AMA HOD Adopts ASA Sponsored Resolution 212 http://www.asahq.org/news/RESOLUTION_212_adopted.pdf At its interim meeting held November 8-11, in Orlando, the American Medical Association House of Delegates responded to strategic lobbying efforts by ASA and state sponsoring societies and adopted Resolution 212: State Legislative Response to NBME Practice of Using USMLE Step 3 Physician Licensing Exam Questions for Doctors of Nursing Practice Certification. Resolution 212, introduced by ASA and eight co-sponsors was developed in response to an announcement by the National Board of Medical Examiners that it will use content of its USMLE Step 3, Physician Licensing Exam Questions in its certification exam of Doctor of Nursing Practice (DNP). The USMLE Step 3 exam provides a final assessment of physicians assuming independent responsibility for delivering general medical care and assesses whether the examinee can apply medical knowledge essential for the unsupervised practice of medicine. ASA urged the adoption of the resolution with concern for patient safety and the physician-patient relationship. Significant confusion and harm to patients could result from DNPs misrepresenting themselves to patients as medical doctors, having been certified in a process similar to or the same as the medical licensure of physicians. With the adoption of the resolution, the AMA will work to develop and circulate model state legislation that would prohibit NBME from using content from the USMLE Step 3 exam and National Board of Osteopathic Medical Examiners (NBOME) from using content of the COMLEX Step 3 exam in the certification process of non-physician providers. NATIONAL BOARD OF MEDICAL EXAMINERS STATEMENT ON DOCTOR OF NURSING PRACTICE (DNP) CERTIFICATION http://www.asahq.org/news/NBOME_STATEMENT_DNP_CERT.pdf Earlier this month, the first group of 43 holders of the Doctor of Nursing Practice degree sat for the certifying exam of the American Board of Comprehensive Care. These are among the first recipients of a degree that as many as 200 colleges of nursing plan to confer by 2015. The certifying examination, provided under contract by the National Board of Medical Examiners, was originally described as containing content from the U.S. Medical Licensing Examination (step 3). Because of the reputation of the testing vendor and the origin of a portion of the exam content, ASA and other organizations expressed concern to NBME about the potential for public confusion about the significance of this certification and its relation to physician licensing exams. In response, the NBME has published a white paper describing the origins of this testing program. The document makes clear that the physician and DNP certifying exams are not comparable: "The DNP certifying examination is not designed to replicate the USMLE assessment for medical licensure. It does not include the in-depth assessments of fundamental science, clinical diagnosis, and clinical skills that are provided through USMLE Step 1, Step 2 CK, and Step 2 CS. Similarly, the training leading to the DNP degree is substantially different from the educational experiences that result in the MD or DO degrees. The context and the scope of a DNP certifying examination is materially different from the context and scope of the USMLE.1" ASA is concerned that the public will have difficulty distinguishing among the health professionals providing care to them with the proliferation of doctorate-level providers. The distinction between the training and qualifications of M.D./D.O. physicians and other health professionals is important to the public and the NBME statement helps limit confusion about these qualifications.