Giving a blood sample, sliding into a scanner, even lying on the stainless steel bed of an x-ray machine — A diagnostic test, while not anyone’s idea of fun, is not that big a deal, right? Those of us in the medical biz are well aware of the risk of harm associated with surgery or other procedures and the expected and unexpected adverse effects of medicines. We tend to forget, though, that diagnostic tests can also cause harm. It’s not the test itself, that is risky, it’s the results — and what we do with them — that can do… Read more »
Everyone knows the problems with the maintenance of certification testing. The tests, no matter what specialty, ask arcane details of obscure issues in medicine, information that easily could be – and is — looked up. It doesn’t test most physicians’ stock-in-trade: decision-making. The score has little to do with performance in practice.
However, to totally forgo ongoing assessment and certification turns the quality control of medical practice over to payers, including the government. In addition to it affecting our income, do we really want our abilities to be represented by how well we check off boxes in the electronic health record?…Read More »