Thomas O'Neill

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PURPOSE To examine the relationship between maintenance of certification (MOC) and the clinical knowledge demonstrated by family physicians as they move further away from formal training. METHOD Performances of 10,801 examinees-2,440 seeking initial certification; 8,361 seeking MOC-on the summer 2009 American Board of Family Medicine (ABFM) certification(More)
When nurses who are educated internationally immigrate to the United States, they are expected to have English language proficiency in order to function as a competent nurse. The purpose of this research was to provide sufficient information to the National Council of State Boards of Nursing (NCSBN) to make a defensible recommended passing standard for(More)
Trait neuroticism is suggested to be related to measures of volume and function of the hippocampus, a brain structure located in the medial temporal lobe that is critical for human navigation and orientation. In this study, we assessed whether measures of trait neuroticism and self-concept are correlated with the human ability to orient by means of(More)
The American Board of Family Medicine (ABFM) has used a 60-item Multiple Choice Question (MCQ) section followed by a Virtual Patient (VP) exercise in Maintenance Of Certification (MOC) since 2004, and has had an asthma module since 2005. The original asthma VP criteria anticipated some Expert Panel Report-3 recommendations, such as home peak flow monitoring(More)
Research indicates that the scope of practice for primary care physicians has been shrinking (Tong, Makaroff, Xierali, Parhat, Puffer, Newton, et al., 2012; Xierali, Puffer, Tong, Bazemore, and Green, 2012; and Bazemore, Makaroff, Puffer, Parhat, Phillips, Xierali, et al., 2012) despite research showing that areas with robust primary care services have(More)
INTRODUCTION Certification examinations used by American specialty boards have been the sine qua non for demonstrating the knowledge sufficient for attainment of board certification in the United States for more than 75 years. Some people contend that the examination is predominantly a test of superior test-taking skills rather than of family medicine(More)
Distributed server systems allow many configuration settings and support various application workloads. Often performance anomalies, situations where actual performance falls below expectations, only manifest under particular runtime conditions. This paper presents a new approach to examine a large space of potential runtime conditions and to(More)
PURPOSE Previous research indicated that rural family physicians were more likely to pass the American Board of Family Medicine (ABFM) Maintenance of Certification for Family Physicians (MC-FP) examination. One possible explanation is that rural family physicians may have a broader scope of practice. METHOD This was a cross-sectional study of family(More)
THEORY When test developers have a limited number of test questions available or when the equating design requires some item overlap across forms, psychometricians worry that examinees who encounter previously seen questions on subsequent test forms may be able to inflate their test score due to their familiarity with the repeated test questions. (More)
Setting passing standards is a critical component of the NCLEX examination process. This research was conducted to provide sufficient information to the National Council of State Boards of Nursing's (NCSBN) Board of Directors to,make a decision regarding the passing standard of the NCLEX-RN. This article illustrates the standard setting process that NCSBN(More)