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Physician Self-Assessment Tool, MKSAP 14 to be Released New ...

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MEDICAL BULLETIN BOARD<br />

<strong>Physician</strong> <strong>Self</strong>-<strong>Assessment</strong> <strong>Tool</strong>,<br />

<strong>MKSAP</strong> <strong>14</strong> <strong>to</strong> <strong>be</strong> <strong>Released</strong><br />

<strong>New</strong> Edition Includes Online Version<br />

and <strong>Self</strong>-<strong>Assessment</strong> Updates<br />

The American College of <strong>Physician</strong>s (ACP) released<br />

the <strong>14</strong>th edition of its Medical Knowledge <strong>Self</strong>-<br />

<strong>Assessment</strong> Program (<strong>MKSAP</strong> ® ) on July 31, 2006.<br />

Internal medicine specialists, subspecialists, and residents<br />

use the accredited continuing medical education<br />

program <strong>to</strong> prepare for certification examinations, for<br />

lifelong learning, and for improved quality of patient<br />

care.<br />

With its newest addition, <strong>MKSAP</strong> ® has evolved <strong>to</strong><br />

include features that will <strong>be</strong>nefit a variety of <strong>to</strong>day’s<br />

internists, including 11 books, an interactive CD-ROM<br />

and a new non-CME online version that allows anytime,<br />

anywhere learning. A new add-on <strong>to</strong> <strong>MKSAP</strong> <strong>14</strong>,<br />

Board Basics, gives concise, targeted information <strong>to</strong><br />

assist residents preparing for the certification examination.<br />

(Board Basics is available free <strong>to</strong> ACP Associate<br />

mem<strong>be</strong>r subscri<strong>be</strong>rs and for $75 <strong>to</strong> other subscri<strong>be</strong>rs.)<br />

<strong>MKSAP</strong> <strong>14</strong> on CD-ROM and <strong>MKSAP</strong> Online will<br />

<strong>be</strong> released in January 2007. The new <strong>MKSAP</strong> <strong>14</strong><br />

Online will provide all of the features of <strong>MKSAP</strong> <strong>14</strong><br />

on CD-ROM except the ability <strong>to</strong> earn CME credit or<br />

access multi-media tu<strong>to</strong>rials. Twice a year, <strong>be</strong>ginning<br />

in July 2007, Online <strong>Self</strong>-<strong>Assessment</strong> Updates will<br />

provide up <strong>to</strong> 50 new multiple-choice questions and<br />

the opportunity <strong>to</strong> earn up <strong>to</strong> 50 additional CME credits.<br />

The subspecialties will rotate so that each of them<br />

is tested every year. All four updates are available for<br />

an additional $59 or for free <strong>to</strong> buyers of <strong>MKSAP</strong> <strong>14</strong><br />

Complete, which also includes the print, CD-ROM,<br />

and Online versions of the program.<br />

<strong>MKSAP</strong> <strong>14</strong> subscri<strong>be</strong>rs who are enrolled in the<br />

ABIM Maintenance of Certification Program will<br />

have free access <strong>to</strong> specially created <strong>MKSAP</strong> Maintenance<br />

of Certification Modules <strong>to</strong> earn up <strong>to</strong> 80 selfevaluation<br />

process points by using any four of the five<br />

available <strong>MKSAP</strong> 60-question modules.<br />

The newest title in <strong>MKSAP</strong> <strong>14</strong>’s library, Foundations<br />

of Internal Medicine, covers professionalism,<br />

policy and quality improvement and other important<br />

<strong>to</strong>pics at the forefront of the practice of medicine<br />

<strong>to</strong>day. Other titles in Part A include Cardiovascular<br />

Medicine, Gastroenterology and Hepa<strong>to</strong>logy, Rheuma<strong>to</strong>logy,<br />

Neurology, and Hema<strong>to</strong>logy and Oncology.<br />

Part B will <strong>be</strong> published Decem<strong>be</strong>r 29, 2006 and contain<br />

five books: Infectious Disease, Pulmonary and<br />

Critical Care Medicine, General Internal Medicine,<br />

Endocrinology and Metabolism, and Nephrology.<br />

<strong>MKSAP</strong> <strong>14</strong> books have <strong>be</strong>en redesigned for<br />

increased learning efficiency and readability and will<br />

include a full-color layout and more pho<strong>to</strong>graphs and<br />

figures. The new Recent Advances feature alerts<br />

physicians <strong>to</strong> important developments, while the Key<br />

Points feature distills essential information. Selected<br />

references will <strong>be</strong> listed at the end of each section,<br />

while answers and critiques will <strong>be</strong> included in the<br />

same book as the syllabus and the questions. The multiple-choice<br />

questions are tested for difficulty and relevance,<br />

resulting in norm tables that allow subscri<strong>be</strong>rs<br />

<strong>to</strong> compare their performance <strong>to</strong> that of their peers.<br />

<strong>MKSAP</strong> <strong>14</strong> content was planned by a team of<br />

more than 115 leaders in 11 subspecialties who have<br />

reviewed the relevant literature <strong>to</strong> present the <strong>be</strong>st evidence<br />

and the latest practices in the core of internal<br />

medicine. Subscri<strong>be</strong>rs <strong>to</strong> past <strong>MKSAP</strong> editions have<br />

<strong>be</strong>en surveyed <strong>to</strong> ensure the program remains relevant<br />

<strong>to</strong> medical practice and is influential in their medical<br />

decision-making.<br />

Co-edi<strong>to</strong>rs in Chief for <strong>MKSAP</strong> <strong>14</strong> are Patrick C.<br />

Alguire, MD, FACP, direc<strong>to</strong>r of education and career<br />

development for the American College of <strong>Physician</strong>s,<br />

and Paul E. Epstein, MD, FACP, clinical professor of<br />

medicine at the University of Pennsylvania and chief<br />

of pulmonary and critical care medicine at Penn Medicine<br />

at Radnor. “Whether you prefer <strong>to</strong> learn on the<br />

computer or study the printed page, <strong>MKSAP</strong> <strong>14</strong> formats<br />

offer a user-friendly, efficient way for physicians<br />

<strong>to</strong> identify what they know and what needs further<br />

study,” said Dr. Alguire.<br />

<strong>Physician</strong>s who achieve computer-scored test<br />

results significantly above the chance level can earn up<br />

<strong>to</strong> 150 AMA PRA Category 1 Credits(TM) through the<br />

<strong>MKSAP</strong> <strong>14</strong> print and CD-ROM versions. Computer<br />

scoring is available until July 31, 2009.<br />

To order <strong>MKSAP</strong> <strong>14</strong>: Contact ACP Cus<strong>to</strong>mer<br />

Service Department: (800) 523-1546, ext. 2600 or<br />

(215) 351-2600 (M–F, 9 A.M.–5 p.m. ET). Order online<br />

at http://www.acponline.org/catalog/mksap/<strong>14</strong><br />

118<br />

PRACTICAL GASTROENTEROLOGY • SEPTEMBER 2006


MEDICAL BULLETIN BOARD<br />

Prometheus Launches PROMETHEUS ®<br />

IBD Serology 7<br />

V I S I T O U R W E B S I T E A T<br />

P R A C T I C A L G A S T R O . C O M<br />

The Most Comprehensive IBD Test Available<br />

Prometheus Labora<strong>to</strong>ries Inc., has launched Prometheus<br />

IBD Serology 7, an advanced diagnostic panel for<br />

inflamma<strong>to</strong>ry bowel disease. With an overall accuracy<br />

of 92%, this diagnostic test is the most comprehensive<br />

IBD test available with proprietary markers <strong>to</strong> help<br />

physicians diagnose inflamma<strong>to</strong>ry bowel disease (IBD)<br />

and <strong>to</strong> differentiate the subtypes of Crohn’s disease and<br />

ulcerative colitis.<br />

The Prometheus IBD Serology 7 test uses seven<br />

assays, including the new proprietary marker, anti-<br />

CBir1, as compared <strong>to</strong> three assays used by most other<br />

labora<strong>to</strong>ries. The anti-CBir1 marker helps identify<br />

patients with Crohn’s disease, including a unique subset<br />

of patients with Crohn’s disease not previously<br />

detected by other serologic markers.<br />

In addition <strong>to</strong> the new marker, Prometheus IBD<br />

Serology 7 uses a Smart Diagnostic Algorithm (SDA)<br />

<strong>to</strong> calculate the serologic test results. The SDA technology<br />

derives meaning from complicated data by<br />

extracting patterns and detecting trends that are generally<br />

<strong>to</strong>o complex <strong>to</strong> <strong>be</strong> detected by other statistical<br />

means.<br />

“The combination of the new anti-CBir1 marker<br />

and SDA technology is an exciting advance in the field<br />

of IBD diagnostic testing and can provide valuable<br />

information <strong>to</strong> clinicians who use this test as part of<br />

their diagnostic workup,” said Dr. William Sandborn,<br />

Professor of Medicine at the Mayo Clinic College of<br />

Medicine.<br />

“Most serology tests require a trade-off <strong>be</strong>tween<br />

sensitivity and specificity. Prometheus IBD Serology 7<br />

is unprecedented in that it has over 90% sensitivity and<br />

specificity for IBD patients in one test,” stated Dr.<br />

Bruce Neri, Prometheus’ Vice President, Diagnostic<br />

Research & Development. “To gain these levels of performance,<br />

we revolutionized our approach, not only by<br />

adding a new marker, but also by analyzing the data<br />

with a new pattern recognition algorithm. The result is<br />

the first test of its kind.”<br />

Bos<strong>to</strong>n Scientific Launches Radial Jaw ® 4,<br />

<strong>New</strong>est Version of Single-Use Biopsy Forceps<br />

<strong>New</strong> Jaw Configuration Designed<br />

<strong>to</strong> Yield Larger Tissue Specimens<br />

and Improve Procedural Outcomes<br />

Bos<strong>to</strong>n Scientific Corporation announced the U.S.<br />

launch of the newest version of its Radial Jaw ® Single-<br />

Use Biopsy Forceps, featuring more jaw volume and<br />

an improved jaw design compared <strong>to</strong> the market-leading<br />

Radial Jaw 3 Forceps. Radial Jaw 4 Forceps are<br />

designed <strong>to</strong> enable collection of large high quality tissue<br />

specimens without the need <strong>to</strong> use large channel<br />

therapeutic endoscopes.<br />

Acquiring tissue for diagnosis via biopsy is the<br />

most frequently performed procedure by gastroenterologists.<br />

In 2005, approximately 5.8 million endoscopic<br />

biopsy procedures were performed in the U.S.<br />

<strong>to</strong> diagnose various gastrointestinal diseases, including<br />

esophagitis, Barrett’s esophagus, gastritis, Crohn’s disease,<br />

ulcerative colitis and cancer.<br />

The new jaw configuration of the Radial Jaw 4<br />

Forceps is intended <strong>to</strong> provide larger tissue specimens<br />

than Radial Jaw 3 Forceps in order <strong>to</strong> facilitate tissue<br />

sample handling and preparation for accurate his<strong>to</strong>logical<br />

diagnosis. The forceps are also designed for<br />

consistent sample retention and enhanced passability.<br />

The Radial Jaw 4 Forceps can now extract a large<br />

tissue specimen through a 3.2 mm working channel of<br />

an endoscope, as opposed <strong>to</strong> the 3.7 mm working<br />

channel required with a previous version.<br />

“Biopsies are critical for the accurate diagnosis of<br />

any gastrointestinal disorder,” said Russell Yang,<br />

M.D., Keck School of Medicine, University of Southern<br />

California. “The new enhancements <strong>to</strong> Radial Jaw<br />

4 Forceps, such as the ability <strong>to</strong> use a smaller, more<br />

common endoscope and still acquire large samples,<br />

make the Radial Jaw even more valuable for acquiring<br />

tissue <strong>to</strong> accurately diagnose a patient’s condition.”<br />

PRACTICAL GASTROENTEROLOGY • SEPTEMBER 2006 119

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