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ABMS
March 24, 2010
APDR: ABR Update
SPECIALTY BOARDS
Established to assure the public that the
physician has specific qualifications
– American Board of Opht...
ABMS 24 Member Boards
The American Boards of:The American Boards of:
Allergy and ImmunologyAllergy and Immunology
Anesthes...
AMERICAN BOARD OF RADIOLOGY
Established 1934Established 1934
Today: 3 Primary Certificates (DR, RO, RP)Today: 3 Primary Ce...
Founding Boards
Dermatology
OB/Gyn
Ophthalmology
Otolaryngology
Orthopedic Surgery
Pediatrics
Psychiatry & Neurology
Radio...
ABMS Member Boards
General Certificates Issued
BOARD 2000-2008 CUMULATIVE
 Internal Med 62,953 227,387
 Family Med 28,41...
ABMS THROUGH THE YEARS
• Advises the Member Boards
• Approves certificates (new, modified)
• Specialization/subspecializat...
Medical Specialty Board Movement
 Standards for knowledge, skill
 Professional self-regulation
 Fulfills social contrac...
Board Certification=Gold Standard
August 2003 Gallup Poll:
When asked:
“When given the choice between a board
certified ph...
Board Certification=Gold Standard
May 2008 Opinion Research Corp. Telephone Poll
When asked:
“Key factors when choosing a ...
Pressures Resulting in Subspecialization
and Time-Limited Certification
New technology
Pace of discovery
Pressure to li...
August 2003 Gallup Poll:
When asked:
“If you knew your doctor’s board certification
had expired, would you change doctors?...
Demonstrate to the public that physicians
certified by Member Boards of ABMS —
including the ABR-- maintain the necessary...
CURRENT ABMS INITIATIVES
• MOL: FSMB-NBME-ABMS
• Grass roots defense of
ABMS Member Board
certification
• “Board Eligible”...
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  • If certification is good once, why is it only good for a single evaluation-does one get a license to drive forever, to practice medicine for ever, to be an airline pilot forever.
    Is the knowledge base, technical skills constantly changing? If we do not make this a process of continuous evaluation, continuous QI, how will that happen. Voluntary? External pressure-based on what
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    1. 1. ABMS March 24, 2010 APDR: ABR Update
    2. 2. SPECIALTY BOARDS Established to assure the public that the physician has specific qualifications – American Board of Ophthalmology 1917 – American Board of Otolaryngology 1924 – American Board of Obstetrics 1930 – American Board of Dermatology 1932 Advisory Board for Medical Specialties (forerunner of ABMS) established 1933 –The 4 Boards –Associate Member organizations
    3. 3. ABMS 24 Member Boards The American Boards of:The American Boards of: Allergy and ImmunologyAllergy and Immunology AnesthesiologyAnesthesiology Colon and Rectal SurgeryColon and Rectal Surgery DermatologyDermatology Emergency MedicineEmergency Medicine Family MedicineFamily Medicine Internal MedicineInternal Medicine Medical GeneticsMedical Genetics Neurological SurgeryNeurological Surgery Nuclear MedicineNuclear Medicine Obstetrics and GynecologyObstetrics and Gynecology OphthalmologyOphthalmology Orthopaedic SurgeryOrthopaedic Surgery OtolaryngologyOtolaryngology PathologyPathology PediatricsPediatrics Physical Medicine andPhysical Medicine and RehabilitationRehabilitation Plastic SurgeryPlastic Surgery Preventive MedicinePreventive Medicine Psychiatry and NeurologyPsychiatry and Neurology Radiology SurgerySurgery Thoracic SurgeryThoracic Surgery UrologyUrology 37 primary, 111 subspecialty certificates
    4. 4. AMERICAN BOARD OF RADIOLOGY Established 1934Established 1934 Today: 3 Primary Certificates (DR, RO, RP)Today: 3 Primary Certificates (DR, RO, RP) SubspecialtiesSubspecialties Neuroradiology Vascular & Interventional Radiology Pediatric Radiology Nuclear Radiology Hospice and Palliative Medicine Maintenance of Certification: All disciplinesMaintenance of Certification: All disciplines
    5. 5. Founding Boards Dermatology OB/Gyn Ophthalmology Otolaryngology Orthopedic Surgery Pediatrics Psychiatry & Neurology Radiology Urology Internal Medicine Pathology Surgery Neurological Surgery Anesthesiology Plastic Surgery Physical Medicine & Rehab 1947 Colon & Rectal Surgery Preventive Medicine Family Medicine Allergy & Immunology Nuclear Medicine Thoracic Surgery Emergency Medicine Medical Genetics 1935 1936 1937 1940 1936 1949 1969 1971 1979 1991 Year Joined ABMS 1933
    6. 6. ABMS Member Boards General Certificates Issued BOARD 2000-2008 CUMULATIVE  Internal Med 62,953 227,387  Family Med 28,418 97,818  Pediatrics 24,603 93,720  Psych / Neuro 14,977 62,376  Radiology 11,389 53,915  Surgery 10,188 58,103 Radiology ranks 6th by size of budget
    7. 7. ABMS THROUGH THE YEARS • Advises the Member Boards • Approves certificates (new, modified) • Specialization/subspecialization • Recertification (time-limited certification) • Maintenance of Certification (MOC) • Engages healthcare stakeholders • Defends/promotes/advances the specialty board movement
    8. 8. Medical Specialty Board Movement  Standards for knowledge, skill  Professional self-regulation  Fulfills social contract as a professional  Voluntary  Over and above licensure (compulsory)  Today: >85% of U.S. physicians have earned >1 ABMS Specialty Board certificate
    9. 9. Board Certification=Gold Standard August 2003 Gallup Poll: When asked: “When given the choice between a board certified physician and a physician who was not board certified but was recommended by a trusted friend or family member…” 75% opted for a board certified physician 23% opted for the physician recommended by a friend or family member
    10. 10. Board Certification=Gold Standard May 2008 Opinion Research Corp. Telephone Poll When asked: “Key factors when choosing a doctor…” 95% bedside manner; communication skills 91% board certification 82% friend or family member recommendation 78% doctor’s hospital affiliation 75% doctor’s office location 60% hospital or school where doctor trained
    11. 11. Pressures Resulting in Subspecialization and Time-Limited Certification New technology Pace of discovery Pressure to limit scope Lifelong learning, periodic re-examination1 Time-limited certification – ABFM (1969) – ABEM (1976) Subspecialization ABR – Radiation Oncology (since 1995) – Diagnostic Radiology, Radiologic Physics (since 2002) – Peds, VIR (’94), Neuro (’95), Nucl (’99), Hosp & Palliative Med (’08)
    12. 12. August 2003 Gallup Poll: When asked: “If you knew your doctor’s board certification had expired, would you change doctors?” 54% Very Likely 27% Somewhat Likely 9% Not Too Likely 8% Not at All Likely Public values maintenance of board certification 81% 5
    13. 13. Demonstrate to the public that physicians certified by Member Boards of ABMS — including the ABR-- maintain the necessary competencies to provide quality patient care, and thereby: Improve the quality & safety of U.S. healthcare Purpose of MOC (in a nutshell)
    14. 14. CURRENT ABMS INITIATIVES • MOL: FSMB-NBME-ABMS • Grass roots defense of ABMS Member Board certification • “Board Eligible” • Alternate Pathways • ABMS-PCPI collaborative measures development • Institutional recognition of MOC • Stakeholder engagement on physician performance measures & improvement through NQF • MOC-PQRI • Innovation Pathways in MOC: Focused Practice Recognition • ABMS-BC/BS collaboration? • MU-HIT • ABMS Journal “Certification Matters”
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