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Current Activities of the American Board of Radiology

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  • 1. Current Activities of the American Board of Radiology William R. Hendee, PhD President, ABR
  • 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.
    • 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. Accreditation of Educational Programs
    • LCME for Medical Education
    • ACGME for Graduate Medical Education
    • CME for Continuing Medical Education
    • CAMPEP for Medical Physics Education
  • 5. Certification of Individuals
    • ABR (rx, nm, dx)
    • ABMP (mhp, mri)
    • ABHP (hp)
    • ABNMS (ns)
    • ABMS role
  • 6. Linking Accreditation and Certification
    • Reduced candidate variability
    • Educational standards
    • Improved candidate performance
    • Reduced risk of substandard practice
    • Improved quality of care
  • 7.
    • ABR
      • Current Statistics
      • Maintenance of Certification
  • 8.  
  • 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. 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. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE
    • GENERAL MEDICAL PHYSICS
    • AND CLINICAL
    • Lincoln Hubbard
    • Gary Barnes
    • Richard Morin
  • 12. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE
    • THERAPEUTIC RADIOLOGICAL PHYSICS
    • R. J. Barish
    • Susan Brownie
    • Michael Herman
  • 13. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE
    • MEDICAL NUCLEAR PHYSICS
    • Mark Madsen
    • Beth Harkness
    • Michael Yester
  • 14. ABR PHYSICS WRITTEN EXAMINATION COMMITTEE
    • DIAGNOSTIC RADIOLOGICAL PHYSICS
    • J. Anthony Seibert
    • Russell Ritenour
    • Andrew Karellas
  • 15.                   15%   1999 0.36 0.55 0.91 18% 22/121 2000 0.43 0.54 0.97 14% 14/98 2001 0.51 0.55 0.99 17% 24/138 2002 Avg. Item Discrimination Avg. Item Difficulty Exam Reliability (KR-20) Fail Rate # Failed       Items Rekeyed: #2 B to D, #34 D to C, #43 A to D, #45 D to E   Items Scored as All Correct : #10, #39,   Number of Candidates : 138   Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions   Part 1 (Book P)                           2002 Physics Written Exam Summary
  • 16.       20%   1999 0.30 0.65 0.78 12% 16/135 2000 0.38 0.64 0.73 12% 13/107 2001 0.45 0.64 0.83 14% 20/145 2002 Avg. Item Discrimination Avg. Item Difficulty Exam Reliability (KR-20) Fail Rate # Failed   Number of Candidates : 145 Exam Details: 50 questions; all weighted 1 point; 50 total points; all MCQ questions Clinical (Book Q)
  • 17.       20%   1999 0.29 0.52 0.85 29% 24/81 2000 0.39 0.54 0.96 21% 18/88 2001 0.37 0.52 0.97 19% 21/109 2002 Avg. Item Discrimination Avg. Item Difficulty Exam Reliability (KR-20) Fail Rate # Failed   Items Rekeyed: #69 B to C Items Scored as All Correct : #10, #13, #22, #27, #29, #30, #64 Number of Candidates : 109 Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions Therapy (Book M)
  • 18.     22%   1999 0.52 0.89 29% 8/27 2000 0.50 0.96 30% 6/20 2001 0.62 0.98 21% 7/34 2002 Avg. Item Difficulty Exam Reliability (KR-20) Fail Rate # Failed     Items Rekeyed : #8 accept B & D; #9 accept E & A; #46 Re-Key E to B   Items Scored as All Correct : #4, #51, #60, #73   Number of Candidates : 34   Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions   Diagnostic (Book H)
  • 19.     25%   1999 0.50 0.83 63% 5/8 2000 0.50 0.88 46% 6/13 2001 0.47 0.94 42% 5/12 2002 Avg. Item Difficulty Exam Reliability (KR-20) Fail Rate # Failed           Items Rekeyed : #59 accept D & E   Items Scored as All Correct : #75   Number of Candidates : 12   Exam Details: 75 questions; 50 weighted 1; 25 weighted 3; 125 total points; all MCQ questions   Nuclear (Book J)
  • 20.  
  • 21.  
  • 22. MAINTENANCE OF CERTIFICATION American Board of Radiology
    • Radiological (Medical) Physics
  • 23. American Board of Medical Specialties (ABMS)
    • 1933 Advisory Board for Medical Specialties Created (4 medical boards)
    • 1970 Reorganized as the American Board of Medical Specialties (ABMS)-23 member boards
    • Today, 24 member boards –
    • Immediate Past-President, James Youker, MD (ABR)
    • Mission (in part): To maintain and improve the quality of medical care by assisting the member boards in their efforts to develop and utilize professional and educational standards for the evaluation and certification of physician specialists.
  • 24. History of MOC
    • 1936: Advisory Board reference to “Reregistration at Stipulated Intervals”
    • Early 1940’s: Open discussions regarding issuance of certificates valid for a stated period of time only.
    • 1973: First formal policy regarding recertification was adopted by the ABMS.
    • 1993: ABMS reaffirmed its policy with all 24 member boards required to establish a mechanism to recertify diplomats.
    • March 2000: Agreed that existing or planned programs of recertification would evolve into programs of Maintenance of Certification (MOC).
  • 25. ABMS: Four Components of MOC
    • Component 1: Professional Standing
    • - Validity of the license to practice.
    • Component 2:
    • Lifelong Learning and Self-Assessment.
    • - The requirement to keep current in the field.
    • Component 3: Cognitive Expertise
    • - Examination process.
    • Component 4: Practice Performance
    • - Assessment of patient care.
  • 26. ABMS SIX COMPETENCIES OF MOC
    • Professionalism
    • Practice-Based Learning/Self Improvement
    • Practice Knowledge
    • Patient Care
    • Interpersonal/Communication Skills
    • System-Based Practice
  • 27. Radiology’s Perspective of MOC
    • 1998: Concerted efforts initiated by The ABR toward the development of its MOC process.
    • A committee of Medical physicists was appointed to assist The ABR in formulating its MOC program for Radiological Physics.
    • Dec 2001: The ABR convened a meeting to engage each of its sponsoring organizations (ACR, ARRS, AUR, RSNA, ASTRO, AAPM, ARS) in planning MOC.
    • The ABR is responsible for coordinating and administering MOC in radiology.
    • Establishing mechanisms for life long learning will be the responsibility of the other radiology societies .
  • 28. Radiologic Physics Perspective of MOC
    • ABR Physics Recertification Committee:
    • William Hendee (Chair)
    • Edward Chaney
    • Guy Simmons
    • Dan Bourland
    • Tom Payne
    • Don Frey
    • Rod Wimmer
    • E. Russell Ritenour
    • Jon Trueblood
  • 29. The ABR – Current MOC Status re Radiological Physics
    • Beginning 2002 - certification will be time limited to 10 years.
    • For Radiological Physics this includes:
      • Diagnostic Radiologic Physics
      • Therapeutic Radiologic Physics
      • Medical Nuclear Physics
    • The process is intended to be 100% web based.
  • 30. Overview (Draft) of The ABR MOC Process for Medical Physicists
    • Four Elements:
      • Continuing Education
      • Self-Evaluation
      • Letters of Attestation
      • Web Based Examinations
    • MOC documentation should be assembled continuously beginning with the 1 st year after certification but will be submitted in the final year before expiration of certification.
    • Upon positive review, a 10-year extension of The ABR certification will be issued.
  • 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. 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. 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. ABR MOC FOR MEDICAL PHYSICISTS COMPONENT 4: PRACTICE PERFORMANCE
    • Candidate Information
    • Employment Information
    • Activities/Contributions
      • Scientific
      • Clinical
      • Educational
      • Service
  • 35. To Wrap it up……
    • MOC is a program for assessing the continuing competency of certified Medical Physicists.
    • The knowledge base and skills necessary to maintain currency in the practice of medical physics are dynamic.
    • Hence, the requirement to engage in self-assessment and provide a mechanism to document continuing competency.
    • The ABR is committed to assisting Medical Physicists in fulfilling the expectations of patients and the public for demonstration of continued competence in the practice of our profession.
  • 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.