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Definitions of Physician Certification Used in the North American Literature: A Scoping Review
David Price1, Craig Campbell, Thomas J Van Hoof
1Dr. Price: The University of CO School of Medicine and Senior Advisor to the President, American Board of Family Medicine, Lexington, KY; Dr. Campbell: Associate Professor at the Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Dr. Thomas Van Hoof: Associate Professor at the School of Nursing and School of Medicine, University of Connecticut, Mansfield, CT; Dr. Chappell: Senior Vice President of the Accreditation Program and Institute for Credentialing Research, American Nurses Credentialing Center, Silver Spring, MD; Dr. Moore: Director at the Division of Continuing Medical Education and Director of Evaluation and Education, Office of Graduate Medical Education, Vanderbilt University, Nashville, TN; and Professor of Medical Education and Administration, Vanderbilt University, Nashville, TN; Dr. Olson: Assistant Professor at the Geisel School of Medicine, Dartmouth College, Hanover, NH; Ms. ElChamaa: Research Associate at the Department of Innovation in Medical Education, and the Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Ms. Jeong: Research Associate at the Department of Innovation in Medical Education, and the Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Dr. Danilovich: Research Associate at the Department of Innovation in Medical Education, and the Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, Canada; and Dr. Kitto: Professor at the Department of Innovation in Medical Education and the Faculty of Education, and Director of Research at the Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa; and Assistant Professor at the Department of Surgery, University of Toronto, Canada.
Introduction:
The authors sought to identify how physician specialty certification is defined in the North American literature.
Methods:
A rigorous, established six-stage scoping review framework was used to identify the North American certification literature published between January 2006 and May 2016 relating to physician specialty certification. Data were abstracted using a charting form developed by the study team. Quantitative summary data and qualitative thematic analysis of the purpose of certification were derived from the extracted data.
Results:
A two stage screening process identified 88 articles that met predefined criteria. Only 14 of the 88 articles (16%) contained a referenced purpose of certification. Eighteen definitions were identified from these articles. Definitional concepts included lifelong learning and continuous professional development, assessment of competence and performance, performance improvement, public accountability, and professional standing.
Discussion:
Most articles identified in this scoping review did not define certification or describe its purpose or intent. Future studies should provide a definition of certification to further scholarly examination of its intent and effects and inform its further evolution.
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