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COMMENTS AND OPINIONS
Is Quality of Care Only Instrumental?—Reply
Eric S. Holmboe, MD;
Yun Wang, PhD;
Thomas P. Meehan, MD, MPH;
Janet P. Tate, MPH;
Shih-Yieh Ho, PhD, MPH;
Rebecca S. Lipner, PhD
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In reply
We appreciate the opportunity to respond to the thoughtful letters from Kassabian and Strumberg. We completely agree with Strumberg that quality of care should not be judged in only "instrumental terms." Medical knowledge is an essential, but insufficient, element of high quality of care.1 As Strumberg outlines, the clinical skills of medical interviewing and communication are also essential. Communication skills are particularly important for complex patients with multiple medical conditions to help them make informed decisions about their own care.1-2
Recognizing the importance of a comprehensive approach to the assessment of competence, the American Board of Medical Specialties (ABMS) implemented a new framework for maintenance of certification (MOC) in 2002 that will require all physicians with time-limited certification to evaluate their performance in actual . . . [Full Text of this Article]
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RELATED ARTICLE
Association Between Maintenance of Certification Examination Scores and Quality of Care for Medicare Beneficiaries
Eric S. Holmboe, Yun Wang, Thomas P. Meehan, Janet P. Tate, Shih-Yieh Ho, Katie S. Starkey, and Rebecca S. Lipner
Arch Intern Med. 2008;168(13):1396-1403.
ABSTRACT
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RELATED LETTER
Is Quality of Care Only Instrumental?
Joachim Sturmberg
Arch Intern Med. 2009;169(4):417-418.
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