Association between physician time-unlimited vs time-limited internal medicine board certification and ambulatory patient care quality.

Importance: American Board of Internal Medicine (ABIM) initiatives encourage internists with time-unlimited certificates to recertify. However, there are limited data evaluating differences in performance between internists with time-limited or time-unlimited board certification.

Objective: To determine whether there are differences in primary care quality between physicians holding time-limited or time-unlimited certification.

Use of Individual, Premoistened, Disposable Wipes in Preparing Cow Teats for Milking and Resultant Raw Milk Quality and Production .

Two methods of preparing cows for milking were compared. One preparation consisted of wiping each teat clean with individual, premoistened, disposable wipes. This method was compared with washing teats with a hand-held water nozzle and drying with individual paper towels.