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  • Part I mainating an unrestricted license and hospital credentialing Part II SAM/CME 70 year period/ 20 in SAMS CME III cognitive exam at end o f 10 years but as eaparly as 8 years Part IV-peer attestation Participation in an approved PI/QA Laboratory accreditation Laboratory particpation in a
  • Menu of multiple modules allows nuancin g of practice.large bodies of inforamtion can have more than one module
  • Boarded pathologist, physician in another specialty, member of credentialing committee, PA Q Track programs: specmen identifcation, specimen contamination Individual: Check Path, Departmentally sposored: satisfaction survey May fulfill SAMs CME
  • Principa at least one general module must be taken in either AP or CP with the remainder of modules left to your discretion
  • Desiure a practice survery to asssit us in modular development

Test Power Point Test Power Point Presentation Transcript

  •  
  • American Board of Pathology and Co-operating Societies Meeting May 3, 2011 Modules revised November 2008
  • Maintenance of Board Certification (MOC)
    • ABP MOC is part of ABMS-wide MOC process
    • All certificates beginning in 2006 are time limited (10 yrs)
    • MOC is a continuous process with specific deadlines; failure to comply results in a warning
  • Requirements For MOC
    • Part I: Professional Standing
    • Part II: Life-Long Learning and Self-Assessment
    • Part III: Cognitive Expertise
    • Part IV: Evaluation of Performance in Practice
  • Part I Professional Standing
    • Maintenance of a full and unrestricted license
    • Foreign license accepted with English translation
    • Documentation of medical staff membership and privileges
  • Part II Life Long Learning-Self-Assessment
    • Intersociety AP and CP Content Committees produce “Content Specifications” outlines available on line and updated annually
    • Outlines emphasize fundamental information for daily practice and important, validated new knowledge
    • Outlines should not be construed as templates for exam or endorsements of certain authors
    • These will:
      • Serve as a template for CME and self-assessment
      • Assist pathologists to prepare for MOC exam
      • Direct MOC test question development
      • Focus on practical “need to know” information that is used in daily practice and required for competence
      • Cover all disciplines of pathology
  • Part II Life Long Learning- Self-Assessment
    • 70 Category 1 CME credits / 2 year cycle
    • 20 CME credits / 2 yr cycle must be SAMs
    • 80% CME related to individual’s practice
    • A fellowship fulfills Part II requirements for 2 year period
  • Self-Assessment Modules (SAMs)
    • Elements of SAMs
        • Educational product
        • Self-administered exam
        • Minimum performance level
        • Feedback
        • All SAMs count as CMEs, but not all CMEs are SAMs
  • Part III Cognitive Expertise
    • Exam may be taken beginning year 8 of 10 year cycle (first exam 2014)
    • AP/CP diplomates may maintain their certification in AP/CP, AP only, CP only
    • Diplomates with subspecialty boards may maintain certification in subspecialty only
  • Part III Cognitive Expertise
    • MOC exam
      • Tailor exam by selecting modules
      • Consists of 6 modules of 25 questions (150 total questions)
      • 80% practical (virtual microscopy, case-based questions, etc.); 20% written
      • Blends and grades modules as one exam
  • Part IV Performance in Practice
    • Four personal attestations (4 th and 8 th year)
    • Lab accreditation (4 th and 8 th year) except forensic labs
    • Laboratory participation in inter-laboratory PI programs (2 yrs)
    • Individual participation at least 1 laboratory PI-QA program/yr. (2 yrs)
  • Part IV Performance in Practice
    • Programs may be society-sponsored or created by departments/institutions
    • All programs must be ABP-approved
    • Programs
  • AP/CP MOC Exam General module Specialty module + + + + 4 add. = 6 total + 3 add. = 6 total + 3 add. = 6 total AP CP Option 1 Option 2 Option 3
  • AP only MOC Exam CP only MOC Exam General module Specialty module AP CP 6 total 6 total or or or or or or or or or or 3 max + +
  • Modules Clinical Pathology General Modules Revised 11/08 General CP I, II, III, IV Hematology I, II Blood Bank I, II Immunopathology Blood Bank-Coagulation Microbiology I, II Coagulation Chemistry I, II
  • Modules Anatomic Pathology
    • Gen AP I,II
    • Gen Surg Path I, II
    • Gen Surg Path-Cytology
    • Gen Cytology
    • Cytology-Gyn
    • Cytology, Non Gyn
    • Bone-Soft Tissue
    • Breast
    • Cardiovascular-Autopsy
    • Dermatology I, II
    • Endocrine
    • GI-Biliary
    Revised 11/08 General Modules
  • Modules Anatomic Pathology (continued) Revised 11/08 Genitourinary Pediatric Pathology Gynecologic Pulmonary-Mediastinal Head-Neck Transplant pathology Medical Renal Forensic Pathology Neuropathology
  • Common Modules* Anatomic and Clinical Pathology * May be used to fulfill AP or CP specialty modules Revised 11/08 General Hemepath I (Lymph node-Spleen) Flow Cytometry General Hemepath II (Bone Marrow) Molecular Pathology Molecular-Cytogenetics Lab Management / Informatics
  • General AP/CP MOC
    • Test Development and Advisory Committees (TDAC) to determine content and distribution of questions
    • Knowledge needed to practice and validate new information
    • Many questions will be suitable for primary or MOC exam
  • Modification of Modules
    • Some organ-specific areas may have >1 module designed for graded difficulty
    • General CP modules to reflect practice patterns: 3 different modules
        • CP general
        • CP on call (appropriate for AP practitioner with minimal CP responsibilities)
        • CP Director (heavy CP responsibilities)
  • Subspecialty MOC Exam
    • Subspecialty TDACs will:
      • Determine content and distribution of questions
      • Decide on modular vs. non modular exam
      • Write MOC questions
  • General CP module Example Practical 20 Written 5 TM/BB 2-7 Chemistry 2-5 Hematology 2-7 Microbiology 2-5 Adm/Man 3-7
  • Bone and Soft Tissue Grid Written 17 Practical 5 Virtual 3 Total 25 Bone 8-10 Neoplastic 5 Non-neoplastic 3 Soft Tissue 17-19 Neoplastic 12 Non-neoplastic 5 Administration 2-4
  • Decertification
    • Failure to report for two cycles
    • Letter giving 60-90 days to comply
    • Announcement of revocations in journals
  • How will information flow? Candidate Board Society Exam results New and recertified diplomates Registration with ABP # Documentation of MOC activities CME CME/Part IV ABP #
  • Frequently Asked Questions
  • Are these the final modules?
    • Not necessarily
    • Changes will reflect practice patterns
    • Example: academic pathologist with subspecialty practice only
  • May candidates synchronize their reporting and testing cycles ?
    • Yes, if they occur within two years of one another
          • 2006 AP/CP could be synchronized with 2007 subspecialty board
          • Supporting documentation in 2008, 2010, etc.
          • MOC exam eligibility from 2014-2016
          • Second MOC period begins in 2016
  • Is there a definition for “credits related to practice” for CME/SAMs?
    • Broad interpretation
    • Use good judgment
  • When does the second MOC cycle start?
    • From the date of the examination
    • From January of the following year
  • What about diplomates practicing in foreign countries who are unable to maintain a US license?
    • Official license accepted if accompanied by an English translation
  • How will Board communicate changes to MOC?
    • ABP Website
    • Spring meeting of co-operating societies
    • Announcements in journals
  • How do we make MOC more relevant?
    • PQRI will incentivize MOC
    • Maintenance of licensure = MOC
    • Diplomates with time-unlimited certificates enroll in MOC