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American Board of Radiology November 29, 2009 RSNA - RC 102

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

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American Board of Radiology November 29, 2009 RSNA - RC 102

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  1. American Board of RadiologyNovember 29, 2009RSNA - RC 102

  2. 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.

  3. Agenda • Transition to EOF Dunnick • Primary Certification Balfe • Maintenance of Certification Borgstede • External Environment Becker • Including ABMS • Questions

  4. American Board of Medical Specialties (ABMS) • Established 1933 • ABR established 1934 • 24 member boards • Overarching governing body

  5. Among the 24 Member Boards • Radiology is “medium large.” • Working to reduce expenses. • Playing an increasingly influential role.

  6. ABMS Member Boards2007 Certificates • ABIM 13,062 • Pediatrics 3,221 • Family Medicine 2,872 • Psych & Neuro 2,570 • Radiology 1,842 • Radiology ranks 6th by revenue.

  7. Time-Limited Certification • Field evolves • Practice changes • Remote certification obsolete • Must “recertify”

  8. ABMS MandatesTime Limited Certification • All 24 member boards • Maintenance of Certification • Continue to lead quality • Attain “deemed status”

  9. ABR • Last lifetime certificate 2001 • 8,412 time limited in DR • 1,129 time limited in RO • 1,885 time limited in RP

  10. Current Exam Structure • Physics 2, 3 or 4th year • General Content 3 or 4th year • Oral 4th year • Maintenance of Certification

  11. 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

  12. Emphasis on fact retention and pattern recognition • Unrealistic exam format • Poor face validity • Intimidating exam setting

  13. Physics Scores Falling • Can take exam 3 years • not studying first time? • Considered a hurdle, not • necessary knowledge • Physics teaching inconsistent

  14. Exam of the Future (EOF) • Residents entering July 2010 • Computer based • Practical • Image rich • Core and certifying exams

  15. 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

  16. 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.

  17. 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.

  18. International Medical Graduates • 243,457 IMG physicians • 25.8% of practicing physicians • 28.5% of physicians in training

  19. Must have alternate pathway • State Medical Licensure • Healthcare organization • Quality • Reimbursement

  20. 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

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