Knowledge, Judgment, and Skills in Reproductive Health Care and Abortion Are Essential to the Practice of Obstetrics and Gynecology.

A social contract exists between medicine and society. In fulfilling the social contract to our patients and society, physicians have an obligation to provide the evidence-based care that patients want and need. What do the data regarding knowledge, judgment, and skills required to practice obstetrics and gynecology show? Obstetrics and gynecology job task analyses assess the importance of knowledge, judgment, and skills through surveys asking practicing physicians about the criticality and frequency of a variety of task statements to create an importance score. Excerpts from a 2018 practice analysis survey clearly indicate that reproductive health care and abortion are important components of the knowledge, judgment, and skills to practice obstetrics and gynecology in the United States. These standards help to assure the knowledge, judgment, and skills of current and future generations of ob-gyns, so their patients and the public can be provided the comprehensive reproductive health care they want and need. It is sometimes important to restate principles and standards that have become ingrained in thoughts and practices that guide physicians and serve to protect our patients. This concept is important now, as our country, health care professionals, and patients examine the future of reproductive health care, including abortion.

The Predictive Strength of the End of Curriculum Exam.

PURPOSE: To assess the value of the Physician Assistant Education Association's End of Curriculum examTM and formative and summative exams during the physician assistant program in predicting Physician Assistant National Certifying Exam (PANCE) scores. METHODS: Value of the End of Curriculum exam, Physician Assistant Clinical Knowledge Rating and Assessment Tool (PACKRAT I, PACKRAT II), PANCE simulation (SUMM I), and Objective Structured Clinical Examination in predicting future PANCE scores was assessed using correlation and regression analysis of data for 27 PA students from one cohort. RESULTS: The End of Curriculum exam, PACKRAT I, PACKRAT II, and SUMM I are statistically significant predictors of PANCE score (p < 0.01). A combination of PACKRAT I and PACKRAT II was the best predictor of PANCE score and explained a large amount of variance (77.0%) in PANCE scores. CONCLUSION: PAEA's End of Curriculum exam is one of the strongest predictors of PANCE score (r = 0.78). It offers an additional opportunity for programs to provide PA students with another layer of academic advising and to guide their preparation for PANCE.

The American Board of Obstetrics and Gynecology's remote certifying examination: successes and challenges.

In response to the COVID-19 pandemic, the American Board of Obstetrics and Gynecology canceled the 2020 in-person subspecialty certifying examinations and developed remote administration of 4 subspecialty certifying examinations in 2021 for both examiners and candidates. Because of the continued risks of the COVID-19 pandemic, the 2021 specialty certifying examinations and the 2022 subspecialty certifying examinations were also administered remotely for candidates. For these examinations, examiners participated remotely in 2021 and were at the American Board of Obstetrics and Gynecology testing center in 2022. Overall, the American Board of Obstetrics and Gynecology remote certifying examinations have been well-received by candidates and examiners according to posttest survey data. Candidate performance has been comparable to that observed in the previous in-person examinations. In this review, we describe our implementation, process modifications, successes, and challenges with remote testing. During this process, the American Board of Medical Specialties approval was required, and the Standards for Educational and Psychological Testing served as our testing-industry guideline to ensure valid interpretation of scores and fairness to candidates.