ABSTRACT
This article examines the development of urology as an independent medical discipline in Germany, with a particular focus on professionalization and specialization in the 19th and 20th centuries. Based on historical sources, the text illuminates the importance of the German medical profession's further training regulations as an instrument of medical self-administration and the classification of urology as a medical specialty in the Bremen guidelines of 1924, which established board certification in diseases of the urinary organs (urology).
Subject(s)
Certification , Specialty Boards , Urology , Germany , Urology/history , Urology/education , History, 20th Century , Certification/history , History, 19th Century , Specialty Boards/history , Specialization/history , Humans , History, 21st CenturySubject(s)
Black or African American/history , Pediatricians/history , Pediatrics/history , Racism/history , Societies, Medical/history , Certification/history , History, 20th Century , Humans , Medical Staff Privileges/history , Organizational Culture , Organizational Innovation , Organizational Policy , Pediatrics/trends , Racism/trends , Societies, Medical/trends , Specialty Boards/historyABSTRACT
Certification in pain medicine as a subspecialty in Anesthesiology was conceived in 1989 and first discussed by the American Board of Anesthesiology in 1990. Shortly thereafter, the ABA submitted an application to the American Board of Medical Specialties for recognition to certify in pain management. That was approved in 1991. The Accreditation Council of Graduate Medical Education approved an application from the Anesthesiology Residency Review Committee to accredit programs in pain management education and training in 1992. The first examination for Pain Management certification was given in 1993. The certificate was modified in 2002 to Pain Medicine rather than Pain Management. Five member boards of ABMS are now approved for certification in pain medicine and all use the ABA Pain Medicine examination.
Subject(s)
Anesthesiology/history , Pain Management/history , Specialty Boards/history , Certification/history , Education, Medical, Graduate/history , History, 20th Century , History, 21st Century , United StatesABSTRACT
Efforts to professionalize the field of bioethics have led to the development of the Healthcare Ethics Consultant-Certified (HEC-C) Program intended to credential practicing healthcare ethics consultants (HCECs). Our team of professional ethicists participated in the inaugural process to support the professionalization efforts and inform our views on the value of this credential from the perspective of ethics consultants. In this paper, we explore the history that has led to this certification process, and evaluate the ability of the HEC-C Program to meet the goals it has set forth for HCECs. We describe the benefits and weaknesses of the program and offer constructive feedback on how the process might be strengthened, as well as share our team's experience in preparing for the exam.
Subject(s)
Bioethics/trends , Certification/standards , Consultants , Ethicists/standards , Ethics Consultation/standards , Professional Competence/standards , Certification/history , Ethicists/education , History, 21st Century , Humans , Program EvaluationABSTRACT
A malaria-free world remains the vision of the global community. Malaria elimination within the territory of a country is a pathway to achieving the ultimate goal of eradication. Certification of malaria elimination in a country is the official recognition of this important achievement. The concepts of eradication and elimination, and criteria for certification of malaria elimination, have guided national programs in their efforts to achieve and maintain elimination. They have evolved from the experiences and setbacks of the global eradication program, and on the contemporaneous understanding of the concepts of achieving and maintaining elimination. WHO's certification has been successful, with the majority of certified countries remaining malaria free, but to operationalize the criterion for preventing re-establishment of transmission remains challenging.
Subject(s)
Disease Eradication/history , Malaria/prevention & control , World Health Organization/history , Certification/history , Certification/legislation & jurisprudence , History, 20th Century , History, 21st Century , HumansABSTRACT
The characterization of non-professional healers as "quacks" or "impostors" has influenced much of how such actors have been perceived by public opinion and in academic research. As a result of this, a divide has emerged between professional physicians, on the one hand, and those who acquired their knowledge in a traditional and non-academic way, on the other. This work questions the alleged divide between these two groups in the health field in order to offer a more complex and richer picture of local practices in Peru. Based mainly on correspondence from the Faculty of Medicine in Lima and newspaper ads, we reconstructed the attempts made by medical authorities to contain and exclude healers of Asian, European, or local backgrounds, many of which failed. For this reason, we studied two specific devices designed to legitimate and monitor physicians trained professionally: degrees or diplomas and lists of graduates, both of which are predecessors to our current identification cards and databases.
La caracterización de sanadores no-titulados como "charlatanes" o "impostores" ha influido notablemente en cómo han sido percibidos por la opinión pública y en las investigaciones académicas. Se creó, entonces, una división entre los médicos profesionales y aquellos que adquirieron su conocimiento de modo tradicional y no-académico. Este artículo cuestiona la supuesta división entre dichos especialistas en el campo de la salud para ofrecer un cuadro más complejo y rico de prácticas locales a partir del caso peruano. A partir, sobre todo, de correspondencia de la Facultad de Medicina de Lima y de avisos en periódicos, reconstruimos la dinámica de las autoridades médicas en sus intentos, muchas veces infructuosos, de contener y excluir a sanadores de origen asiático, europeo o local. Para ello, estudiamos dos artefactos diseñados para legitimar y monitorear a los médicos formados profesionalmente: los títulos o diplomas y las listas de graduados, predecesores de nuestros modernos documentos de identidad y bases de datos.
Subject(s)
Certification/history , Fraud/history , Medicine, Traditional , Physicians , Advertising/history , History, 19th Century , History, 20th Century , Humans , Peru , Physician's Role/history , Professionalism/history , Schools, Medical/historyABSTRACT
RESUMEN La caracterización de sanadores no-titulados como "charlatanes" o "impostores" ha influido notablemente en cómo han sido percibidos por la opinión pública y en las investigaciones académicas. Se creó, entonces, una división entre los médicos profesionales y aquellos que adquirieron su conocimiento de modo tradicional y no-académico. Este artículo cuestiona la supuesta división entre dichos especialistas en el campo de la salud para ofrecer un cuadro más complejo y rico de prácticas locales a partir del caso peruano. A partir, sobre todo, de correspondencia de la Facultad de Medicina de Lima y de avisos en periódicos, reconstruimos la dinámica de las autoridades médicas en sus intentos, muchas veces infructuosos, de contener y excluir a sanadores de origen asiático, europeo o local. Para ello, estudiamos dos artefactos diseñados para legitimar y monitorear a los médicos formados profesionalmente: los títulos o diplomas y las listas de graduados, predecesores de nuestros modernos documentos de identidad y bases de datos.
ABSTRACT The characterization of non-professional healers as "quacks" or "impostors" has influenced much of how such actors have been perceived by public opinion and in academic research. As a result of this, a divide has emerged between professional physicians, on the one hand, and those who acquired their knowledge in a traditional and non-academic way, on the other. This work questions the alleged divide between these two groups in the health field in order to offer a more complex and richer picture of local practices in Peru. Based mainly on correspondence from the Faculty of Medicine in Lima and newspaper ads, we reconstructed the attempts made by medical authorities to contain and exclude healers of Asian, European, or local backgrounds, many of which failed. For this reason, we studied two specific devices designed to legitimate and monitor physicians trained professionally: degrees or diplomas and lists of graduates, both of which are predecessors to our current identification cards and databases.
Subject(s)
Humans , History, 19th Century , History, 20th Century , Physicians , Certification/history , Fraud/history , Medicine, Traditional , Peru , Physician's Role/history , Schools, Medical/history , Advertising/history , Professionalism/historySubject(s)
Academies and Institutes/history , Ophthalmology/history , Periodicals as Topic/history , Specialty Boards/history , Certification/history , Certification/standards , History, 20th Century , History, 21st Century , Humans , Ophthalmology/organization & administration , Specialty Boards/organization & administration , United StatesABSTRACT
PURPOSE OF REVIEW: There are advantages and disadvantages of subspecialty certification for physicians, trainees, patients, and society at large. As female pelvic medicine and reconstructive surgery (FPMRS) became the second subspecialty of urology to offer subspecialty certification, understanding the effects of FPMRS subspecialty certification on the healthcare system is important. RECENT FINDINGS: While subspecialty certification may improve training, identify experts, and ultimately lead to improved patient outcomes, certification might also be unnecessary for some physicians, weaken residency training, and limit the number of physicians who are deemed qualified to offer certain treatments. As pelvic floor disorders can considerably affect quality of life, and their prevalence is expected to increase with the aging population, high-quality FPMRS care is needed. In this article, we describe the history of FPMRS subspecialty certification as well as its potential advantages and disadvantages as suggested by literature. There are advantages and disadvantages of FPMRS subspecialty certification. Further research is needed to assess the effect of FPMRS subspecialty certification on patient outcomes.
Subject(s)
Certification/standards , Pelvic Floor Disorders/surgery , Plastic Surgery Procedures/standards , Urology/education , Urology/standards , Certification/history , Female , History, 20th Century , Humans , Quality of LifeABSTRACT
Although the multidisciplinary nature of nuclear medicine (NM) and clinical molecular imaging is a key strength of the specialty, the breadth of disciplines involved in the practice of NM creates challenges for education and training. The evolution of NM science and technology-and the practice of clinical molecular imaging and theranostics-has created a need for changes in the approach to specialty training. The broader U.S. community of imaging physicians has been slow to accept this change, in good part due to historical divides between the NM and nuclear radiology (NR) communities. In this Journal of Nuclear Medicine Hot Topics discussion, we review the historical pathways to training; discuss the training needs for the modern practice of NM, clinical molecular imaging, and radionuclide therapy; and suggest a path forward for an approach to training that matches the needs of the evolving clinical specialty.
Subject(s)
Education, Medical/history , Nuclear Medicine/education , Certification/history , History, 20th Century , History, 21st Century , HumansABSTRACT
No disponible
Subject(s)
Humans , History, 15th Century , History, 16th Century , History, 17th Century , History, 18th Century , Orthopedics/history , Traumatology/history , History of Medicine , Certification/history , Schools, Medical/history , Anesthesia/history , Antisepsis/history , Arthroscopy/historyABSTRACT
Este artículo explora las condiciones de instalación de la medicina profesional en el Chile de la segunda mitad del siglo XIX, por medio de las denuncias y demandas judiciales presentadas por médicos titulados ante tribunales contra hombres y mujeres que, dedicados al oficio de curar, no contaban con las certificaciones exigidas por la ley. A través de estos registros, indaga en los esfuerzos desplegados por los profesionales para posicionar los saberes, ideales y roles que parecieron definir su identidad, al mismo tiempo que revisa la noción de profesionalización instalada por la historiografía, como un proceso sucesivo y ordenado de adquisición de credenciales que llevó a la conformación de un espacio experto y otro amateur (AU)
No disponible
Subject(s)
Humans , History, 19th Century , Education, Medical/history , Schools, Medical/history , Health Occupations/history , Professionalism/history , Accreditation/history , Certification/history , Legislation, Medical/history , ChileABSTRACT
El objetivo de este artículo es poner de relieve el papel desempeñado por la prensa en las resistencias contra la consolidación de la profesión médica en Buenos Aires en la década de 1890. Se parte de la hipótesis según la cual las tribunas periodísticas fueron instanciasesenciales tanto para la instauración del proyecto sanitario del gremio médico como para la prosecución de las luchas de quienes lo objetaron. Las columnas no sólo reflejaron los conflictos y negociaciones producidas, sino que formaron parte de las armas utilizadas porambas partes. En otros términos, el periodismo fue, en gran medida, la arena y el material primordial de esas contiendas. En esta ocasión en particular intentamos mostrar, en base al estudio de unos pocos casos, los distintos modos a través de los cuales los enemigos de lamedicalización recurrieron a la prensa a los fines de hacer oír sus reclamos. Sanadores, médicos extranjeros, magnetizadores e ilusionistas difundieron sus exigencias mediante distintas tácticas que giraban en torno a las publicaciones periódicas (a través de cartas abiertas, entrevistas y artículos desde los cuales se impugnaron las iniciativas de los profesionales). Incluso llegaron a editar publicaciones periódicas propias, que hasta el momento no habían recibido suficiente atención de los historiadores (AU)
No disponible