American Board of Pathology  and  Co-operating Societies Meeting May 3, 2011 Modules revised November 2008
Maintenance of Board Certification (MOC) <ul><li>ABP MOC is part of ABMS-wide MOC process  </li></ul><ul><li>All certifica...
Requirements For MOC  <ul><li>Part I:  Professional Standing </li></ul><ul><li>Part II:  Life-Long Learning and Self-Asses...
Part I Professional Standing <ul><li>Maintenance of a full and unrestricted license  </li></ul><ul><li>Foreign license acc...
Part II Life Long Learning-Self-Assessment <ul><li>Intersociety AP and CP Content Committees produce “Content Specificatio...
Part II Life Long Learning- Self-Assessment <ul><li>70 Category 1 CME credits / 2 year cycle  </li></ul><ul><li>20 CME cre...
Self-Assessment Modules (SAMs) <ul><li>Elements of SAMs </li></ul><ul><ul><ul><li>Educational product </li></ul></ul></ul>...
Part III Cognitive Expertise <ul><li>Exam may be taken beginning year 8 of 10 year cycle  (first exam 2014) </li></ul><ul>...
Part III Cognitive Expertise <ul><li>MOC exam </li></ul><ul><ul><li>Tailor exam by selecting modules </li></ul></ul><ul><u...
Part IV Performance in Practice <ul><li>Four personal attestations  (4 th  and 8 th  year)   </li></ul><ul><li>Lab accredi...
Part IV Performance in Practice <ul><li>Programs may be society-sponsored or created by departments/institutions </li></ul...
AP/CP MOC Exam General module Specialty module +  + + +  4 add.  =  6 total +  3  add.  =  6 total +  3  add.  =  6 total ...
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 ...
Modules Clinical Pathology General Modules Revised 11/08 General CP I, II, III, IV Hematology I, II Blood Bank I, II Immun...
Modules Anatomic Pathology <ul><li>Gen AP I,II </li></ul><ul><li>Gen Surg Path I, II </li></ul><ul><li>Gen Surg Path-Cytol...
Modules Anatomic Pathology (continued) Revised 11/08 Genitourinary Pediatric Pathology Gynecologic Pulmonary-Mediastinal H...
Common Modules* Anatomic and Clinical Pathology * May be used to fulfill AP or CP specialty modules Revised 11/08 General ...
General AP/CP MOC <ul><li>Test Development and Advisory Committees (TDAC) to determine content and distribution of questio...
Modification of Modules <ul><li>Some organ-specific areas may have >1 module designed for graded difficulty  </li></ul><ul...
Subspecialty MOC Exam <ul><li>Subspecialty TDACs will: </li></ul><ul><ul><li>Determine content and distribution of questio...
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...
Decertification <ul><li>Failure to report for two cycles </li></ul><ul><li>Letter giving 60-90 days to comply </li></ul><u...
How will information flow? Candidate Board Society Exam results New  and recertified  diplomates Registration with ABP # D...
Frequently Asked Questions
Are these the final modules? <ul><li>Not necessarily </li></ul><ul><li>Changes will reflect practice patterns   </li></ul>...
May candidates synchronize their reporting and testing cycles ? <ul><li>Yes, if they occur within two years of one another...
Is there a definition for “credits related to practice” for CME/SAMs? <ul><li>Broad interpretation </li></ul><ul><li>Use g...
When does the second MOC cycle start? <ul><li>From the date of the examination </li></ul><ul><li>From January of the follo...
What about diplomates practicing in foreign countries who are unable to maintain a US license? <ul><li>Official license ac...
How will Board communicate changes to MOC? <ul><li>ABP Website </li></ul><ul><li>Spring meeting of co-operating societies ...
How do we make MOC more relevant? <ul><li>PQRI will incentivize MOC </li></ul><ul><li>Maintenance of licensure = MOC </li>...
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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

    1. 2. American Board of Pathology and Co-operating Societies Meeting May 3, 2011 Modules revised November 2008
    2. 3. Maintenance of Board Certification (MOC) <ul><li>ABP MOC is part of ABMS-wide MOC process </li></ul><ul><li>All certificates beginning in 2006 are time limited (10 yrs) </li></ul><ul><li>MOC is a continuous process with specific deadlines; failure to comply results in a warning </li></ul>
    3. 4. Requirements For MOC <ul><li>Part I: Professional Standing </li></ul><ul><li>Part II: Life-Long Learning and Self-Assessment </li></ul><ul><li>Part III: Cognitive Expertise </li></ul><ul><li>Part IV: Evaluation of Performance in Practice </li></ul>
    4. 5. Part I Professional Standing <ul><li>Maintenance of a full and unrestricted license </li></ul><ul><li>Foreign license accepted with English translation </li></ul><ul><li>Documentation of medical staff membership and privileges </li></ul>
    5. 6. Part II Life Long Learning-Self-Assessment <ul><li>Intersociety AP and CP Content Committees produce “Content Specifications” outlines available on line and updated annually </li></ul><ul><li>Outlines emphasize fundamental information for daily practice and important, validated new knowledge </li></ul><ul><li>Outlines should not be construed as templates for exam or endorsements of certain authors </li></ul><ul><li>These will: </li></ul><ul><ul><li>Serve as a template for CME and self-assessment </li></ul></ul><ul><ul><li>Assist pathologists to prepare for MOC exam </li></ul></ul><ul><ul><li>Direct MOC test question development </li></ul></ul><ul><ul><li>Focus on practical “need to know” information that is used in daily practice and required for competence </li></ul></ul><ul><ul><li>Cover all disciplines of pathology </li></ul></ul>
    6. 7. Part II Life Long Learning- Self-Assessment <ul><li>70 Category 1 CME credits / 2 year cycle </li></ul><ul><li>20 CME credits / 2 yr cycle must be SAMs </li></ul><ul><li>80% CME related to individual’s practice </li></ul><ul><li>A fellowship fulfills Part II requirements for 2 year period </li></ul>
    7. 8. Self-Assessment Modules (SAMs) <ul><li>Elements of SAMs </li></ul><ul><ul><ul><li>Educational product </li></ul></ul></ul><ul><ul><ul><li>Self-administered exam </li></ul></ul></ul><ul><ul><ul><li>Minimum performance level </li></ul></ul></ul><ul><ul><ul><li>Feedback </li></ul></ul></ul><ul><ul><ul><li>All SAMs count as CMEs, but not all CMEs are SAMs </li></ul></ul></ul>
    8. 9. Part III Cognitive Expertise <ul><li>Exam may be taken beginning year 8 of 10 year cycle (first exam 2014) </li></ul><ul><li>AP/CP diplomates may maintain their certification in AP/CP, AP only, CP only </li></ul><ul><li>Diplomates with subspecialty boards may maintain certification in subspecialty only </li></ul>
    9. 10. Part III Cognitive Expertise <ul><li>MOC exam </li></ul><ul><ul><li>Tailor exam by selecting modules </li></ul></ul><ul><ul><li>Consists of 6 modules of 25 questions (150 total questions) </li></ul></ul><ul><ul><li>80% practical (virtual microscopy, case-based questions, etc.); 20% written </li></ul></ul><ul><ul><li>Blends and grades modules as one exam </li></ul></ul>
    10. 11. Part IV Performance in Practice <ul><li>Four personal attestations (4 th and 8 th year) </li></ul><ul><li>Lab accreditation (4 th and 8 th year) except forensic labs </li></ul><ul><li>Laboratory participation in inter-laboratory PI programs (2 yrs) </li></ul><ul><li>Individual participation at least 1 laboratory PI-QA program/yr. (2 yrs) </li></ul>
    11. 12. Part IV Performance in Practice <ul><li>Programs may be society-sponsored or created by departments/institutions </li></ul><ul><li>All programs must be ABP-approved </li></ul><ul><li>Programs </li></ul>
    12. 13. 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
    13. 14. 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 + +
    14. 15. 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
    15. 16. Modules Anatomic Pathology <ul><li>Gen AP I,II </li></ul><ul><li>Gen Surg Path I, II </li></ul><ul><li>Gen Surg Path-Cytology </li></ul><ul><li>Gen Cytology </li></ul><ul><li>Cytology-Gyn </li></ul><ul><li>Cytology, Non Gyn </li></ul><ul><li>Bone-Soft Tissue </li></ul><ul><li>Breast </li></ul><ul><li>Cardiovascular-Autopsy </li></ul><ul><li>Dermatology I, II </li></ul><ul><li>Endocrine </li></ul><ul><li>GI-Biliary </li></ul>Revised 11/08 General Modules
    16. 17. Modules Anatomic Pathology (continued) Revised 11/08 Genitourinary Pediatric Pathology Gynecologic Pulmonary-Mediastinal Head-Neck Transplant pathology Medical Renal Forensic Pathology Neuropathology
    17. 18. 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
    18. 19. General AP/CP MOC <ul><li>Test Development and Advisory Committees (TDAC) to determine content and distribution of questions </li></ul><ul><li>Knowledge needed to practice and validate new information </li></ul><ul><li>Many questions will be suitable for primary or MOC exam </li></ul>
    19. 20. Modification of Modules <ul><li>Some organ-specific areas may have >1 module designed for graded difficulty </li></ul><ul><li>General CP modules to reflect practice patterns: 3 different modules </li></ul><ul><ul><ul><li>CP general </li></ul></ul></ul><ul><ul><ul><li>CP on call (appropriate for AP practitioner with minimal CP responsibilities) </li></ul></ul></ul><ul><ul><ul><li>CP Director (heavy CP responsibilities) </li></ul></ul></ul>
    20. 21. Subspecialty MOC Exam <ul><li>Subspecialty TDACs will: </li></ul><ul><ul><li>Determine content and distribution of questions </li></ul></ul><ul><ul><li>Decide on modular vs. non modular exam </li></ul></ul><ul><ul><li>Write MOC questions </li></ul></ul>
    21. 22. 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
    22. 23. 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
    23. 24. Decertification <ul><li>Failure to report for two cycles </li></ul><ul><li>Letter giving 60-90 days to comply </li></ul><ul><li>Announcement of revocations in journals </li></ul>
    24. 25. 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 #
    25. 26. Frequently Asked Questions
    26. 27. Are these the final modules? <ul><li>Not necessarily </li></ul><ul><li>Changes will reflect practice patterns </li></ul><ul><li>Example: academic pathologist with subspecialty practice only </li></ul>
    27. 28. May candidates synchronize their reporting and testing cycles ? <ul><li>Yes, if they occur within two years of one another </li></ul><ul><ul><ul><ul><li>2006 AP/CP could be synchronized with 2007 subspecialty board </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Supporting documentation in 2008, 2010, etc. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>MOC exam eligibility from 2014-2016 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Second MOC period begins in 2016 </li></ul></ul></ul></ul>
    28. 29. Is there a definition for “credits related to practice” for CME/SAMs? <ul><li>Broad interpretation </li></ul><ul><li>Use good judgment </li></ul>
    29. 30. When does the second MOC cycle start? <ul><li>From the date of the examination </li></ul><ul><li>From January of the following year </li></ul>
    30. 31. What about diplomates practicing in foreign countries who are unable to maintain a US license? <ul><li>Official license accepted if accompanied by an English translation </li></ul>
    31. 32. How will Board communicate changes to MOC? <ul><li>ABP Website </li></ul><ul><li>Spring meeting of co-operating societies </li></ul><ul><li>Announcements in journals </li></ul>
    32. 33. How do we make MOC more relevant? <ul><li>PQRI will incentivize MOC </li></ul><ul><li>Maintenance of licensure = MOC </li></ul><ul><li>Diplomates with time-unlimited certificates enroll in MOC </li></ul>

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