Expired Study
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Detroit, Michigan 48202


Purpose:

The purpose of this study is to determine whether having physicians evaluate their management of certain diseases as part of board recertification results in improved patient care.


Study summary:

In the year 2000, the American Board of Internal Medicine introduced continuous professional development as part of its board recertification process. The purpose of these changes were to achieve the following goals: - To improve the quality of patient care; - To affirm the high standards expected of a self-regulating, accountable profession; - To foster continuing scholarship and self-improvement; - To offer diplomats a portfolio of credentials attesting to competence; and - To add value to the health care system. The most notable change in the new recertification process was the addition of practice improvement modules (PIMs). These modules require physicians to review how well they manage a particular chronic disease within their practice and to develop an improvement plan for their practice. In April 2005, it became a requirement that all internists complete a PIM as part of board recertification. Currently, it not known whether having physicians evaluate their management of certain diseases as part of board recertification will achieve its intended goal of improving patient care. Therefore, the purpose of this trial is to assess whether practice improvement modules result in improved clinical performance. The PIM selected for this study will focus on asthma. As PIMs seek to improve the quality of care within a practice, the unit of randomization in this study will be clinics (i.e., practices) within the Henry Ford Health System. We will enroll practicing, board-certified internists within the Henry Ford Medical Group (~40 internists or 20 per arm). Clinics (~16 or 8 per arm) will then be randomized to either complete the PIM or not complete the PIM. Participating internists at a site randomized to complete the PIM will be encouraged to work together to complete the asthma PIM. Participating internists at control sites will continue usual care and will not be asked to complete an asthma PIM. Comparisons: We will assess differences in asthma care by prospectively surveying patients seen by physicians in the intervention group and control group following the intervention period. These analyses will be adjusted by the baseline characteristics of asthma patients seen by participating physicians.


Criteria:

Inclusion Criteria: - Previously board-certified in internal medicine - Practicing general internist within the Henry Ford Medical Group Exclusion Criteria: - None


Study is Available At:


Original ID:

F10011


NCT ID:

NCT00115284


Secondary ID:


Study Acronym:


Brief Title:

Changes in Physician Performance Through Continuous Professional Development


Official Title:

An Evaluation of Changes in Physician Performance Through Continuous Professional Development


Overall Status:

Completed


Study Phase:

N/A


Genders:

Both


Minimum Age:

N/A


Maximum Age:

N/A


Quick Facts

Healthy Volunteers
Oversight Has DMC
Study Is FDA Regulated
Study Is Section 801
Has Expanded Access

Study Source:

Henry Ford Health System


Oversight Authority:

United States: Institutional Review Board


Reasons Why Stopped:


Study Type:

Interventional


Study Design:

Allocation: Randomized, Intervention Model: Fact


Number of Arms:

0


Number of Groups:

0


Total Enrollment:

40


Enrollment Type:


Overall Contact Information

Official Name:L. Keoki Williams, MD, MPH
Principal Investigator
Center for Health Services Research, Henry Ford Health System

Study Dates

Start Date:January 2005
Completion Date:December 2006
Completion Type:Actual
Primary Completion Date:July 2006
Primary Completion Type:Actual
Verification Date:February 2009
Last Changed Date:February 12, 2009
First Received Date:June 21, 2005

Study Outcomes

Outcome Type:Secondary Outcome
Measure:7) The proportion of patients reporting regular use of a rescue inhaler daily.
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:6) The proportion of patients reporting nocturnal asthma symptoms in the past month
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:5) The proportion of patients who received a written action plan for exacerbations
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:4) The proportion of patients instructed to use a peak flow meter
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:3) The proportion of patients instructed to use short-acting beta-agonists as needed.
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:2) The proportion of patients reporting that asthma triggers were discussed
Safety Issues:False
Outcome Type:Secondary Outcome
Measure:1) The proportion of patients reporting instruction on the proper inhaler technique
Safety Issues:False
Outcome Type:Primary Outcome
Measure:1) The proportion of patients prescribed inhaled corticosteroids
Safety Issues:False

Study Interventions

Intervention Type:Behavioral
Name:ABIM asthma practice improvement module

Study Arms

There are no available Study Arms

Study Agencies

Agency Class:Other
Agency Type:Lead Sponsor
Agency Name:Henry Ford Health System

Sample and Retention Information

There are no available Sample and Retention Information

Study References

Reference Type:Reference
Citation:Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA. 1995 Sep 6;274(9):700-5.
PMID:7650822
Reference Type:Reference
Citation:Campbell C, Parboosingh J, Gondocz T, Babitskaya G, Pham B. A study of the factors that influence physicians' commitments to change their practices using learning diaries. Acad Med. 1999 Oct;74(10 Suppl):S34-6. No abstract available.
PMID:10536587
Reference Type:Reference
Citation:Kassirer JP. ABIM looks toward the future. Am J Med. 1996 Feb;100(2):123-4. No abstract available.
PMID:8629644
Reference Type:Reference
Citation:Norcini JJ, Lipner RS. Recertification: is there a link between take-home and proctored examinations? Acad Med. 1999 Oct;74(10 Suppl):S28-30. No abstract available.
PMID:10536585
Reference Type:Reference
Citation:Norcini JJ, Lipner R, Downing SM. How meaningful are scores on a take-home recertification examination? Acad Med. 1996 Oct;71(10 Suppl):S71-3. No abstract available.
PMID:8940939
Reference Type:Reference
Citation:Wasserman SI, Kimball HR, Duffy FD. Recertification in internal medicine: a program of continuous professional development. Task Force on Recertification. Ann Intern Med. 2000 Aug 1;133(3):202-8.
PMID:10906835
Reference Type:Reference
Citation:Glassock RJ, Benson JA Jr, Copeland RB, Godwin HA Jr, Johanson WG Jr, Point W, Popp RL, Scherr L, Stein JH, Taunton OD. Time-limited certification and recertification: the program of the American Board of Internal Medicine. The Task Force on Recertification. Ann Intern Med. 1991 Jan 1;114(1):59-62. No abstract available.
PMID:1983934
Reference Type:Reference
Citation:Benson JA Jr. Certification and recertification: one approach to professional accountability. Ann Intern Med. 1991 Feb 1;114(3):238-42.
PMID:1984748

Data Source: ClinicalTrials.gov

Date Processed: January 21, 2020

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