The concept of required participation in a quality improvement activity as a condition of continued certification is a radical departure from the past practice of multiple choice tests. Case 12 (McLaughlin, Johnson, & Sollecito, 2011) reports on a proposed pilot project with pediatric gastroenterologists, a subspecialty that has had success studying cystic fibrosis and improving its outcomes. Upon reading Case 12 (McLaughlin, Johnson, & Sollecito, 2011), answer the follow case assignment questions: Is this a legitimate requirement by the subspecialty board certification bodies? What is the infrastructure necessary to make this exercise fact-based? Who is going to pay for this infrastructure? How widespread should the new requirement be? Does it make more sense for some subspecialties than others? Is this approach preferable to or supplemental of early training approaches like Microsystems? How much responsibility for quality improvement can and should a subspecialty group hold itself responsible for? Is this a useful antidote to the biases introduced into medical research by pharmaceutical firm’s expenditures? Is this approach a reasonable alternative to the meticulous, but slow and expensive “gold standard” of double-blind clinical trials? References McLaughlin, C. P., Johnson, J. K. & Sollecito, W. A. (eds.) 2011. Implementing continuous quality improvement in health care: A global casebook. Sudbury, MA: Jones and Bartlett Publishers. Sollecito, W. A., & Johnson, J. K. (2013). McLaughlin and Kaluzny’s continuous quality improvement in health care. Burlington, MA: Jones and Bartlett. for this assignment address the questions and make the question the heading for each answer. “
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