Public policy statement on centralized credentialing systems and the physician in recovery.
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Chairpersons of pathology often are viewed as departmental role models in academic medical centers. To objectify this view, we undertook a systematic survey of publication records and professional certification among 126 chairpersons in the United States. The median of the total number of scientific publications by the cohort was 105 since graduation from medical school, and the median yearly number of peer-reviewed papers was 3.34 per person (mean, 4.25). A random 10% of the study population was analyzed further with reference to the percentage of publications that reflected basic science research; 41% of the total literature contributions of this subgroup fit that description, and only 38% of the chairpersons in the subgroup had 80% or more non-service-related publications. Of all chairpersons, 85% had obtained primary board certification in anatomic pathology, clinical pathology, or both, and 25% of the group had earned at least 1 subspecialty board certificate in addition. These numbers reflect an evolution in the professional backgrounds of chairpersons of pathology such that demands for academic scholarship and proficiency in hospital practice and management seem to pertain to that group.
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History is in the making in the mental health movement, with persons who live with a mental illness, are stable, and work in the mental health field as professionals (known as Consumer Providers). It is a new concept; and as with anything new, there is some resistance, some doubt about the wisdom of such a concept. With this article, I want to educate those who read it and hopefully gain enthusiasm for the growth of the Consumer Provider movement. I have lived with mental illness for many years and have only received mental health services from traditional mental health professionals; there were no Consumer Providers when I was ill. I was pleased with my services. However, I believe very strongly in the Consumer Provider movement because the same concept has been ongoing in Alcoholics Anonymous with great success. In AA settings, life-experience professionals have worked side by side with traditionally educated professionals to counsel persons with substance abuse problems. I would like to see Consumer Providers be included in all areas of mental health treatment. Today I know of Consumer Providers on PACT teams, ICMS teams, at Drop-in Centers, and on some Warm Lines. My vision is to see Consumer Providers work throughout the mental health system, including crisis teams, inpatient hospital settings, residential settings, and outpatient programs.
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There has been recurring debate regarding the need for a process of ensuring that individuals who propose research using live animals will be competent in the research and compassionate in their care of animals. The mechanism by which this goal can be accomplished is presently under consideration and acceptance by investigators is of concern. As a first step, the authors propose utilization of an interactive computer program that not only would evaluate cognitive knowledge but also would instruct in areas found to be deficient. Immediate feedback with educational reinforcement is possible. The authors' interest in such a program began with a pediatric surgical postgraduate course presented in 1994 at the Clinical Congress of the American College of Surgeons. The computer program utilized was IRIS (Instantaneous Response Interactive System: IRIS, Denver, CO, USA). This system was well suited to evaluation and instantaneous feedback. That program, or one like it, would be suited to initial evaluation and education of researchers. The important aspect is interaction and immediate feedback. This article also includes the results of a panel discussion at the annual meeting of the Academy of Surgical Research in Albuquerque, New Mexico.
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