measure the ongoing
    competence of a physician?

13
PAPC Summit Participants
  • AARP
  • American Academy of Family Practice
  • Association of Academic Health Centers
  • Association of American Medical Colleges
  • AAMC - Institute for Improving Medical Education
  • Agency for Healthcare Research and Quality
  • American Board of Family Medicine
  • American Board of Internal Medicine
  • American Board of Medical Specialties
  • American Board of Surgery
  • Accreditation Council for Continuing Medical
    Education
  • Accreditation Council for Graduate Medical
    Education
  • American Hospital Association
  • American Medical Association
  • American Osteopathic Association
  • American Osteopathic Board of Emergency Medicine
  • Blue Cross/Blue Shield Association
  • Blue Cross/Blue Shield of Illinois
  • Bridgekeeper
  • Crozer-Keystone Health System
  • East Tennessee State University
  • Educational Commission on Foreign Medical
    Graduates
  • Federation of State Medical Boards
  • Harvard Medical International
  • Harvard School of Public Health
  • Iowa Board of Medical Examiners
  • Joint Commission
  • Kentucky Board of Medical Licensure
  • Los Alamos National Laboratory
  • Medical Council of Canada
  • Michigan Board of Medicine
  • Milbank Memorial Fund
  • National Board of Medical Examiners
  • National Board of Osteopathic Medical Examiners
  • National Committee for Quality Assurance
  • North Carolina Medical Board
  • Oregon Board of Medical Examiners
  • Physician Insurers Association of America

14
PAPC Summits Tangible Outcomes
  • Draft definition of competence
  • Working draft for good medical practice
    document
  • Preliminary drafts of possible regulatory
    system of the future
  • Proposal for National Alliance for Physician
    Competence
  • Organizational commitments for staff and
    financial support
  • Workgroup of representatives from licensing
    boards and specialty certifying boards

15
PAPC Summits Intangible Outcomes
  • Growing sense of trust
  • Coalescing around core principles
  • Periodic demonstration of competence, practice
    based assessment, quality improvement
  • Willingness to discuss taboo issues
  • National licensure, specialty based licensure
  • Agreement to own initiative

16
www.innovationlabs.com/summit
17
http//innovationlabs.com/summit/
18
General Medical Council
Good Medical Practice
Regulating doctors Ensuring good medical practice
2006
19
Good Medical Practice document for the United
States
  • Inspired by the GMC-UK document
  • Drafted by participants from PAPC summits
  • Describes the behaviors and values one would
    expect of a competent physician
  • Initial version ready for distribution in spring
    2007

20
Good Medical Practice document for the United
States
  • Medical Knowledge
  • Patient Care
  • Professionalism
  • Communication
  • Systems Based Practice
  • Practice-Based Learning

21
Good Medical Practice Document for the United
States
Expectations
  1. Provide consumer language regarding competency
  2. Improve communication and clarify expectations
    among patients, students, physicians, educators,
    regulators and legislators
  3. Add continuity across the continuum of the
    education of a physician. Premed - CME

22
National Alliance for Physician Competence
What?
  • Coalition, not organization
  • Broad representation from organizations
    interested in improving health care by supporting
    consistency in how physician competency is
    measured across continuum of a physicians career

23
National Alliance for Physician Competence
  • Why?
  • To assure the public and the health care
    community that physicians are competent to
    provide quality care.

24
National Alliance for Physician Competence
  • How?
  • Advocate for continuity in the definition,
    measurement and determination of physician
    competence along the continuum of education,
    training and practice.
  • Support a seamless continuity among organizations
    that contribute to physicians' effective pursuit
    of lifelong learning and improvement
  • Seek ways to reform the system of physician
    self-regulation so that it is efficient,
    effective and accountable

25
National Alliance for Physician Competence
Better for Patients and Physicians
  • Develop mechanisms to allow physician to
    demonstrate competence
  • Resolve redundancies in regulatory system
  • Reduce administrative burden on physicians by
    eliminating duplication and simplifying reporting
  • Get meaningful information about physicians
    competence to stakeholders

26
National Alliance for Physician Competence
  • When?
  • "The journey of a thousand miles begins with a
    single step."
  • - Lao Tzu

27
PAPC Next Steps
  • Next Summit Winter 2007
  • Engage physicians and public in dialogue
  • Develop pilot projects/experiments
  • Develop database
  • Good Medical Practice document distributed to
    broader medical community

28
www.fsmb.org
James N. Thompson, M.D. President/CEO Federation
of State Medical Boards PO Box 619850 Dallas, TX
75261-9850 Tel 817.868.4044 ? Fax
817.868.4144 Email jthompson_at_fsmb.org
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