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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)
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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 IProfessional Standing • Maintenance of a full and unrestricted license • Foreign license accepted with English translation • Documentation of medical staff membership and privileges
Part IILife 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 IILife 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 IIICognitive 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 IIICognitive 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 IVPerformance in Practice • Four personal attestations (4th and 8th year) • Lab accreditation (4th and 8th 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 IVPerformance in Practice • Programs may be society-sponsored or created by departments/institutions • All programs must be ABP-approved • Programs
AP/CP MOC Exam + + + + 4 add. = 6 total + 3 add. = 6 total + 3 add. = 6 total Option 1 Option 2 Option 3 CP General module AP Specialty module
AP only MOC Exam CP only MOC Exam + + oror or or or or or or or or 3 max 6 total 6 total CP General module Specialty module AP
Revised 11/08 ModulesClinical Pathology General Modules
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 ModulesAnatomic Pathology General Modules
Revised 11/08 ModulesAnatomic Pathology (continued)
Revised 11/08 Common Modules*Anatomic and Clinical Pathology * May be used to fulfill AP or CP specialty modules
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
Decertification • Failure to report for two cycles • Letter giving 60-90 days to comply • Announcement of revocations in journals
How will information flow? New and recertified diplomates Society Board CME/Part IV CME Exam results Registration with ABP # Documentation of MOC activities ABP # Candidate
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