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PubMed2002

Accreditation and credentialing in the vascular laboratory.

The vascular diagnostic laboratory remains an integral component of the vascular surgeon's practice and has replaced many invasive techniques for the diagnosis and treatment plan of vascular disease. Although financial challenges have been leveled at the vascular laboratory, the actual number of laboratories continues to increase, suggesting a greater demand for vascular laboratory studies. With this, also comes the challenge of maintaining quality within each laboratory as well as ensuring a standard of quality for all laboratories nationwide. Credentialing and accreditation have been used for this purpose in nearly all areas of medicine and have provided a mechanism for assuring a minimum standard of competency. Over the last decade, similar mechanisms have been applied toward the vascular diagnostic laboratory, which likely have resulted in improved vascular diagnostic studies and overall care.

Accreditation↗
PubMed2005

A survey of Canadian dental hygiene faculty needs and credentials.

The American Dental Education Association recently reported that the growing shortage of qualified faculty in dental hygiene education programs has reached a crisis situation. The authors hypothesized that Canadian dental hygiene programs will face a similar shortage. However, a review of the literature identified no studies that investigated Canadian dental hygiene faculty shortages. To address this gap in knowledge, a twenty-three-item descriptive survey and cover letter were mailed to the director of each Canadian school of dental hygiene (N=31) in spring 2003. The survey and letter were translated into French for francophone (French-speaking) schools. Follow-up telephone calls were made to nonrespondent programs. Survey results were analyzed using descriptive statistical methods. The response rate was 84 percent. Results revealed that 20 percent of schools had sought to fill empty faculty positions within the year and 47 percent of full-time faculty were forty-nine years or older. Within the next two years, 24 percent of dental hygiene programs in Canada will have full-time faculty positions available, growing to 40 percent within the next five years. Respondents indicated that they preferred faculty to hold a credential above the diploma whether teaching full-time (92 percent) or part-time (88 percent). Other required qualifications included previous teaching experience, current clinical experience, and eligibility for licensure in the province for teaching in Canadian dental hygiene programs.

Adult↗
PubMed2006

The nurse informaticist in metropolitan Minnesota: Credentials, salary, perceived roles, and value to the organization.

UNLABELLED: The main objective of this study was to describe nurse informaticists' (NIs) current practice in a large metropolitan area. There is little literature that addresses the understanding of the roles of nurse informaticists from the perspective of the nurse executive. Even if nurse executives in Minnesota desired to find out how many nurse informaticists are practicing in the state, it would be difficult to obtain this data because it is not collected at the state level. The study sought to answer how many NIs ("computer nurses") were employed by various organizations, and what the roles, salary ranges, levels of power, respect, and value of these nurses were. Using a qualitative, exploratory design, nurse leaders who had responsibility for oversight of technical or clinical information systems staff were interviewed using a structured questionnaire. FINDINGS: NIs who were working in organizations with more evolved clinical information systems were performing more of the tasks listed in the Scope and Standards of Nursing Informatics Practice more often than were their counterparts who were involved with less evolved systems. More evolved systems also had higher NI per bed ratios and lower beds per NI ratios. Annual salaries ranged from 51,000 dollars-85,000 dollars, and credentials, including titles, educational preparation, and certification were highly variable. Nurse executives rated the value of NIs in their organizations as high (mean of 9.5 on a 10-point scale). Power and respect questions yielded rich information about the difficulty of transition from the bedside for the NIs studied.

Career Choice↗
PubMed2006

A profile of female academic surgeons: training, credentials, and academic success.

The objective of this study was to determine the profile (credentials, training, and type of practice) of female academic general surgeons and factors that influenced their career choice. A survey was sent to female academic surgeons identified through general surgery residency programs and American medical schools. The women had to be Board eligible/certified by the American Board of Surgery or equivalent Board and have an academic appointment in a Department of Surgery. Data were analyzed using the SPSS program. Two hundred seventy women (age range, 32-70 years) completed the survey (98.9% response rate). Fellowships were completed by 82.3 per cent (223/270), most commonly in surgical critical care. There were 134 (50.2%, 134/367) who had two or more Board certificates, most frequently (46%, 61/134) in surgical critical care. Full-time academic appointments were held by 86.7 per cent of women, most as assistant professors, clinical track; only 12.4 per cent were tenured professors. The majority of women described their practice as "general surgery" or "general surgery with emphasis on breast." The most frequent administrative title was "Director." Only three women stated that they were "chair" of the department. The top reason for choosing surgery was "gut feeling," whereas "intellectual challenge" was the reason they pursued academic surgery. When asked "Would you do it again?", 77 per cent responded in the affirmative. We conclude that female academic surgeons are well trained, with slightly more than half having two or more Board certificates; that most female academic surgeons are clinically active assistant or associate professors whose practice is "general surgery," often with an emphasis on breast disease; that true leadership positions remain elusive for women in academic general surgery; and that 77 per cent would choose the same career again.

Adult↗
PubMedDate not supplied

Mandatory education and credentialing for dental assistants: is it the answer to the manpower crisis?

One reason for the nationwide shortage of dental assistants is lack of professional recognition. This lack of recognition stems from the fact that, unlike dentistry and dental hygiene, dental assisting has no nationally standardized, mandatory requirements for education and credentialing. Dentists acknowledge that the lack of professional recognition is a reason dental assistants frequently give for leaving the profession, as well as a barrier for potential assistants who might enter the profession.

Credentialing↗
PubMedDate not supplied

Credentialing and job practice in environmental health: an empirical study.

To investigate the validity of the credentialing examination for entry-level practitioners in environmental health, 15 work measures, simulating or assessing important components of job practice, were developed. These work measures, along with the written examination, were administered to a sample of 128 entry-level practitioners drawn from 10 test sites throughout the country. Composite work measures were constructed in which individual work measures were weighted according to their judged importance. The total composite work measure, based on all 15 individual measures, correlated .53 with the total written examination. Correlations between composite work measures and the written test scores were generally in the .3 to .5 range and significant at the .01 level. Seventy-three percent of the sample were consistently classified on both the written examination and the total work measure composite. That is, 73 percent of the sample passed both the examination and the work measures or failed both the examination and the work measures. In comparison to similar studies, the magnitude of the coefficients reported here is acceptable to high. Results show that the examination is a valid, but not perfect, predictor of on-the-job skill in environmental health, and it should help to screen the public from the results of incompetent practice.

Credentialing↗
PubMed1981

The dilemma of allied health professions credentialing.

The number of allied health professions seeking certification and licensure has increased sharply in recent years, leading to intense debate over the necessity, appropriateness, and possible effects of widespread issuing of credentials.

Credentialing↗
PubMed1995

Privileges, credentialing, and liability.

The author describes the real, turbulent, rocky, and political turf road battle of obtaining endoscopic privileges and credentialing. Increases in liability expected from an expanded practice are also discussed.

Colonoscopy↗
PubMed1995

Medical staff: privileging and credentialing.

There is a need to understand the purpose and process of credentialing, privileging, and staff membership. This understanding promotes accurate language, proper usage, and meaningful dialogue. Physicians can benefit by reviewing these terms and their meanings.

Credentialing↗
PubMed1994

Capacity and competence: nurse credentialing and privileging.

Ideally, patient needs are carefully matched with nursing skills, but despite the use of tools such as patient classification systems, matching needs with capabilities remains problematic. To effectively confront this problem, hospitals have a model to manage professionals with disparate education, training and experience--the medical staff credentialing and privileging program. Although adaptation of this model requires a significant cultural change for most nursing departments, it offers the benefits of fostering professionalism and increasing accountability in addition to better meeting patient care needs. In return for their initial investment, nurse executives may see results that include a more responsive, professional staff and increased customer satisfaction, both internal and external.

Clinical Competence↗
PubMed1993

Credentials committee--"get involved".

The purpose of this information is to make a plea to physicians to get involved with your Credentials Committee. Your active interest and participation will help physicians maintain control of this important process. If you are not able to be an active member of the committee, be sure that there is someone on the committee who is looking our for your interests.

Credentialing↗
PubMed1997

The next generation of vascular surgeons: how should they be trained and credentialed? Who should pay for it?

Vascular surgery has matured as a subspecialty of general surgery during the past 25 years. The discipline currently faces a number of challenges including duration and scope of training, financing of graduate medical education, specialty and subspecialty certification, hospital privileging or credentialing, and practice opportunities. This article reviews these issues in terms of present realities and future opportunities. Emphasis is placed on curricular redesign to tailor length and breadth of training to future career goals, be they private practice as a general surgeon with vascular surgery interests, a vascular surgical subspecialist, a rural versus an urban practice, or a subspecialist in an academic setting. A plea is made for regulatory bodies, including the Residency Review Committee for Surgery and the American Board of Surgery, as well as specialty societies, particularly the American College of Surgeons, to maintain a flexible and constructive posture in dealing with proposed educational innovations. With cooperative efforts of both the Association of Program Directors in Surgery and the Association of Program Directors in Vascular Surgery, vascular surgery education and training of both general surgeons and vascular surgeons should be enhanced to fulfill the workforce needs as we enter the next millennium.

Costs and Cost Analysis↗
PubMed1998

An international perspective: APN credentialing.

This article identifies the global environment for the development and regulation of advanced practice nursing; provides a conceptual framework within which to examine regulatory concepts and methods and identify contemporary issues; introduces the worldwide diversity of nursing practice roles, standards, and regulatory systems, including some examples; and proposes a role for American nurse experts in the development of an international movement in advanced practice and in credentialing.

Credentialing↗
PubMedDate not supplied

A credentialing program for nursing staff caring for pediatric patients with an ilizarov apparatus.

The purpose of this article is to provide an overview of an educational program that was implemented at a postacute pediatric rehabilitation facility to prepare the nursing staff to provide quality care for patients undergoing limb lengthening. Patients undergoing limb lengthening and limb reconstruction by the Ilizarov orthopedic method wear a highly complex external fixation device that has numerous variations. As such, it is a type of apparatus that pediatric rehabilitation nurses are unaccustomed to dealing with in the clinical arena. The nursing department at the facility described in this article undertook an intensive educational and credentialing program to ensure staff competency, parent satisfaction, and quality patient care for cases involving limb lengthening and reconstruction.

Bone Lengthening↗
PubMed1996

Outcome as a function of annual coronary artery bypass graft volume. The Ad Hoc Committee on Cardiac Surgery Credentialing of The Society of Thoracic Surgeons.

BACKGROUND: Recent changes in health care financing have raised the specter of operation-specific, volume credentialing for cardiac surgeons. To meet this challenge, the leadership of The Society of Thoracic Surgeons formed an Ad Hoc Committee to study the question of the relationship of case volume to outcome. One product of the committee's work in this analysis of data from The Society of Thoracic Surgery National Cardiac Database. METHODS: We examined data for all types of coronary artery bypass graft-only operations (n = 124,793) from more than 1,200 surgeons working in more than 600 hospitals for the years 1991 through 1993. All in-hospital and 30-day out-of-hospital mortality, both observed and expected as predicted by The Society of Thoracic Surgeons risk stratification method, was plotted against annualized group practice volume. Both patient-based and practice-based sampling techniques were used. RESULTS: The data show that observed mortality ranged from 2.0% to 3.6% for practices of more than 100 cases through practices with more than 900 cases per year. Those practices with less than 100 cases (n = 18) had a mean mortality of 5%. Expected mortalities ranged from 2.4% to 3.9% and did not vary as a function of volume. No practice volume category had an observed/expected ratio of less than 0.8 and none had a ratio greater than 1.2, if annual volume was more than 100. Practices of less than 100 cases/year had an observed/expected ratio of 1.6% to 1.7%. There was great variation in observed and expected mortalities in the lower volume categories and less variation when volume was greater (more than 600 cases/year). CONCLUSIONS: Although the data are practice-group-specific only, there was no clinically relevant correlation of volume to outcome except at extremely low annual volume (less than 100 cases per year). Variability of outcome was significant in lower volume practices (less than 600 cases/year) and varied little at more than 600 cases per year. There were no differences in expected mortality regardless of the size of the practice.

Coronary Artery Bypass↗
PubMedDate not supplied

Program accreditation effect on paramedic credentialing examination success rate.

OBJECTIVES: Program accreditation is used to ensure the delivery of quality education and training for allied health providers. However, accreditation is not mandated for paramedic education programs. This study examined if there is a relationship between completion of an accredited paramedic education program and achieving a passing score on the National Registry Paramedic Certification Examination. METHODS: We used data from the National Registry Paramedic Certification Examination for calendar year 2002. Successful completion (passing) of the examination was defined as correctly answering a minimum of 126 out of 180 (70%) of the questions and meeting or exceeding the individual subtest passing scores. Accredited paramedic training programs were certified by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) on or before January 1, 2002. Candidates reported demographic characteristics including age, gender, self-reported race and ethnicity, education, and employer type. We examined the relationship between passing the examination and attendance at an accredited paramedic training program. RESULTS: A total of 12,773 students completed the examination. Students who attended an accredited program were more likely to pass the examination (OR = 1.65, 95% CI: 1.51-1.81). Attendance at an accredited training program was independently associated with passing the examination (OR = 1.58, 95% CI = 1.43-1.74) even after accounting for confounding demographic factors. CONCLUSION: Students who attended an accredited paramedic program were more likely to achieve a passing score on a national paramedic credentialing examination. Additional studies are needed to identify the aspects of program accreditation that lead to improved examination success.

Accreditation↗
PubMed1996

Prediction of students' USMLE step 2 performances based on premedical credentials related to verbal skills.

PURPOSE: To examine the relationship between the objective premedical credentials and performances on Step 2 on the United States Medical Licensing Examination (USMLE) of 480 students in three classes at the Virginia Commonwealth University Medical College of Virginia School of Medicine. The purpose of the study was to seek those selection criteria that might best predict performance on an examination designed to assess problem-solving skills, the essence of clinical medicine. METHOD: Premedical data from two classes (1193, 1994) were analyzed, and a regression equation was used to calculate theoretical USMLE Step 2 scores for the students in the class of 1995, who had not yet taken this examination. The premedical variables were scores on the verbal and math section on the Scholastic Aptitude Test (SAT), scores on the six sections of the pre-1991 Medical College Admission Test (MCAT), grade-point average (GPA) in science courses required of premedical students, and undergraduate major. Once the class of 1995 had taken the USMLE Step 2, the equation was cross validated, and the theoretical and actual scores of the class of 1995 were correlated. RESULTS: The correlation between theoretical and actual scores was r = .443. In the analysis for the classes of 1993 and 1994, the single variables most highly predictive of USMLE Step 2 performance were scores on the verbal section of the SAT (r = .317) and the Skills Analysis: Reading section of the MCAT (r = .331). However, the MCAT scores were excluded from the final regression analysis because of the pre-1991 MCAT cannot be useful in predicting the performances of present medical school applicants. The resulting regression equation (using the SAT verbal section and premedical GPA) was able to account for 21.2% of the variance for the class of 1995. CONCLUSION: The use of the verbal section of the SAT as a predictive factor is unique. It is significant that this variable was strongly related to premedical GPA, suggesting that high verbal aptitude serves one well, even when coping with complex scientific concepts.

Aptitude↗