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| Possible Model for Incorporation of Competency Assessment Into the Four Components of MOC |
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| Components of MOC: |
Professional Standing |
Lifelong Learning |
Cognitive Expertise |
Practice Performance |
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| Competency |
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| Medical Knowledge |
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Open-book exam
Approved CME
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Secure exam |
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| Patient Care |
Hospital priveleges? |
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Open-book exam
CME |
Case analysis |
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| Interpersonal and Communication Skills |
Peer/patient assessment? |
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| Professionalism |
State licensure
Hospital privileges?
Peer assessment?
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| Practice-Based Learning and Improvement |
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Self-directed study
Approved CME
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Case analysis
Key case/outcome analysis to benchmarks
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| System-Based Practice |
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Performance review |
Pertinent questions on open book and secure exam |
Case analyis |
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