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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
    • Maintenance of Certification Borgstede
    • External Environment Becker
    • Including ABMS
    • Questions
  • American Board of Medical Specialties (ABMS)
    • Established 1933
        • ABR established 1934
    • 24 member boards
    • Overarching governing body
  • Among the 24 Member Boards
    • Radiology is “medium large.”
    • Working to reduce expenses.
    • Playing an increasingly influential role.
  • ABMS Member Boards 2007 Certificates
    • ABIM 13,062
    • Pediatrics 3,221
    • Family Medicine 2,872
    • Psych & Neuro 2,570
    • Radiology 1,842
    • Radiology ranks 6 th by revenue.
  • Time-Limited Certification
    • Field evolves
    • Practice changes
    • Remote certification obsolete
    • Must “recertify”
  • ABMS Mandates Time Limited Certification
    • All 24 member boards
    • Maintenance of Certification
    • Continue to lead quality
    • Attain “deemed status”
  • ABR
    • 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
    • Physics 2, 3 or 4 th year
    • General Content 3 or 4 th year
    • Oral 4 th year
    • Maintenance of Certification
  • 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
  • Emphasis on fact retention and pattern recognition
    • Unrealistic exam format
    • Poor face validity
    • Intimidating exam setting
  • Physics Scores Falling
    • Can take exam 3 years
            • not studying first time?
    • Considered a hurdle, not
    • necessary knowledge
    • Physics teaching inconsistent
  • Exam of the Future (EOF)
    • Residents entering July 2010
    • Computer based
    • Practical
    • Image rich
    • Core and certifying exams
  • 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
  • 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.
  • 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.
  • International Medical Graduates
    • 243,457 IMG physicians
    • 25.8% of practicing physicians
    • 28.5% of physicians in training
  •  
  • Must have alternate pathway
    • State Medical Licensure
    • Healthcare organization
    • Quality
    • Reimbursement
  • 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
  •