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American Board of Pathology and Co-operating Societies Meeting

American Board of Pathology and Co-operating Societies Meeting. May 3, 2011. Revised November 2012. 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

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  1. American Board of Pathology and Co-operating Societies Meeting May 3, 2011 Revised November 2012

  2. 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 expiration of certification

  3. 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

  4. Part IProfessional Standing • Maintain full and unrestricted license(s) • Foreign license accepted with English translation • Document medical staff membership and privileges

  5. Part IILife Long Learning-Self-Assessment • “Content Specifications” are available on line and updated regularly • Emphasize fundamental information for daily practice and important, validated new knowledge • Specs are not templates for exams or endorsement of 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

  6. Part IILife Long Learning & Self-Assessment • 70 AMA Category 1 CME credits/2 year cycle • At least 20 of the CME credits/2 yr cycle must be SAMs • 80% of CME related to individual’s practice • A fellowship fulfills Part II requirements for 2 year period

  7. Self-Assessment Modules (SAMs) • Elements of SAMs • AMA Category 1 CME • Self-administered exam • Minimum performance level • Feedback • All SAMs are CMEs, but not all CMEs are SAMs

  8. Part IIICognitive Expertise • Exam may be taken beginning year 8 of 10 year cycle (first exam in 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 • Surrendering certification is NOT RECOMMENDED

  9. Part IIICognitive Expertise • Modular exam to reflect practice • Consists of one 50 question general module and four 25 question modules • 80% practical (e.g. virtual microscopy, case-based questions); 20% written • Scored as a single 150 question exam

  10. Part IVPerformance in Practice • Four peer attestations (4th and 8th year) • Lab accreditation (2 yrs) except forensic labs • Laboratory PI and QA programs (2 yrs) • Individual participation at least one PI-QA program/yr. (2 yrs)

  11. Part IVPerformance in Practice • Programs may be society sponsored or by departments/institutions • Programs must be ABP-approved • Society sponsored programs on ABP website

  12. AP/CP PART III MOC EXAM • One 50 question general AP/CP module • 20 AP • 20 CP • 10 Lab management • PLUS four 25 question AP, CP, or Common Modules

  13. AP ONLY PART III MOC EXAM • One general AP module • 40 AP questions • 10 Lab Management questions • PLUS four 25 question AP or Common Modules

  14. CP ONLY EXAM • One 50 question general CP module • 40 CP • 10 Lab management • PLUS four 25 question CP or Common Modules

  15. 25 Question ModulesClinical Pathology

  16. AP General I & II Surg Path I & II Surg Path & Cytology Cytology General Cytology-Gyn Cytology, Non Gyn Bone-Soft Tissue Breast Cardiovascular Dermatology Neoplastic Dermatology-non-Neo Endocrine GI-Liver-Biliary 25 Question ModulesAnatomic Pathology

  17. 25 Question ModulesAnatomic Pathology (continued)

  18. 25 Question Common Modules*Anatomic and Clinical Pathology * May be used as AP or CP modules

  19. General AP/CP MOC • Test Development and Advisory Committees (TDAC) determine content and distribution of questions • Knowledge needed to practice and validated new information

  20. Modification of Modules • Some organ-specific and CP areas may have >1 module with graded difficulty

  21. Subspecialty MOC Exam Subspecialty TDACs will: • Determine content and distribution of questions • Write MOC questions

  22. Subspecialty MOC Examswith no modules • Blood Bank/Transfusion Medicine • Chemical Pathology • Cytopathology • Dermatopathology • Forensic Pathology • Microbiology

  23. Subspecialty Exams with Modules • Hematology (total 150 questions) • Heme General (50) • Lymph Nodes and Solid Tissue (50) • Blood and Bone Marrow (50) • Hemostasis and Thrombosis (50) • Laboratory Heme w/out Coag (50) • Flow Cytometry (50)

  24. Subspecialty MOC Examswith modules • Molecular Genetic Pathology (150 total) • MGP General I (75 questions) • MGP General II (75 ) • MGP Oncology/Heme (25) • MGP Oncology/Solid Tumor (25) • MGP Infectious Disease (25) • MGP Genetics (25)

  25. Subspecialty Examswith Modules • Neuropathology (total 150 questions) • NP General I (50) • NP General II (50) • Neuromuscular (25) • Developmental/Congenital/Pediatric (25) • Degenerative (25) • Neoplastic I (25) • Neoplastic II (25)

  26. Subspecialty MOC Examswith modules • Pediatric Pathology (total 150 questions) • Pediatric General Pathology (100) • Placenta/Perinatal (50) • Pediatric Anatomic Pathology (50) • Pediatric Laboratory Medicine (50)

  27. CP Only General ModuleExample40 Practical, 10 Written

  28. Bone and Soft Tissue GridTotal of 25 questions

  29. EXPIRATION OF CERTIFICATION • Failure to report for two MOC cycles • Announcement of expired certificates

  30. How will information flow? New and recertified Diplomates Societies Board Part II&Part IV Part II&IV Exam results Registration with ABP # Documentation of MOC activities ABP # Candidate

  31. Frequently Asked Questions

  32. Are these the final modules? • Not necessarily • Changes will reflect practice patterns • Example: academic pathologist with subspecialty practice only

  33. May candidates synchronize their reporting and testing cycles? • Yes, if they occur within two years of one another • 2007 subspecialty certificate could be synchronized with 2006 AP/CP MOC cycle • Supporting documentation in 2008, 2010, etc. • MOC exam eligibility from 2014-2016 • Second MOC cycle begins in 2016

  34. Is there a definition for “credits related to practice” for CME/SAMs? • Broad interpretation • Use good judgment

  35. When does the second MOC cycle start? • From the date of the examination? NO • January 1 of the 11th year following certification

  36. What about diplomates practicing in foreign countries who are unable to maintain a US license? • Official license accepted if accompanied by an English translation

  37. How will Board communicate changes to MOC? • ABP Website • MOC Booklet of Information • Spring meeting of co-operating societies • Announcements in journals

  38. How do we make MOC more relevant? • PQRS will incentivize MOC • Maintenance of licensure = MOC • Diplomates with non- time limited certificates enroll in MOC

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