AOCOPM Needs Assessment Kit (Now Practice Gap Analysis)

 

Contents

 


 

From the AOA Quality Guidelines for CME Activities

CME Sponsors shall systematically identify the practice gaps of prospective participants and use that information in planning CME activities.

1. Practice gap analysis must be

a. Conducted on an annual basis for repeated activities.
b. Produced for each topic.
c. Based on current data and analysis.
d. Documented with at least one evidenced-based source.

2. Activities exempt from providing a practice gap analysis include

a. OMM/OMT/OPP.
b. Activities addressing non-clinical core competencies (professionalism, communications,
c. systems-based practice).
d. Faculty development activities.
e. State licensure requirements, such as risk management.
f. Board preparation courses.
g. Topics for which the AOA has specific policy endorsing or encouraging CME (need only refer to the specific policy e.g., Inhalation of Volatile Substances; Teenage Alcohol Abuse; and Training on Extended Release-Long Acting (ER/LA) Opioid Risk Evaluation and Mitigation Strategy (REMS), and Stimulant Abuse

3. Examples of practice gap analysis tools include

a. Medical Audit (Identifying Needs)

i) Develop criteria for excellence
ii) Collect and summarize data
iii) Analyze and interpret data

b. Pre-Test item analysis (Identified Needs)
c. Self-Assessment (Identified Needs and Physician Perceived Needs)
d. Questionnaire (Physician Perceived Needs)

4. Educational Objectives

CME Sponsors shall develop learning objectives, based on identified gaps in knowledge, for each
CME topic. The objectives shall state what physician knowledge, skills and attitudes are impacted or
mastered by the conclusion of the activity, such as the correction of outdated knowledge and
acquisition of new knowledge in specific areas, the mastering of new skills, or the changing of
attitudes or habits.

CME Sponsors shall use the objectives developed for an educational activity to select the content
and design the educational methods for that activity. Bloom’s Taxonomy Action Verbs list is an
excellent source for writing and developing learning objectives. https://www.tamug.edu/AcademicAffairs/documents/Blooms-Taxonomy-Action-Verbs.pdf

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Source Data Suggestions

Note that this is neither a complete nor exhaustive list, just a few of the more well-known sources to get you started. 

Please let us know if this is helpful or if you have any additions, changes, or deletions. 


 

US Government Resources

http://www.health.gov is a portal to the Web sites of a number of multi-agency health initiatives and activities of the U.S. Department of Health and Human Services (HHS) and other Federal departments and agencies. This site is coordinated by the Office of Disease Prevention and Health Promotion, Office of Public Health and Science, Office of the Secretary, U.S. Department of Health and Human Services.

United States Center for Disease Control                                                                                      http://www.cdc.gov

National Institutes for Health                                                 http://nih.gov

United States Preventative Services Task Force (USPSTF) http://www.ahrq.gov/clinic/uspstfix.htm

Agency for Healthcare Research and Quality (AHRQ)                                                                                   http://www.ahrq.gov/ 

Health-Related Foundations/Organizations

The Henry J. Kaiser Family Foundation – Health Policy http://kff.org/

The United Health Foundation – America’s Health Rankings (by state) http://www.americashealthrankings.org/

The National Women’s Health Foundation http://www.nationalwomenshealth.org/

National Public Health Information Coalition http://www.nphic.org/

American Public Health Association http://www.apha.org/ 

Disease Specific Organizations

American Cancer Society http://www.cancer.org

American Diabetes Association http://www.diabetes.org/

American Heart Association http://www.americanheart.org/presenter.jhtml?identifier=1200000

American Lung Association http://www.lungusa.org/ 

State Specific Organizations

Association of State and Territorial Health Officials http://www.astho.org/

CDC Public Health Resources – State Departments of Health http://www.cdc.gov/mmwr/international/relres.html

National Association of County and City Health Officials http://www.naccho.org/

Most states have specific health statistical data available that may aid in determining need. For example: State of Illinois Health Statistics http://www.idph.state.il.us/health/statshome.htm

Journals Relative to the Specialties of Osteopathic Medicine

Journal of the American Osteopathic Association http://www.jaoa.org/

Journal of Osteopathic Medicine and Primary Care http://www.om-pc.com/

Osteopathic Family Physician http://www.acofp.org/resources/publications.aspx

Journal of the American College of Osteopathic Dermatology http://www.aocd.org/jaocd/index.html 

Medical Journals

Journal of the American Medical Association http://jama.ama-assn.org/

American Family Physician http://www.aocd.org/jaocd/index.html

Family Practice Management http://www.aafp.org/online/en/home/publications/journals/fpm.html

The New England Journal of Medicine http://content.nejm.org/ 

Web Search Engines

Journal Watch - Journal Watch reviews over 180 scientific and medical journals to present important clinical

research findings and insightful commentary. http://www.jwatch.org/

MedScape/MedScapeCME/WebMD – no fee but requires registration http://www.medscape.com/T

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 AOBPM (Preventive Medicine) Exam Tables of Specificity

Table 1.  Core – Distribution of Items Across Domains

Domain

Distribution

Epidemiology

7%

Statistics

9%

Acute Disease Prevention

11%

Chronic Disease Prevention

4%

Maternal Health

7%

Health Care of Young

3%

Injuries

8%

Mental Health

7%

Mental Retardation

4%

Substance Abuse

3%

Occupational Medicine

7%

Environmental Medicine

2%

Legal Aspects of Medicine

8%

Medical Ethics

3%

Health Care Professionals

6%

Health Care Services

6%

Health Care Finance

5%

Total

100%

 

Table 2.  Core Oral – Distribution of Items Across Domains

Domain

Distribution

Administration

33%

Clinical Topics

33%

Environment

33%

Total

100%

Please note, this table does not total to 100

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Table 3.  Public Health/Community Medicine Re-Certification –
Distribution of Items Across Domains

Domain

Distribution

Epidemiology and Statistics

16%

Acute Disease Prevention

15%

Chronic Disease Prevention

10%

Maternal and Child Health

4%

Injuries

10%

Mental Health and Retardation

5%

Substance Abuse

2%

Occupational and Environmental Medicine

6%

Legal Aspects of Medicine

4%

Medical Ethics

2%

Health Care Professionals

6%

Health Care Services and Finance

11%

Public Health Administration

4%

Infectious Disease

5%

 

 

Total

100%

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Table 4.  Occupational/Environmental Medicine – Distribution of Items Across Domains

Domain

Distribution

Treatment

20%

Rules and Regulations

15%

Epi/Biostat

5%

Health Management/Impairment

3%

Toxicology

20%

Hearing

5%

Dermatology

5%

Respiratory/Industrial Hygiene

20%

Reproductive

2%

Decompressions

1%

Vibrations

1%

Radiation

3%

Total

100%

Please note, this table does not total 100%

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Table 5.  Occupational and Environmental Medicine Re-Certification – Distribution of Items Across Domains (also CAQ)

Domain

Distribution

Epidemiology and Statistics

3%

Acute Disease Prevention

13%

Chronic Disease Prevention

5%

Impairment and Disability Evaluation

5%

Toxicology

12%

Injury Prevention

8%

Mental Health and Retardation

2%

Industrial Hygiene and Safety

12%

Substance Abuse

2%

Clinical Occupational and Environmental Medicine

13%

Legal and Regulatory Requirements

10%

Physical Hazards

7%

Biological Hazards

6%

Reproductive Hazards

2%

Total

100%

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Table 6.  Aerospace Medicine – Distribution of Items Across Domains

Domain

Distribution

History

3%

Biomechanics

15%

Civil Regulation

20%

Clinical Aerospace Medicine

45%

Environment of Flight

7%

Specialized Areas

10%

Total

100%

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Table 7.  Aerospace Medicine Re-Certification – Distribution of Items Across Domains

Domain

Distribution

History

2%

Biomechanics

15%

Legal and Regulatory Requirements

20%

Clinical Aerospace Medicine

20%

Environment of Flight

10%

Epidemiology and Statistics

6%

Injury Prevention

10%

Barometric Physiology

15%

Substance Abuse

2%

Total

100%

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AOBPM Exam Results Reports 2010-2014

2010-2014: Core

 

(Includes Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014)

 

Overall: 15 candidates (9 passed, 6 failed)

 

Table of Specifications

Group Minimum

Group Average

Group Maximum

Acute Disease Prevention

42.90

64.55

 

100.00

Chronic Disease Prevention

50.00

64.16

 

92.30

Environmental Medicine

33.33

45.81

 

100.00

Epidemiology

50.00

54.10

 

84.62

Health Care Professionals

40.00

69.59

 

100.00

Health Care Services

25.00

78.43

 

67.00

Occupational Medicine

25.00

56.13

 

100.00

Statistics

37.00

77.03

 

100.00

Substance Abuse

14.30

71.58

 

85.70

*Results include 6 retakes

 

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2010-2014: Aerospace Medicine Osteopathic Continuous Certification

(Includes Spring 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014)

 

Overall: 7 candidates (7 passed, 0 failed)

 

Multiple Choice Exam: 7 candidates (7 passed, 0 failed)

 

Oral Exam: 0 candidates

 

Essay Exam: 7 candidates (7 passed, 0 failed)

 

Table of Specifications

 

Group Minimum

 

Group Average

Group Maximum

Barometric Physiology

 

50.00

 

79.60

 

100.00

Biomechanics

 

62.50

 

86.30

 

100.00

Clinical Aerospace Medicine

 

68.75

 

85.50

 

100.00

Environment of Flight

 

33.33

 

66.92

 

100.00

Epidemiology and Statistics

 

33.00

 

70.00

 

100.00

History

 

0.00

 

54.99

 

100.00

Injury Prevention

 

50.00

 

82.78

 

100.00

Legal and Regulatory Requirements

 

50.00

 

81.34

 

100.00

Operational Aerospace Medicine

 

100.00

 

100.00

 

100.00

Substance Abuse

 

0.00

 

47.23

 

100.00

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2007-2014: Aerospace Medicine Certification

(Includes Spring 2007, Spring 2008, Spring 2009, Spring 2012)

Overall: 13 candidates (6 passed, 7 failed)

Multiple Choice Exam: 12 candidates (9 passed, 3 failed)

Oral Exam: 8 candidates (8 passed, 0 failed)

Essay Exam: 11 candidates (6 passed, 5 failed)

Table of Specifications

Group Minimum

Group Average

Group Maximum

Barometric Physiology

66.67

66.67

66.67

Biomechanics

66.67

66.67

66.67

Civil Regulations

100.00

100.00

100.00

Clinical Aerospace Medicine

31.00

51.43

57.00

Environment of Flight

62.50

54.63

62.50

Epidemiology and Statistics

100.00

100.00

100.00

History of Aerospace Medicine

42.00

73.58

83.00

Injury Prevention

25.00

25.00

25.00

Legal & Regulatory

100.00

100.00

100.00

Management and Administration Research

31.00

72.63

94.00

Operational Aerospace Medicine

61.00

67.25

78.00

Substance Abuse

100.00

100.00

100.00

*Results include 3 retakes of essay and 3 retakes of MC

No Candidates in 2010, 2011, 2013 and 2014

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Public Health Continuous Certification

2010-2014: Public Health Osteopathic Continuous Certification

(Includes Spring 2010, Fall 2010, Spring 2011, Spring 2012)

Overall: 11 candidates (6 passed, 5 failed)

Multiple Choice Exam: 10 candidates (6 passed, 4 failed)

Oral Exam: 0 candidates

Essay Exam: 7 candidates (6 passed, 1 failed)

Table of Specifications

Group Minimum

Group Average

Group Maximum

Acute Disease Prevention

33.30

74.10

100.00

Biostatistics

50.00

88.88

100.00

Chronic Disease Prevention

0.00

50.00

50.00

Clinical Preventive Medicine

50.00

75.16

100.00

Epidemiology and Statistics

46.20

77.50

92.30

Evidence Based Medicine

0.00

86.66

100.00

General Preventive Medicine

33.30

66.90

100.00

Infectious Disease

0.00

86.65

100.00

Legal Aspects of Medicine

0.00

90.00

100.00

Occupational and Environmental

0.00

77.34

100.00

Public Health

55.60

87.32

100.00

Public Health Administration

0.00

30.85

100.00

Public Health Law

0.00

61.58

100.00

Study Design

40.00

69.35

86.00

*Results include 4 retake of Specialty MC, 1 retake of essay

No Candidates in 2013 or 2014

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Occupational Medicine CAQ

 

2010-2014: Occupational Medicine CAQ

 

(Includes Spring 2010, Fall 2010, Spring 2011, Spring 2012, Spring 2013, Spring 2014)

Overall: 29 candidates (21 passed, 8 failed)

Multiple Choice Exam: 24 candidates (20 passed, 4 failed)

Oral Exam: 0 candidates

Essay Exam: 28 candidates (22 passed, 6 failed)

Table of Specifications

Group Minimum

Group Average

 

Group Maximum

Acute Disease Prevention

38.00

59.59

 

90.00

Biological Hazards

25.00

47.10

 

100.00

Chronic Disease Prevention

50.00

78.18

 

100.00

Chronic Disease

100.00

100.00

 

100.00

Clinical Occ & Env Med

43.75

61.29

 

83.30

Epidemiology and Statistics

20.00

64.25

 

100.00

Impairment & Disability Evaluation

50.00

78.13

 

100.00

Industrial Hygiene and Safety

28.57

70.34

 

100.00

Injury Prevention

33.00

64.87

 

100.00

Legal & Regulatory Requirements

46.67

79.65

 

100.00

Mental Health & Retardation

0.00

50.00

 

100.00

Physical Hazards

50.00

89.77

 

100.00

Radiation

0.00

50.00

 

100.00

Reproductive Hazards

0.00

74.00

 

100.00

Rule and Regulation

0.00

0.00

 

0.00

Substance Abuse

0.00

25.91

 

100.00

Toxicology

48.00

67.78

 

87.00

Treatment

0.00

23.13

 

100.00

Undefined

0.00

52.50

 

80.00

*Results include 5 retakes of MC, 5 retakes of essay

 

 

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Undersea & Hyperbaric Medicine CAQ

 

2010-2014: Undersea & Hypberbaric Medicine CAQ

(Includes Spring 2010, Fall 2010, Spring 2011, Fall 2011, Spring 2012, Fall 2012, Fall 2013, Spring 2014)

Overall: 41 candidates (32 passed, 9 failed)

Multiple Choice Exam: 41 candidates (32 passed, 9 failed)

Oral Exam: 0 candidates

Essay Exam: 0 candidates

Table of Specifications

Group Minimum

Group Average

Group Maximum

Clinical Hyperbaric Medicine

51.16

64.24

84.21

Diving Medicine

43.20

55.50

77.30

Fundamentals

40.35

65.27

85.71

Research

0.00

74.35

100.00

*Results include 7 retakes of MC

 

 

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