肥胖医学作为亚专科与美国认证综述

Angela Fitch , Deborah B. Horn , Christopher D. Still , Lydia C. Alexander , Sandra Christensen , Nicholas Pennings , Harold Edward Bays
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引用次数: 3

摘要

背景美国医生的肥胖医学认证主要通过美国肥胖医学委员会(ABOM)进行。肥胖医学不被美国医学专业委员会(ABMS)或美国骨病协会(AOA)承认为亚专业。这篇综述考察了专业化的价值、当前ABOM文凭的地位、参与ABMS/AOA委员会认证的管理机构,以及ABMS/AAA认可的肥胖医学亚专业的优势和劣势。方法本综述的数据来源于PubMed和应用网站。内容是由作者的专业知识、见解和观点驱动的。结果现有的ABOM肥胖医学认证程序导致肥胖医学文凭的人数急剧增加。如果ABMS/AOA承认肥胖医学是现有ABMS成员委员会下的一个亚专业,那么肥胖医学将获得与其他ABMS认可的亚专业一样的地位。然而,ABOM文凭医生向ABMS认可的亚专科医生的转变可能会影响公认专注于肥胖医学护理的医生的种类和数量。需要考虑的过渡问题包括:(1)有多少ABMS成员委员会将监督肥胖医学作为一个亚专业,哪些医生有资格?(2) 目前的ABOM文凭是否需要完成肥胖医学奖学金?如果没有,那么目前的ABOM文凭转为ABMS认可的肥胖医学亚专科医生的过程是什么(即“祖父标准”)?(3)根据ABMS,是否有足够的肥胖医学奖学金项目将肥胖医学视为一个亚专业?结论关于向ABMS认可的肥胖医学亚专业过渡与保留当前ABOM文凭证书的决定应考虑哪种最有利于肥胖患者的医疗服务和护理,哪种最能帮助肥胖医学临床医生的专业知识得到认可。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Obesity medicine as a subspecialty and United States certification – A review

Background

Certification of obesity medicine for physicians in the United States occurs mainly via the American Board of Obesity Medicine (ABOM). Obesity medicine is not recognized as a subspecialty by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA). This review examines the value of specialization, status of current ABOM Diplomates, governing bodies involved in ABMS/AOA Board Certification, and the advantages and disadvantages of an ABMS/AOA recognized obesity medicine subspecialty.

Methods

Data for this review were derived from PubMed and appliable websites. Content was driven by the expertise, insights, and perspectives of the authors.

Results

The existing ABOM obesity medicine certification process has resulted in a dramatic increase in the number of Obesity Medicine Diplomates. If ABMS/AOA were to recognize obesity medicine as a subspecialty under an existing ABMS Member Board, then Obesity Medicine would achieve a status like other ABMS recognized subspecialities. However, the transition of ABOM Diplomates to ABMS recognized subspecialists may affect the kinds and the number of physicians having an acknowledged focus on obesity medicine care. Among transition issues to consider include: (1) How many ABMS Member Boards would oversee Obesity Medicine as a subspecialty and which physicians would be eligible? (2) Would current ABOM Diplomates be required to complete an Obesity Medicine Fellowship? If not, then what would be the process for a current ABOM Diplomate to transition to an ABMS-recognized Obesity Medicine subspecialist (i.e., “grandfathering criteria”)? and (3) According to the ABMS, do enough Obesity Medicine Fellowship programs exist to recognize Obesity Medicine as a subspecialty?

Conclusions

Decisions regarding a transition to an ABMS recognized Obesity Medicine Subspecialty versus retention of the current ABOM Diplomate Certification should consider which best facilitates medical access and care to patients with obesity, and which best helps obesity medicine clinicians be recognized for their expertise.

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