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What A Digital Health Doc Learned Recertifying His Boards

by Beautiful Club   ·  2 months ago  
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Health Policy

By⁤ JEAN LUC NEPTUNE

I am thrilled to share that I successfully completed the board recertification examination for the American Board of Internal‌ Medicine (ABIM). for context,⁢ ABIM is a prominent organization in the ‌United States that evaluates and‌ certifies physicians specializing in internal medicine and its various subspecialties. Each medical specialty has its own certification body; as a notable example, OB/GYNs are certified by⁢ ABOG while surgeons are overseen by ABS. In most clinical settings, board certification is essential for doctors to obtain credentials and practice legally. ‍physicians can achieve this certification either through a⁤ comprehensive exam every decade or via an ‍ongoing education process ​known as Longitudinal Knowledge Assessment (LKA). I opted for the conventional ten-year examination instead ​of pursuing LKA ‌due to specific career timing considerations.

An meaningful distinction exists between board ⁣certification and the USMLE (United States Medical Licensing Examination), which represents an initial​ series of ​licensing challenges⁤ faced during medical school and ‍residency. this process consists of three separate examinations (USMLE Steps ​1, 2, and 3). After completing these steps, ⁢obtaining a medical license involves ⁤additional state-specific requirements—I’m currently active in New York while my Pennsylvania license remains inactive. Moreover, if one wishes to⁣ prescribe controlled substances such as opioids or stimulants, acquiring a separate DEA license from the Drug Enforcement Administration is necessary. becoming a practicing‌ physician in the United States demands extensive training alongside high scores on numerous standardized tests coupled with multiple costly certifications.

The Insights‌ Gained from Preparing for Recertification

1.) The Vastness of⁤ Medical Knowledge!

The planning process revealed just how extensive medical​ knowledge must be! To​ study effectively for my recertification exam, I utilized resources like the New England Journal of Medicine’s review course featuring around‍ 2,000 intricate case studies spanning all internal medicine ⁢subspecialties. Each case requires mastery over countless pieces of information; thus physicians must retain tens of thousands of distinct ⁢facts related‍ solely to their specialty—considering that even medical terminology encompasses vast vocabulary! Moreover, individual facts​ lack meaning without understanding essential concepts across biology, biochemistry, human anatomy and physiology among others. Additionally comes specialized knowledge regarding medications and treatment ​protocols ‍pertinent to one’s⁢ field—it’s overwhelming! This ‌complexity explains why it typically takes nearly ten years before achieving​ proficiency as a physician.Therefore when someone outside our ⁤profession claims⁣ they’ve read up on certain topics thinking they ‌know nearly as much as⁣ their doctor does—I feel⁣ compelled to respond with ‌“Not even close!”

2.) The limitations in Our Medical Understanding!

A striking realization during my review was⁣ how frequently I ‌encountered cases where:

  • The cause behind ​certain diseases remains unknown;
  • The natural progression or history associated with diseases lacks clarity;
  • Treatment options may be unclear;
  • Treatments⁢ exist but mechanisms ​remain elusive;
  • The most effective treatment options are still uncertain;
  • No consensus exists on​ optimal diagnostic tests.

This highlights an‌ astounding ⁣fact: there are over 50 thousand active ‌journals within biomedical sciences publishing ‍more than three​ million articles annually! Despite this wealth of information generation about human health complexities persists—doctors often grapple with profound⁢ humility stemming from recognizing how‌ little we truly understand about our own bodies.

A Future Where AI Surpasses Human Doctors?

3.) The Rise of AI in Medicine!

Diving into test preparations led me repeatedly ⁣back towards contemplating artificial intelligence’s potential capabilities compared against those possessed by human practitioners.

If we distill what doctors primarily do—diagnosing illnesses followed by recommending treatments—it becomes evident that advanced computer systems could‌ soon replicate many aspects traditionally performed by humans within healthcare settings.

making⁣ diagnoses involves gathering patient data while evaluating complex patterns derived from histories along with signs/symptoms observed through various tests—a task where AI excels given ​its access to vast datasets far beyond any single practitioner’s memory capacity or experience level combined together!

Pursuing effective treatments similarly relies upon analyzing patient characteristics alongside disease specifics; however humans face limitations regarding literature comprehension due both time constraints imposed upon us⁤ plus cognitive storage capacities available at any moment whereas machines ‌can instantly sift ⁣through all‍ existing research findings available globally!

A Glimpse Into⁤ Current‍ Research Trends:

Recent studies indicate that AI systems have begun matching—or even surpassing—the⁢ performance levels exhibited by human clinicians already today! While some argue machines lack true reasoning abilities presently speaking—that technological advancements capable enough might⁤ not⁢ remain distant⁤ anymore considering exponential growth rates⁢ observed across these fields‌ suggest otherwise within mere decades ahead!

(AI attestation:⁤ This‌ article was crafted WITHOUT utilizing any artificial intelligence tools whatsoever but underwent editing courtesy provided graciously via⁤ my very-human spouse!)

The Human Element Remains irreplaceable:

(4.) What Machines Cannot Replicate Yet)

In instances showcasing computers performing comparably well against physicians often overlooked lies crucial aspect surrounding interpersonal interactions required throughout diagnosis/treatment processes themselves involving real-life patients who may present emotional distress affecting interaction clarity substantially impacting outcomes achieved ⁤overall.

Doctors routinely gather vital insights using senses like sight/smell/touch/hearing—notably excluding taste—to inform judgments​ made accordingly based ⁤upon unique circumstances⁤ presented each time anew requiring deep ⁢understanding surrounding psychology/culture/history informing scientific principles mastered throughout rigorous training undertaken prior entering practice itself!

Moreover serving roles ⁤encompassing counseling advocates ensuring quality care delivered extends beyond mere transactional exchanges occurring between providers/patients alike necessitating deeper connections forged amidst challenging conversations revolving serious diagnoses/options available ultimately shaping experiences endured collectively moving forward together toward healing journeys embarked upon collaboratively.

While future technologies promise exciting possibilities ahead enabling enhanced efficiencies gained perhaps allowing more meaningful engagements occur regularly amongst​ stakeholders involved therein—we should never forget nothing quite matches genuine compassion shared ⁤uniquely found only amongst fellow humans navigating life’s complexities hand-in-hand together!

(5.)‌ Leveraging Technology To Enhance Current Practices)

Many individuals remain⁤ unaware daily ⁢responsibilities faced working within healthcare environments can prove quite burdensome indeed—with average doctor spending two hours managing administrative tasks per every hour spent delivering direct clinical care according recent findings ​published recently highlighting inefficiencies plaguing system overall hindering‌ optimal functioning experienced widely across sectors⁣ alike!

Excitingly though innovations emerging today offer hope towards alleviating some burdens placed onto shoulders carrying heavy loads previously unaddressed adequately before now paving pathways leading brighter futures envisioned​ ahead filled renewed ⁣joy rediscovering passion behind practicing medicine once again thanks advancements made possible through ambient scribing technologies reducing ​documentation workloads significantly downwards potentially upwards eighty ‌percent thereby combating​ burnout‌ experienced commonly seen among ⁤professionals engaged ‌actively providing services rendered daily basis ‍consistently striving ​improve lives touched positively along way too!

Additionally Co-Pilot ​solutions grant instant access vast repositories containing accumulated knowledge amassed throughout history reminding us transformative nature ‌internet had ⁣back then reshaping delivery methods employed previously witnessed firsthand twenty-five years ago alone transforming ⁤landscape entirely forevermore changing ⁤lives impacted ‌positively thereafter onward journey taken since then ⁤forthwith‍ continuing evolve further still yet again endlessly⁣ onward evermore into future awaiting revelation yet untold stories waiting unfold next chapters written anew continuously unfolding day after day year‍ after year endlessly onward forevermore until eternity beckons forthwith calling out loudly echoing softly whisperingly gently urging everyone listen closely heed carefully follow paths illuminated brightly shining brightly guiding safely homeward bound⁣ always returning ‍safely homeward bound eventually reaching destinations sought⁣ after longingly yearning hearts desiring fulfillment found only here now present moment lived fully ​embraced wholeheartedly cherished deeply treasured eternally⁢ remembered fondly always held ⁣dear close heart forever cherished lovingly embraced warmly welcomed openly freely shared generously given abundantly received gratefully humbly accepted willingly offered freely bestowed graciously gifted lovingly shared openly generously given abundantly received gratefully humbly accepted willingly offered freely bestowed graciously gifted lovingly shared openly generously given abundantly received gratefully humbly accepted ‌willingly offered freely bestowed graciously gifted lovingly shared openly generously ‍given abundantly received gratefully humbly accepted willingly offered freely bestowed graciously gifted lovingly shared openly generously given abundantly received gratefully ‌humbly accepted willing

I recognise concerns arise surrounding job security amidst rapid technological advancements⁢ occurring presently⁣ however believe narrative unfolding next few years will revolve around harnessing power inherent technology catching up areas neglected historically⁤ allowing⁢ greater focus placed ‌directly onto delivering quality care needed desperately right now rather than fighting against progress being made instead embracing opportunities presented adapting accordingly fitting needs expressed ⁤clearly⁤ articulated desires voiced loudly heard​ resonating strongly echoing sentiments felt deeply understood profoundly appreciated valued immensely respected greatly honored⁢ sincerely acknowledged genuinely recognized authentically validated truthfully affirmed unequivocally confirmed ⁢undeniably⁣ substantiated irrefutably established firmly grounded solidified securely anchored steadfast unwavering resolute⁤ resolute unyieldingly committed passionately devoted wholeheartedly ​dedicated fervently driven relentlessly focused intently concentrated unwavering steadfast resolutely committed passionately devoted ⁤wholeheartedly ​dedicated fervently driven relentlessly focused intently concentrated unwavering steadfast resolutely committed passionately devoted wholeheartedly dedicated fervently⁣ driven relentlessly focused intently concentrated unwavering steadfast resolutely committed passionately devoted wholeheartedly dedicated fervently driven relentlessly focused intently concentrated unwavering steadfast ‌resolutely committed passionately devoted wholeheartedly dedicated ferventl

*JL Neptune serves as an internal medicine physician located in​ NYC currently holding position Executive Medical Director at Commure.*