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American Board of Radiology November 29, 2009 RSNA - RC 102 ABR - Part of the quality movement, and how it will help you. Dennis Balfe, M.D. Gary Becker, M.D. Jim Borgstede, M.D. N. Reed Dunnick, M.D. Agenda Transition to EOF Dunnick Primary Certification Balfe

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American board of radiology november 29 2009 rsna rc 102 l.jpg
American Board of RadiologyNovember 29, 2009RSNA - RC 102


Slide2 l.jpg

ABR - Part of the quality movement, and how it will help you.Dennis Balfe, M.D.Gary Becker, M.D.Jim Borgstede, M.D.N. Reed Dunnick, M.D.


Agenda l.jpg
Agenda you.

  • Transition to EOF Dunnick

  • Primary Certification Balfe

  • Maintenance of Certification Borgstede

  • External Environment Becker

  • Including ABMS

  • Questions


American board of medical specialties abms l.jpg
American Board of Medical Specialties (ABMS) you.

  • Established 1933

    • ABR established 1934

  • 24 member boards

  • Overarching governing body


  • Among the 24 member boards l.jpg
    Among the 24 Member Boards you.

    • Radiology is “medium large.”

    • Working to reduce expenses.

    • Playing an increasingly influential role.


    Abms member boards 2007 certificates l.jpg
    ABMS Member Boards you.2007 Certificates

    • ABIM 13,062

    • Pediatrics 3,221

    • Family Medicine 2,872

    • Psych & Neuro 2,570

    • Radiology 1,842

    • Radiology ranks 6th by revenue.


    Time limited certification l.jpg
    Time-Limited Certification you.

    • Field evolves

    • Practice changes

    • Remote certification obsolete

    • Must “recertify”


    Abms mandates time limited certification l.jpg
    ABMS Mandates you.Time Limited Certification

    • All 24 member boards

    • Maintenance of Certification

    • Continue to lead quality

    • Attain “deemed status”


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    ABR you.

    • Last lifetime certificate 2001

    • 8,412 time limited in DR

    • 1,129 time limited in RO

    • 1,885 time limited in RP


    Current exam structure l.jpg
    Current Exam Structure you.

    • Physics 2, 3 or 4th year

    • General Content 3 or 4th year

    • Oral 4th year

    • Maintenance of Certification


    Current exam deficiencies l.jpg
    Current Exam Deficiencies you.

    • Requires candidates to be “competent” in entire field.

    • Radiology has grown dramatically

    • No one can master it all

    • “Binge and purge” approach

    • Not durable learning


    Emphasis on fact retention and pattern recognition l.jpg
    Emphasis on fact retention and pattern recognition you.

    • Unrealistic exam format

    • Poor face validity

    • Intimidating exam setting


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    Physics Scores Falling you.

    • Can take exam 3 years

      • not studying first time?

  • Considered a hurdle, not

  • necessary knowledge

  • Physics teaching inconsistent


  • Exam of the future eof l.jpg
    Exam of the Future (EOF) you.

    • Residents entering July 2010

    • Computer based

    • Practical

    • Image rich

    • Core and certifying exams


    Physics l.jpg
    Physics you.

    • Improve teaching

      • Learning modules

        • Bill Hendee, Ph.D.

        • RSNA supported

  • Include physics in exams

    • Core

    • Certifying

  • Make items more clinical

    • Ph.D. / M.D. teams write items


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    EOF you.

    • Comprehensive core exam will cover entire field.

    • Certifying exam will include basic radiology but focus on intended area(s) of practice.

    • Culture of life-long-learning.


    International medical graduates img s l.jpg
    International Medical Graduates (IMG’s) you.

    • Physicians whose radiology training was outside U.S. and Canada.

    • Significant minority of practicing physicians.

    • Need pathway to board certification and maintenance of certification.


    International medical graduates l.jpg
    International Medical Graduates you.

    • 243,457 IMG physicians

    • 25.8% of practicing physicians

    • 28.5% of physicians in training


    Must have alternate pathway l.jpg
    Must have alternate pathway you.

    • State Medical Licensure

    • Healthcare organization

    • Quality

    • Reimbursement


    Abr alternate pathway l.jpg
    ABR Alternate Pathway you.

    • Four (4) continuous years in a radiology department with residency training program.

      • any combination of faculty or trainee

  • Access to educational materials.

    • Department Chair is “program director”

  • Must pass all examinations.

    • physics

    • written

    • orals


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