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Voluntary dental laboratory certification program. Council on Prosthetic Services and Dental Laboratory Relations.

Laboratory certification does not offer concrete guarantees of consistent high quality of products or services. It does, however, identify, for the dental profession, a competency and acceptability factor on which to base a predication of performance by the laboratory. Also, laboratory certification establishes a framework within which the dental laboratory industry can work to continue upgrading its facilities and personnel, demonstrates the concern of certified laboratories for continuing competence, and indicates to government and third-party payers a willingness to develop standards endorsed by the industry.

Certification↗

The national qualifying examination for certification of nurse anesthetists: a report covering six examinations--November, 1975-June, 1978.

Since 1975, the Council on Certification of Nurse Anesthetists has been responsible for the National Qualifying Examination Program, an essential component of the process whereby graduates of accredited nurse anesthesia educational programs gain certification in this nursing specialty. The following report has been prepared to share information about the examination program, including the results of the past six examinations.

Achievement↗

MLA Certification by examination under the 1964 code: a survey of 1975-1976 participants.

The increased attention being given to an examination in the Medical Library Association certification process prompted a study of a group taking the examination under the old (1964 revision) code. Completed questionnaires were received from fifty-three of the sixty-five persons who took the examination in 1975 and 1976. Backgrounds of individuals varied, especially in years of experience. The majority of those responding had worked in both health sciences and other libraries. Experience in health sciences libraries was reported by 92% of those replying. A number of reasons for seeking MLA certification were given. Problems in being able to take MLA-approved courses prompted the choice of the examination process. Preparation for the examination was chiefly by self-directed study. Continuing education courses were considered as of greater value for professional development than as help on the examination. The examination was rated "moderately difficult" by 57% of those responding. Opinions were expressed on the skills and areas of expertise which were considered by this group to be important in an examination for professional competence.

Certification↗

Sick leave certification in general practice.

Details were recorded of all sick leave certificates issued for six months in a family practice of 1750 patients in an immigrant Yemenite working class town. Certificates were issued most on Sundays and in the autumn festive season. The common diagnoses were inflammation of the upper respiratory or gastrointestinal tracts, locomotor disorders in men and gynaecological disorders in women.

Absenteeism↗

The accuracy of medical certifications of cancer deaths and of cancer diagnosis in the municipal area of Barcelona in 1979.

Death certificates containing a diagnosis of cancer concerning residents of the municipal area of Barcelona were matched against their clinical records to assess the accuracy of medical certifications of cancer death. Out of 2,945 cancer deaths, medical records were available in 1,557 (53%). Both documents were in agreement in 81% of the cases. Information on quality of cancer diagnosis was collected by considering the best evidence available derived from the techniques used. Histology of the primary was present in 67% of the cases. Histology of a metastatic deposit or positive cytology was the best evidence in 10% and other techniques -clinical, X-Ray or laboratory tests- were the best method used in 23%.

Death Certificates↗

Training, examination, and certification of a thoracic surgeon. A position paper of the American Board of Thoracic Surgery.

The training of a thoracic surgeon is a complex process, requiring a minimum of six to seven years. Reliable examination of the trainee is similarly complex, requiring evaluation by various methods at different periods of time. Great care has been taken to keep the methods of examination free from bias and impartial by making the Residency Review Committee for Thoracic Surgery and the American Board of Thoracic Surgery completely independent organizations, unrelated to any other national professional organization. Use of a national professional testing service as a consultant has been a valuable addition to the examination process, which assures that the questions used are reliable and effective and that the results of the examination are objectively assessed. The process of training, examination, and certification of a thoracic surgeon has evolved based on the experience obtained over the past three decades and has repeatedly proved to provide a satisfactory measure of competency in thoracic surgery. It is an achievement of which all thoracic surgeons can feel justly proud. Modifications in the structure and function of the certification process will continue to be made as changes in our medical knowledge occur.

Certification↗

Information from birth certificates as a risk index for educational handicap.

Information from birth certificates (including race, birth order and weight, and maternal age and education) was used to develop a set of classification equations to predict the educational status of first-grade children. The equations were developed with one-half of the sample and then applied to the other half in a replication test. The equations accurately identified approximately 80 percent of the children who scored 1 standard deviation or more below the mean on both a measure of intellectual competence and a measure of adaptive behavior. The usefulness of birth certificates as a first-line screening method was discussed.

Adult↗

The legal significance of clinical engineering certification.

Recent court decisions and legislation have initiated a new period in product liability--one in which the traditional concepts of liability are being broadened to include, for example, X-ray treatment as a product that, if defectively administered, could result in liability to someone associated with its transmission, regardless of fault. In addition, there has been a successful attempt at holding an entire industry, as opposed to an individual person or company, responsible for an alleged defective product. Clinical engineers should consider whether licensure, registration, or certification would provide additional protection against litigation. The legal significance of such moves would vary from state to state. Professional certification, unlike registration or licensure, would not subject a clinical engineer to increased governmental control.

Biomedical Engineering↗

[The changing role of the veterinarian in primary production (demands with respect to diagnostic tests, risk analysis and the need for certification of farms)].

Various new developments in livestock production confront the veterinarian. In addition to Integrated Food Chain Quality Control, certification of farms for animal health status and also for production methods is becoming increasingly important. Certification for veterinary practices is forthcoming. In order to optimize national herd health, quantitative information is needed and certain methods have to be improved. The veterinarian must be able to apply new techniques adequately and to interpret disease- and environment-related data properly. Problem areas are highlighted and different ways of dealing with them are elaborated upon. It is concluded that the veterinarian is strategically positioned to solve these problems, but that suitable, complementary training is needed, as well as new quantitative research.

Animal Diseases↗

Quality assurance, accreditation, and certification: needs and possibilities.

Demonstrable quality of laboratory services entails two parts. First, one needs a quality policy statement, identification of user needs, choice of measurement procedures, reference measurement system to provide traceability, control materials, and proficiency testing with materials having reference-measurement-assigned values. Second, it may be useful to obtain recognition of competence in addition to the director's certificate, such as Good Laboratory Practice (when studying toxicity of chemicals), ISO 9000 certification of a self-defined quality system, nongovernmental professional accreditation, or, most demanding, governmental accreditation according to European Standard EN 45,001 with some modifications. These require external quality audit; ISO and EN also require a quality manual, which is valuable documentation in any case.

Accreditation↗

CAPA: your practice, your certification.

Certification is a process that validates knowledge in a particular area of clinical practice. The process involved in identifying the need for ambulatory certification and the process involved in constructing and validating a new examination are described. Being certified shows your experience in a nursing specialty to your peers and the public.

Ambulatory Surgical Procedures↗

[Problems with certification of work capability for people with symptoms of functional and organic diseases of cerebral vessels].

The problems of certifying work capability for people with the symptoms of functional and organic diseases of cerebral vessels were investigated basing on the documentation of 470 medical consultations performed at the Out-Patient Department of Occupational Diseases, the Institute of Occupational Medicine, Lodz, Poland. The certification was most difficult in people with angiogenic headache, symptoms of transient cerebral ischaemia and apoplexy with non-intensive deficiency signs. The certification criteria most appropriate for that group of diseases were formulated.

Cerebrovascular Disorders↗

Where babies are born and who attends their births: findings from the revised 1989 United States Standard Certificate of Live Birth.

OBJECTIVE: To examine the results of changes in the birth certificate with regard to characteristics of the mothers and the birth weights of their infants. The United States Standard Certificate of Live Birth was revised in 1989 to include specific designations for the place of births out of hospital and the presence of a nurse-midwife or other midwife at the birth. METHODS: All results are based on data from the Natality, Marriage and Divorce Statistics Branch of the National Center for Health Statistics, Centers for Disease Control. In all cases reported here, the data represent at least 91% of all United States births in 1989. RESULTS: Different patterns of birth attendance emerged in different settings. In residential births, other midwives and "others" attended 66% of all births, whereas in freestanding birth centers, physicians and certified nurse-midwives attended 75.1% of all births. The characteristics of the mothers differed substantially according to who attended their births in these settings. Substantial interstate variations in place and attendant were also documented. CONCLUSION: The positive outcomes achieved in certain settings indicate a need for further research into the factors that influence birth outcomes.

Adult↗

European certification of clinical competence in adult echocardiography issued in Belgium. The Steering Committee of the Belgian Working Group on Echocardiography and Cardiac Doppler.

In accordance with the European proposals, adapted guidelines are proposed for a certification of clinical competence in adult echocardiography, with transoesophageal echocardiography as a special option. The conditions required to be candidate to the certification, the exemptions of practical training for long-term echocardiographers and the organisation of the training itself are successively considered. Standards for training, site accreditation, official logbook characteristics, minimal numbers of examinations and minimal stage duration are defined. Content of theoretical training, as well as organisation of formal and informal education and of final examination, are described.

Adult↗

Specializing in nursing: nephrology certification and recertification: benefits and barriers.

The diversity and complexity of nephrology is increasing and specialized knowledge and skills are required to practise this subspeciality. As a result, specialization and certification by the Canadian Nurses' Association (CNA) in nephrology nursing has become a reality. Specialization benefits patients, nurses and employers by ensuring high professional standards, providing an increased sense of professional achievement and innovative ways of providing quality care. Maintaining these high standards requires continuing education and recertification. A number of educational opportunities meet these needs. Recognition of speciality services would motivate more nurses to commit to nephrology certification. Specialization demands a greater commitment from the health care system, but provides significant dividends to both the health care system and the patient.

Canada↗

Physicians' perceptions of and approaches to woman abuse. Does certification in family medicine make a difference?

OBJECTIVE: To discover whether family physicians who go through residency training and The College of Family Physicians of Canada's (CFPC) certification process are more responsive than other physicians to woman abuse, whether they perceive and approach such abuse more appropriately, and whether they seek out more education on the subject. DESIGN: A national survey using a pretested 43-item mailed questionnaire to examine perceptions of and approaches to detection and management of woman abuse. SETTING: Canadian family and general practice. PARTICIPANTS: A cross-sectional sample of 1574 family physicians and general practitioners, of whom 963 (61%) volunteers responded. MAIN OUTCOME MEASURES: Demographic variables, perceptions of abuse, methods of diagnosing and managing woman abuse. RESULTS: Most respondents agreed they could not diagnose and treat woman abuse effectively, regardless of certification status. They indicated they were detecting only 33% of cases. Certificants of CFPC, in particular residency-trained certificants, were more likely to think that they should be diagnosing woman abuse than noncertificants; they were also more likely to help victims by referring them to specialists and other agencies. Certificants were also more likely to think they should be treating these patients themselves, and that they were not adequately trained to do so. Although most respondents thought they needed more education, certificants were more likely to know of relevant courses, to have attended such courses, and to have read books or articles on the topic. CONCLUSIONS: Being a certificant is not associated with perceived skills in diagnosing and treating woman abuse, but is associated with an increased awareness of the problem. Certificants know that education on woman abuse is available.

Adult↗

The hand therapy certification examination: results of the first five years.

In 1991, the first Hand Therapy Certification Examination was administered to candidates throughout the United States. Since then, the examination has been given annually. The purpose of this paper is to summarize the processes that have been used to develop the examination as well as to report demographic data about the examination and certification candidates. Overall, the results of test administration have been very good. Twenty-two hundred therapists have become certified hand therapists. Eighty-five percent are occupational therapists, and 88% are female. Most candidates have practiced for ten years or less and have maintained caseloads of upper-extremity patients for three to six years. The examination has performed well. Reliability coefficients have been 0.91 or greater for each administration. The mean scores on the examination have decreased each year, from 148.4 in 1991 to 129.4 in 1995.

Certification↗