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2.
Fam Pract Manag ; 29(5): 6-11, 2022.
Article in English | MEDLINE | ID: mdl-36099292
3.
CBE Life Sci Educ ; 21(4): ar63, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36112618

ABSTRACT

Teacher content knowledge has been identified as a key prerequisite to effective instruction, and current educational policies require measurement of teacher content knowledge to assess candidacy for licensure. The primary instruments used in the United States are the Praxis Subject Assessment exams, which are designed to measure the subject-specific content knowledge needed to be a teacher. The Praxis Biology Subject Assessment exam, used by 42 U.S. states in the past decade, is the most common national measure used to determine biology content knowledge for teacher certification. Demographic and performance data from examinees (N = 43,798) who took the Praxis Biology Subject Assessment from 2006 to 2015 were compared to present a much-needed picture of who is seeking certification to teach biology, how different groups of aspiring biology teachers have performed, and how demographic makeup of prospective biology teachers compares with reports in previous studies describing the composition of the biology teacher workforce. Results indicate the majority of students self-reported as White (76%), female (66%), having undergraduate grade point averages (GPAs) at or above a 3.0 (76%) and majoring in biology (45%). Additionally, the demographic data were included in a linear regression model to determine the factors that explained the most variance in performance of the examinee. The model revealed substantial differences in average performance and pass rates between examinees of different genders, races, undergraduate majors, undergraduate GPAs, and census regions. This suggests that if the examinee is a White science, technology, engineering, and mathematics major, man with a 3.5 or higher undergraduate GPA, resides in the western United States, or plans to teach in a suburban school, the examinee will on average outperform their counterparts on the exam. From our analyses, we suggest several measures for the improvement of the biology teaching workforce and establish potential issues in the teacher pipeline that may impact the quality and diversity of U.S. biology teachers.


Subject(s)
Certification , Students , Biology , Female , Humans , Longitudinal Studies , Male , Prospective Studies , United States
6.
Stud Health Technol Inform ; 298: 159-160, 2022 Aug 31.
Article in English | MEDLINE | ID: mdl-36073476

ABSTRACT

Certification of Medical Device Software (MDS) according to the EU Medical Device Regulation 2017/745 requires demonstrating safety and effectiveness. Thus, the syllabus of a course on MDS development must provide tools for addressing these issues. To assure safety, risk analysis has to be performed using a four-step procedure. Effectiveness could be demonstrated by literature systematic review combined with meta-analysis, to compare the MDS performances with those of similar tools.


Subject(s)
Certification , Software , Humans , Medical Device Legislation , Meta-Analysis as Topic , Systematic Reviews as Topic
7.
J Nurs Educ ; 61(9): 511-515, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36098543

ABSTRACT

BACKGROUND: Recent national recommendations have been developed to ensure nurse educators are prepared to teach about health equity and social determinants of health. Nurse educators may not have had formal or professional development in teaching these concepts, which may pose a barrier to implementing recommendations. METHOD: This article outlines a graduate course focused on social determinants of health to prepare future nurse educators with the knowledge, skills, and ability to address these concepts in future teaching. RESULTS: A backward design approach facilitated the alignment of learning outcomes, assessments, and activities that resulted in Quality Matters certification in this online graduate-level course. Topics include health equity and implicit bias, and learners evaluate educational resources and develop an educational presentation of health inequities in a selected population. CONCLUSION: This course supports the development of nurse educators to increase their skill in understanding and teaching social determinants of health and health equity. [J Nurs Educ. 2022;61(9):511-515.].


Subject(s)
Faculty, Nursing , Social Determinants of Health , Certification , Faculty, Nursing/education , Humans , Learning
8.
Fam Med ; 54(8): 615-620, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36098692

ABSTRACT

BACKGROUND AND OBJECTIVES: Board certification is acknowledged as the mainstay for ensuring quality physician-delivered health care within medical specialties. The American College of Osteopathic Family Physicians (ACOFP) administers the American Osteopathic Board of Family Physicians' (AOBFP) In-Service Examination (ISE) to provide residents and program directors with a formative examination to assess competency and preparation for successful completion of the AOBFP certifying examination (CE). Unique assessment processes are integral to monitoring development of the osteopathic family physician throughout training and into practice, and to verify their competency for the safety and protection of the public. This study sought to investigate whether performance on the AOBFP ISE predicted performance on the AOBFP CE, and thereby successfully equipped residents to safely enter medical practice. METHODS: In 2020, data from 1,893 PGY-1 through PGY-3 residents (2016-2018), whose ISE scores could be matched with scores on the AOBFP initial board CE, were analyzed for this study. RESULTS: Correlations among ISE administrations across 3 years of postgraduate medical education were in the mid-to-high .6 range; the ISE scores correlated with CE scores in the mid .4 to high .5 range. Less reliable measures of positive predictive value were 0.99, and sensitivity was 0.91. CONCLUSIONS: Results suggest that ISE administrations during residency training are effective in developing remediation strategies for subsequent successful CE performance. The inclusion of osteopathic principles in the AOBFP CE necessitates inclusion of osteopathic content in resident training exams like ISE.


Subject(s)
Internship and Residency , Osteopathic Medicine , Osteopathic Physicians , Certification , Educational Measurement/methods , Humans , Osteopathic Medicine/education , Osteopathic Physicians/education , United States
9.
Article in English | MEDLINE | ID: mdl-36078647

ABSTRACT

The green production transition in agriculture is all about the quality of agricultural products at the source of production. Whether the product quality certification can accelerate the green production transition in agriculture is an issue of concern. We have measured the degree of green production transition of kiwifruit growers using a finite mixture model in this paper, and use research data from the main kiwifruit production areas in Shaanxi and Sichuan provinces to verify the impact of conducting product quality certification on the green production transition of kiwifruit growers. Besides, we use a multi-valued treatment effects model to verify the differences in the degree of green production transition among kiwifruit growers in the face of different certification types. Our findings are mainly as follows: the degree of green production transition among kiwifruit growers is not high, with an average of only 36.3%. Product quality certification can significantly promote the green production transition of kiwifruit growers, and the promotion effect of different certification methods in green production transition of kiwifruit growers significantly varies. The promotion effect of organic certification is greater than that of green certification and pollution-free certification. Further, the mechanism test analysis reveals that product quality certification can influence the green production transition of kiwifruit growers through three mechanisms: quality monitoring, market premium, and market access threshold. Based on this, this paper proposes policy recommendations to advance quality certification and green production transition among kiwifruit growers to increase the certification, enhance the willingness to green transition, and boost the differentiated certification system.


Subject(s)
Actinidia , Agriculture , Certification , Fruit
10.
BMC Health Serv Res ; 22(1): 1117, 2022 Sep 03.
Article in English | MEDLINE | ID: mdl-36057575

ABSTRACT

BACKGROUND: Retirement patterns for American physician assistants/associates (PAs) are in flux as the first substantial cadre trained in the 1970s makes their retirement choices. The growing and aging of the US population is increasing the demand for healthcare services. At the same time, provider retirement can decrease patient access to care, disrupt continuity of care and lead to poorer health outcomes. Knowing PA intentions to retire and the retirement patterns can be useful to health system employers and workforce policymakers. The purpose of this study was to investigate the retirement patterns of PAs within the United States. We investigated their characteristics, career roles, and intent to depart from clinical practice. METHODS: Drawing on the National Commission on Certification of Physician Assistants (NCCPA) 2020 health workforce data (N = 105,699), the associations of demographics (age, gender, US region, and years certified), and practice attributes (specialty and practice setting) of clinically active PAs were assessed with intending to retire in the next five years. Analyses for this national cross-sectional study included descriptive statistics, Chi-square, and Fisher's Exact test, as appropriate. A p-value of 0.05 or less was considered statistically significant for all analyses where a comparison was made. RESULTS: Overall, 5.8% of respondents indicated that they intend to retire within five years. We detected significant differences (all p < 0.001) on intentions to retire by age group, gender, US region, years certified, specialty, and practice setting. Respondents 70 years and older compared to those 60-69 were more likely (66.5% vs. 48.9%), males compared to females (8.8% vs. 4.4%), those who have been certified for more than 21 years compared to 11-20 years (25.6% vs. 4.0%), PAs practicing in family medicine compared to dermatology (7.7% vs. 3.4%) and those in the federal government practice setting compared to rural health clinic (13.6% vs. 9.8%) reported they were more likely to retire in the next five years. CONCLUSIONS: Our study provides a comprehensive snapshot of PA retirement intentions using a robust national dataset. Among the most important factors associated with intent to retire in this study were older age and duration of PA career. Most PAs are remaining clinically active into their seventh decade-suggesting that they are integrated into medical systems that value them and they, in turn, value their role.


Subject(s)
Physician Assistants , Retirement , Certification , Cross-Sectional Studies , Female , Humans , Intention , Male , United States
11.
Aerosp Med Hum Perform ; 93(8): 627-632, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-36050848

ABSTRACT

INTRODUCTION: In 2019, the Federal Aviation Administration (FAA) announced a protocol to evaluate pilots with insulin treated diabetes mellitus (ITDM) for special issuance (SI) medical certification for first-/second-class pilots. The protocol's aim is improved assessment of ITDM control/hypoglycemia risk and relies on continuous glucose monitoring (CGM) data. This study compares the characteristics of first-/second-class pilots with ITDM and certification outcome.METHODS: Data was collected retrospectively from the FAA Document Imaging Workflow System (DIWS) for pilots considered for a first-/second-class SI under the ITDM program between November 2019 and October 2021. Inclusion criteria required submission of information required for certification decision (SI vs. denial). We extracted data on demographics and CGM parameters including mean glucose, standard deviation, coefficient of variance, time in range (%), time > 250 mg · dl-1 (%), and time < 70-80 mg · dl-1 (%). We compared these parameters between pilots issued an SI vs. denial with Mann-Whitney U-tests and Fisher exact tests using R.RESULTS: Of 200 pilots with ITDM identified, 77 met inclusion criteria. Of those, 55 received SIs and 22 were denied. Pilots issued SI were statistically significantly older (46 vs. 27 yr), had a lower hemoglobin A1c (6.50% vs. 7.10%), lower average glucose (139 mg · dl-1 vs. 156 mg · dl-1), and spent less time with low glucose levels (0.95% vs. 2.0%).DISCUSSION: The FAA program has successfully medically certificated pilots with ITDM for first-/second-class. Pilots granted an ITDM SI reflect significantly better diabetes control, including less potential for hypoglycemia. As this program continues, it will potentially allow previously disqualified pilots to fly safely.Stanwyck LK, DeVoll JR, Pastore J, Gamble Z, Poe A, Gui GV. Medical certification of pilots through the insulin-treated diabetes mellitus protocol at the FAA. Aerosp Med Hum Perform. 2022; 93(8):627-632.


Subject(s)
Accidents, Aviation , Aerospace Medicine , Aviation , Diabetes Mellitus, Type 2 , Hypoglycemia , Insulins , Pilots , Blood Glucose , Blood Glucose Self-Monitoring , Certification , Humans , Retrospective Studies
12.
Yakugaku Zasshi ; 142(9): 971-975, 2022.
Article in Japanese | MEDLINE | ID: mdl-36047224

ABSTRACT

In Japan, each society has developed its own certification system for the pharmacy specialists in a specific area of pharmaceutical care. Since 2020, we have conducted research activities supported by a Grant-in-Aid for Scientific Research from the Ministry of Health, Labour and Welfare to assure the quality of pharmacy specialists similar as other medical professionals. We proposed three reform plans. First, we defined a pharmacist career path after obtaining a license by redefining the name of a qualified pharmacist: Step 1, Training-Certified Pharmacist; Step 2, Board-Certified Pharmacist; and Step 3, Pharmacy Specialist. Second, we proposed common external standards for the Pharmacy Specialist. Third, we proposed the need for third-party certification for pharmacy specialists. New reforms for the pharmacy specialists are required under the autonomy of pharmacists.


Subject(s)
Pharmaceutical Services , Pharmacy , Certification , Humans , Japan , Pharmacists
13.
Home Healthc Now ; 40(5): 286, 2022.
Article in English | MEDLINE | ID: mdl-36048227
14.
J Nurses Prof Dev ; 38(5): 287-301, 2022.
Article in English | MEDLINE | ID: mdl-36049167

ABSTRACT

The lack of dedicated time and standardized education for stroke coordinators focusing on program disease-specific care certification standards has led to undue added stress prior to survey. The purpose of this literature review is to provide staff development educators an alternative method to train stroke coordinators. Findings suggest that online self-directed learning modules are useful in acquiring knowledge, gaining clinical competency, improving confidence, and meeting the learners' needs and satisfaction.


Subject(s)
Education, Distance , Stroke , Certification , Clinical Competence , Humans
15.
Soins ; 67(866): 30-33, 2022 Jun.
Article in French | MEDLINE | ID: mdl-36127017

ABSTRACT

In France, periodic certification of nurses will come into effect in 2023. In Canada, self-assessment, which corresponds to the evaluation of one's own competencies, is one of the means used to evaluate these professionals. This capacity is based on the principle of reflexivity, which is implemented at various levels: initial training, continuing professional development, and analysis of professional practices in the field. Advanced practice nurses are now among the players in this process.


Subject(s)
Certification , Posture , Canada , France , Humans
16.
Hu Li Za Zhi ; 69(5): 44-55, 2022 Oct.
Article in Chinese | MEDLINE | ID: mdl-36127758

ABSTRACT

BACKGROUND: The introduction and development of the advanced practice registered nurse (APRN) is a global trend in nursing. However, the development of APRNs in Taiwan remains uncertain and lacks necessary consensus. PURPOSE: This research study aimed to explore the views and suggestions of nursing experts in industry, government, and academia regarding the development of APRNs (clinical nurse specialists, case managers, certified clinical registered nurse anesthetists, and certified nurse-midwives) in Taiwan. METHODS: Data were collected from March to August 2017. Sixty-four experts participated in one of six focus group discussions held in northern, central, and southern Taiwan. These group discussions were recorded and transcribed verbatim with the consent of the participants. Content analysis was used to analyze the transcribed data. RESULTS: The comments and suggestions raised during the discussions were categorized into four major themes: professional development of necessity, core competencies, accreditation, and future promotion-related issues. Each theme was further divided into several subthemes. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The opinions of relevant experts regarding the current status of development of the roles, practical scope, and management and suggestions for APRNs were summarized to facilitate the future development of APRNs in Taiwan in terms of education, core competencies, certification, and practical scope. Furthermore, the results may be referenced in the establishment of a nursing consensus model and as a basis for promoting APRNs.


Subject(s)
Advanced Practice Nursing , Certification , Humans , Models, Nursing , Nurse Anesthetists , Taiwan
17.
Stud Health Technol Inform ; 298: 122-126, 2022 Aug 31.
Article in English | MEDLINE | ID: mdl-36073469

ABSTRACT

The definition of the title "Istituto di Ricovero e Cura a Carattere Scientifico" (IRCCS) and how this title is given by the Italian Ministry of Health is presented. Specifically, the first assessment of a commission concerning the essential information for the accreditation process is introduced. Moreover, the two years review process that aims to collect last updated information of the IRCCS, to identify level of excellence and critical aspects, is also explained. The present Italian forms and international manuals like Joint Commission, OECI and HCERES were schematized using UML diagrams. The current IRCCS accreditation forms are presented with the suggested updates organized in some levels of structuring. We compared the Italian forms with the manuals required to obtain international certifications (Joint Commission and OECI) and we analyzed the criteria for the evaluation of research units in France (the HCERES standards). Although it is a preliminary study, the use of UML diagrams allows to schematize a new accreditation model, in line with European guidelines and the most important international certifications.


Subject(s)
Cancer Care Facilities , Certification , Delivery of Health Care , Hospitalization , Humans , Italy
18.
Anal Methods ; 14(33): 3160-3170, 2022 08 25.
Article in English | MEDLINE | ID: mdl-35946387

ABSTRACT

An analytical methodology based on isotope dilution (ID) principles was developed to establish the reference procedure for the simultaneous assignation of aqua regia extractable and total mass fractions of Hg, Cd, and Pb in soil and sediment matrix samples. The 'twin sample-spike blends' were prepared under close to the exact matching conditions, resulting in almost identical mass ratios of the spike to the sample in the blends, which followed either the aqua regia extraction method or total digestion procedure. The isotope ratios in 'twin-blends' were measured by inductively coupled plasma mass spectrometry (ICP-MS). The two-track IDMS strategy proposed in this work was successfully applied to three certified reference materials (CRMs): ERM-CC141 loam soil, EnvCRM 03 soil, and MODAS-2 bottom sediment. This ensured an adequate method validation. For two CRMs (EnvCRM 03 and MODAS-2) it was found that the isotope ratio values in 'twin-blends' for Hg, Cd, and Pb were almost identical with a variability of less than 2.4%. This confirmed that there is no measurable difference between the aqua regia extractable and the total mass fractions within the uncertainty ranges. Therefore, aqua regia mass fractions assigned in this study were found to be equal to certified element contents. For ERM-CC141 loam soil, the Hg isotope ratio values measured in the 'twin-blends' were found to be identical within their measurement uncertainties, and thus, it was concluded that the aqua regia extractable Hg content is identical to the total Hg content. However, in the case of Cd and Pb isotope ratio values in 'twin-blends' varied around 24% or 16%, respectively and because this significant difference was noticed, for both elements it is necessary to calculate the aqua regia content and the total content separately. Because this significant difference was noticed for both elements, it is necessary to calculate the aqua regia content and the total content separately. A detailed comparison of the isotope ratio values between the 'twin-blends' provided unambiguous information about aqua regia extractability of metals and it is a strong indicator for making decisions related to the assignment of either a single mass fraction valid for both procedures or two separate element mass fraction values. To our knowledge and based on the relevant literature survey, this is a novel strategy based on IDMS, and such studies have not been undertaken and presented so far.


Subject(s)
Mercury , Trace Elements , Cadmium/analysis , Certification , Isotopes/analysis , Lead/analysis , Mercury/analysis , Soil , Trace Elements/analysis
19.
Am J Public Health ; 112(10): 1480-1488, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35952329

ABSTRACT

Objectives. To evaluate the effects of state community health worker (CHW) certification programs and Medicaid reimbursement for CHW services on wages and turnover. Methods. A staggered difference-in-differences design was used to compare CHWs in states with and without CHW certification or CHW Medicaid reimbursement policies. Data were derived from the 2010 to 2021 Current Population Survey in the United States. Results. CHW wages increased by $2.42 more per hour in states with certification programs than in states without programs (P = .04). Also, hourly wages increased more among White workers, men, and part-time workers (P = .04). Wages increased by $14.46 in the state with the earliest CHW certification program adoption (P < .01). Neither of the policies assessed had an effect on occupational turnover. Conclusions. CHW wages are higher in states with certification programs. However, wage gaps exist between Whites and non-Whites and between men and women. Public Health Implications. Federal, state, and employer-based strategies are needed to establish and sustain effective CHW programs to meet the needs of communities experiencing health and access disparities. (Am J Public Health. 2022;112(10):1480-1488. https://doi.org/10.2105/AJPH.2022.306965).


Subject(s)
Community Health Workers , Medicaid , Certification , Female , Humans , Male , Policy , Salaries and Fringe Benefits , United States
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