American Board of Radiology November 29, 2009 RSNA - RC 102 - PowerPoint PPT Presentation

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American Board of Radiology November 29, 2009 RSNA - RC 102 PowerPoint Presentation
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American Board of Radiology November 29, 2009 RSNA - RC 102

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  1. American Board of RadiologyNovember 29, 2009RSNA - RC 102

  2. 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.

  3. Agenda • Transition to EOF Dunnick • Primary Certification Balfe • Maintenance of Certification Borgstede • External Environment Becker • Including ABMS • Questions

  4. American Board of Medical Specialties (ABMS) • Established 1933 • ABR established 1934 • 24 member boards • Overarching governing body

  5. Among the 24 Member Boards • Radiology is “medium large.” • Working to reduce expenses. • Playing an increasingly influential role.

  6. ABMS Member Boards2007 Certificates • ABIM 13,062 • Pediatrics 3,221 • Family Medicine 2,872 • Psych & Neuro 2,570 • Radiology 1,842 • Radiology ranks 6th by revenue.

  7. Time-Limited Certification • Field evolves • Practice changes • Remote certification obsolete • Must “recertify”

  8. ABMS MandatesTime Limited Certification • All 24 member boards • Maintenance of Certification • Continue to lead quality • Attain “deemed status”

  9. ABR • Last lifetime certificate 2001 • 8,412 time limited in DR • 1,129 time limited in RO • 1,885 time limited in RP

  10. Current Exam Structure • Physics 2, 3 or 4th year • General Content 3 or 4th year • Oral 4th year • Maintenance of Certification

  11. Current Exam Deficiencies • 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

  12. Emphasis on fact retention and pattern recognition • Unrealistic exam format • Poor face validity • Intimidating exam setting

  13. Physics Scores Falling • Can take exam 3 years • not studying first time? • Considered a hurdle, not • necessary knowledge • Physics teaching inconsistent

  14. Exam of the Future (EOF) • Residents entering July 2010 • Computer based • Practical • Image rich • Core and certifying exams

  15. Physics • 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

  16. EOF • 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.

  17. International Medical Graduates (IMG’s) • Physicians whose radiology training was outside U.S. and Canada. • Significant minority of practicing physicians. • Need pathway to board certification and maintenance of certification.

  18. International Medical Graduates • 243,457 IMG physicians • 25.8% of practicing physicians • 28.5% of physicians in training

  19. Must have alternate pathway • State Medical Licensure • Healthcare organization • Quality • Reimbursement

  20. ABR Alternate Pathway • 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