Associations between initial American Board of Internal Medicine certification and maintenance of certification status of attending physicians and in-hospital mortality of patients with acute myocardial infarction or congestive heart failure: a retrospective cohort study of hospitalisations in Pennsylvania, USA.

ABSTRACT:

Objective

To determine whether internists' initial specialty certification and the maintenance of that certification (MOC) is associated with lower in-hospital mortality for their patients with acute myocardial infarction (AMI) or congestive heart failure (CHF).

Design

Retrospective cohort study of hospitalisations in Pennsylvania, USA, from 2012 to 2017.

Setting

All hospitals in Pennsylvania.

Participants

All 184 115 hospitalisations for primary diagnoses of AMI or CHF where the attending physician was a self-designated internist.

Primary outcome measure

In-hospital mortality.

Results

Of the 2575 physicians, 2238 had initial certification and 820 were eligible for MOC. After controlling for patient demographics and clinical characteristics, hospi

SUBMITTER: Norcini JJ 

PROVIDER: S-EPMC9058798 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature