Current Activities of the American Board of Radiology

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Current Activities of the American Board of Radiology

  1. 1. Current Activities of the American Board of Radiology William R. Hendee, PhD President, ABR
  2. 2. ABR Mission Statement: The Mission of The American Board of Radiology is to serve the public and the medical profession by certifying that its diplomats have acquired, demonstrated, and maintained a requisite standard of knowledge, skill and understanding essential to the practice of radiology, radiation oncology and medical physics.
  3. 3. Purposes of the Board: “Ensure the quality of radiological service to the public; Improve the quality of graduate education in the medical specialties in the Radiologic Sciences; Encourage the study of and elevate standards of training in the medical specialties encompassed in the Radiological Sciences.”
  4. 4. Accreditation of EducationalAccreditation of Educational ProgramsPrograms • LCME for Medical EducationLCME for Medical Education • ACGME for Graduate MedicalACGME for Graduate Medical EducationEducation • CME for Continuing Medical EducationCME for Continuing Medical Education • CAMPEP for Medical Physics EducationCAMPEP for Medical Physics Education
  5. 5. Certification of IndividualsCertification of Individuals • ABR (rx, nm, dx)ABR (rx, nm, dx) • ABMP (mhp, mri)ABMP (mhp, mri) • ABHP (hp)ABHP (hp) • ABNMS (ns)ABNMS (ns) • ABMS roleABMS role
  6. 6. Linking AccreditationLinking Accreditation and Certificationand Certification • Reduced candidate variabilityReduced candidate variability • Educational standardsEducational standards • Improved candidate performanceImproved candidate performance • Reduced risk of substandard practiceReduced risk of substandard practice • Improved quality of careImproved quality of care
  7. 7. ABR •Current Statistics •Maintenance of Certification
  8. 8. Diagnostic Radiology Physics Exam 90% 93% 91% 95% 93% 91% 91% 94% 1999 2000 2001 2002 1999 2000 2001 2002 Second Year Third Year
  9. 9. ABR Physics Trustees • William R. Hendee, Ph.D. Diagnostic Radiologic Physics President, The ABR • Bhudatt R. Paliwal, Ph.D. Therapeutic Radiologic Physics Assistant Executive Director, Radiologic Physics • Stephen R. Thomas, Ph.D. Medical Nuclear Physics
  10. 10. Radiological Physics Examination Committee American Board of Radiology William R. Hendee Edward L. Nickoloff Jatinder R. Palta Michael G. Herman Bhudatt R. Paliwal Stephen R. Thomas
  11. 11. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE GENERAL MEDICAL PHYSICS AND CLINICAL Lincoln Hubbard Gary Barnes Richard Morin
  12. 12. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE THERAPEUTIC RADIOLOGICAL PHYSICS R. J. Barish Susan Brownie Michael Herman
  13. 13. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE MEDICAL NUCLEAR PHYSICS Mark Madsen Beth Harkness Michael Yester
  14. 14. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE DIAGNOSTIC RADIOLOGICAL PHYSICS J. Anthony Seibert Russell Ritenour Andrew Karellas
  15. 15. 2002 Physics Written Exam Summary Part 1 (Book P) Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions Number of Candidates: 138 Items Scored as All Correct: #10, #39, Items Rekeyed: #2 B to D, #34 D to C, #43 A to D, #45 D to E # Failed Fail Rate Exam Reliability (KR-20) Avg. Item Difficulty Avg. Item Discrimination 200 2 24/138 17% 0.99 0.55 0.51 200 1 14/98 14% 0.97 0.54 0.43 200 0 22/121 18% 0.91 0.55 0.36 199 9 15%
  16. 16. Clinical (Book Q) Exam Details: 50 questions; all weighted 1 point; 50 total points; all MCQ questions Number of Candidates: 145 # Failed Fail Rate Exam Reliability (KR-20) Avg. Item Difficulty Avg. Item Discrimination 2002 20/145 14% 0.83 0.64 0.45 2001 13/107 12% 0.73 0.64 0.38 2000 16/135 12% 0.78 0.65 0.30 1999 20%
  17. 17. Therapy (Book M) Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions Number of Candidates: 109 Items Scored as All Correct: #10, #13, #22, #27, #29, #30, #64 Items Rekeyed: #69 B to C # Failed Fail Rate Exam Reliability (KR-20) Avg. Item Difficulty Avg. Item Discrimination 2002 21/109 19% 0.97 0.52 0.37 2001 18/88 21% 0.96 0.54 0.39 2000 24/81 29% 0.85 0.52 0.29 1999 20%
  18. 18. Diagnostic (Book H) Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions Number of Candidates: 34 Items Scored as All Correct: #4, #51, #60, #73 Items Rekeyed: #8 accept B & D; #9 accept E & A; #46 Re-Key E to B # Failed Fail Rate Exam Reliability (KR- 20) Avg. Item Difficulty 2002 7/34 21% 0.98 0.62 2001 6/20 30% 0.96 0.50 2000 8/27 29% 0.89 0.52 1999 22%
  19. 19. Nuclear (Book J) Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions Number of Candidates: 12 Items Scored as All Correct: #75 Items Rekeyed: #59 accept D & E # Failed Fail Rate Exam Reliability (KR-20) Avg. Item Difficulty 2002 5/12 42% 0.94 0.47 2001 6/13 46% 0.88 0.50 2000 5/8 63% 0.83 0.50 1999 25%
  20. 20. Physics Oral: Full Exam 55% 51% 45% 62% 64% 11% 32% 34% 37% 22% 25% 16% 18% 15% 13% 0% 20% 40% 60% 80% 100% 1998 N=162 1999 N=151 2000 N=159 2001 N=124 2002 N=157 Pass% Cond% Fail%
  21. 21. Physics Oral: Conditioned Exam 69% 77% 86% 75% 86% 31% 23% 14% 25% 14% 0% 20% 40% 60% 80% 100% 1997 N=35 1998 N=31 1999 N=29 2000 N=32 2001 N=28 Pass% Cond%
  22. 22. MAINTENANCE OF CERTIFICATION American Board of Radiology Radiological (Medical) Physics
  23. 23. American Board of Medical Specialties (ABMS) • 1933 Advisory Board for Medical Specialties Created (41933 Advisory Board for Medical Specialties Created (4 medical boards)medical boards) • 1970 Reorganized as the American Board of Medical1970 Reorganized as the American Board of Medical Specialties (ABMS)-23 member boardsSpecialties (ABMS)-23 member boards • Today, 24 member boards –Today, 24 member boards – Immediate Past-President, James Youker, MD (ABR)Immediate Past-President, James Youker, MD (ABR) • Mission (in part): To maintain and improve the quality ofMission (in part): To maintain and improve the quality of medical care by assisting the member boards in theirmedical care by assisting the member boards in their efforts to develop and utilize professional and educationalefforts to develop and utilize professional and educational standards for the evaluation and certification of physicianstandards for the evaluation and certification of physician specialists.specialists.
  24. 24. History of MOC • 1936:1936: Advisory Board reference to “Reregistration atAdvisory Board reference to “Reregistration at Stipulated Intervals”Stipulated Intervals” • Early 1940’s:Early 1940’s: Open discussions regarding issuance ofOpen discussions regarding issuance of certificates valid for a stated period of time only.certificates valid for a stated period of time only. • 1973:1973: First formal policy regarding recertification wasFirst formal policy regarding recertification was adopted by the ABMS.adopted by the ABMS. • 1993:1993: ABMS reaffirmed its policy with all 24 memberABMS reaffirmed its policy with all 24 member boards required to establish a mechanism to recertifyboards required to establish a mechanism to recertify diplomats.diplomats. • March 2000:March 2000: Agreed that existing or planned programsAgreed that existing or planned programs of recertification would evolve into programs ofof recertification would evolve into programs of Maintenance of Certification (MOC).Maintenance of Certification (MOC).
  25. 25. ABMS: Four Components of MOC • Component 1: Professional StandingComponent 1: Professional Standing - Validity of the license to practice.- Validity of the license to practice. • Component 2:Component 2: Lifelong Learning and Self-Assessment.Lifelong Learning and Self-Assessment. - The requirement to keep current in the field.- The requirement to keep current in the field. • Component 3: Cognitive ExpertiseComponent 3: Cognitive Expertise - Examination process.- Examination process. • Component 4: Practice PerformanceComponent 4: Practice Performance - Assessment of patient care.- Assessment of patient care.
  26. 26. ABMS SIX COMPETENCIES OF MOC • Professionalism • Practice-Based Learning/Self Improvement • Practice Knowledge • Patient Care • Interpersonal/Communication Skills • System-Based Practice
  27. 27. Radiology’s Perspective of MOC • 1998: Concerted efforts initiated by The ABR toward1998: Concerted efforts initiated by The ABR toward the development of its MOC process.the development of its MOC process. • A committee of Medical physicists was appointed toA committee of Medical physicists was appointed to assist The ABR in formulating its MOC program forassist The ABR in formulating its MOC program for Radiological Physics.Radiological Physics. • Dec 2001: The ABR convened a meeting to engage eachDec 2001: The ABR convened a meeting to engage each of its sponsoring organizations (ACR, ARRS, AUR,of its sponsoring organizations (ACR, ARRS, AUR, RSNA, ASTRO, AAPM, ARS) in planning MOC.RSNA, ASTRO, AAPM, ARS) in planning MOC. • The ABR is responsible for coordinating andThe ABR is responsible for coordinating and administering MOC in radiology.administering MOC in radiology. • Establishing mechanisms for life long learning will beEstablishing mechanisms for life long learning will be the responsibility of the other radiology societiesthe responsibility of the other radiology societies.
  28. 28. Radiologic Physics Perspective of MOC • ABR Physics Recertification Committee:ABR Physics Recertification Committee: • William Hendee (Chair)William Hendee (Chair) • Edward ChaneyEdward Chaney • Guy SimmonsGuy Simmons • Dan BourlandDan Bourland • Tom PayneTom Payne • Don FreyDon Frey • Rod WimmerRod Wimmer • E. Russell RitenourE. Russell Ritenour • Jon TruebloodJon Trueblood
  29. 29. The ABR – Current MOC Status re Radiological Physics • Beginning 2002 - certification will be timeBeginning 2002 - certification will be time limited to 10 years.limited to 10 years. • For Radiological Physics this includes:For Radiological Physics this includes:  Diagnostic Radiologic PhysicsDiagnostic Radiologic Physics  Therapeutic Radiologic PhysicsTherapeutic Radiologic Physics  Medical Nuclear PhysicsMedical Nuclear Physics • The process is intended to be 100% webThe process is intended to be 100% web based.based.
  30. 30. Overview (Draft) of The ABR MOC Process for Medical Physicists • Four Elements:Four Elements:  Continuing EducationContinuing Education  Self-EvaluationSelf-Evaluation  Letters of AttestationLetters of Attestation  Web Based ExaminationsWeb Based Examinations • MOC documentation should be assembled continuouslyMOC documentation should be assembled continuously beginning with the 1beginning with the 1stst year after certification but will beyear after certification but will be submitted in the final year before expiration ofsubmitted in the final year before expiration of certification.certification. • Upon positive review, a 10-year extension of The ABRUpon positive review, a 10-year extension of The ABR certification will be issued.certification will be issued.
  31. 31. ABR MOC FOR MEDICAL PHYSICISTS COMPONENT 1: PROFESSIONAL STANDING • Letters of Attestation – Patient Care – Scientific Knowledge – Interpersonal/Communication Skills – Professionalism • Licensure/Regulatory Agency Certification • Expertise-Based Appointments/Recognition
  32. 32. ABR MOC FOR MEDICAL PHYSICISTS COMPONENT 2: LIFELONG LEARNING/SELF ASSESSMENT • Continuing Education Credits (Category 1) – 200 credits over 10 years (proposed) • Self-Directed Educational Project – Statement of Goal – Activities to Attain Goal – Documentation of Goal Achievement – Impact on Performance • Periodic Self Assessment – Professional Standing – Lifelong Learning – Cognitive Expertise – Practice Performance
  33. 33. ABR MOC FOR MEDICAL PHYSICISTS COMPONENT 3: COGNITIVE EXPERTISE • 3 examinations over 10 year period • Focused primarily on new knowledge • Web-based, multiple choice • Timed open-book exam • Candidate can take multiple times
  34. 34. ABR MOC FOR MEDICAL PHYSICISTS COMPONENT 4: PRACTICE PERFORMANCE • Candidate Information • Employment Information • Activities/Contributions – Scientific – Clinical – Educational – Service
  35. 35. To Wrap it up…… • MOC is a program for assessing the continuingMOC is a program for assessing the continuing competency of certified Medical Physicists.competency of certified Medical Physicists. • The knowledge base and skills necessary toThe knowledge base and skills necessary to maintain currency in the practice of medicalmaintain currency in the practice of medical physics are dynamic.physics are dynamic. • Hence, the requirement to engage in self-Hence, the requirement to engage in self- assessment and provide a mechanism toassessment and provide a mechanism to document continuing competency.document continuing competency. • The ABR is committed to assisting MedicalThe ABR is committed to assisting Medical Physicists in fulfilling the expectations of patientsPhysicists in fulfilling the expectations of patients and the public for demonstration of continuedand the public for demonstration of continued competence in the practice of our profession.competence in the practice of our profession.
  36. 36. ON BEHALF OF THE AMERICAN BOARD OF RADIOLOGY AND ITS PHYSICS TRUSTEES THANK YOU To all of the medical physicists who contribute examination questions, serve on ABR committees, serve as oral examiners, and help in so many other ways. AND REMEMBER We are always looking for volunteers.

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