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American Board of Pathology Maintenance of Certification

American Board of Pathology Maintenance of Certification. September, 2013. Maintenance of Board Certification (MOC). ABP MOC is part of ABMS MOC process All certificates from 2006 onward are time limited

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American Board of Pathology Maintenance of Certification

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  1. American Board of Pathology Maintenance of Certification September, 2013

  2. Maintenance of Board Certification (MOC) • ABP MOC is part of ABMS MOC process • All certificates from 2006 onward are time limited • MOC is a continuous process with specific deadlines; failure to successfully participate results in early 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 • Maintenance of a full and unrestricted license • Documentation of medical staff membership and privileges

  5. 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 • Fellowship fulfills Part II and IV requirements for one 2-year cycle

  6. Self-Assessment Modules (SAMs) • Elements of SAMs • Educational activity • Self-administered exam • Minimum performance level • Feedback • All SAMs are CMEs, but not all CMEs are SAMs

  7. Part IIICognitive Expertise • Exam may be taken beginning year 7 of 10 yr cycle • First exams in Spring & Fall 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 • MAINTAINING ALL CERTIFICATES IS STRONGLY ENCOURAGED!

  8. Part IVPerformance in Practice • Four personal attestations (4th and 8th year) • Lab accreditation (2 yrs) except forensic labs • Laboratory participation in inter-laboratory PI programs (2 yrs) • Individual participation at least 1 laboratory PI-QA program/yr (2 yrs)

  9. Part IVPerformance in Practice • Programs may be society-sponsored or created by departments/institutions • All programs must be ABP-approved

  10. Part IVPerformance in Practice • Laboratory Accreditation • Laboratory Performance Improvement and Quality Assurance (PI/QA) • Individual Pathologist PI / QA

  11. Part IVIndividual Pathologist PI/QA • CLIA Cyto PT • LAP Inspector • QA Committee Participant • Slide Review Programs • PI/QA SAM • PI/QA Activities-Dept, Institution, Society • ACGME Program Director

  12. MOC Modular Exam • Candidate selects modules to reflect practice • 1 primary certification module (50 questions) + 4 selected modules (25 questions each) • Modules = 80% practical; 20% written • Modules graded as one 150 question exam

  13. Modular MOC Examination(150 questions) 50 Mandatory Primary Certification module + 25 25 25 25 Candidate-Selected General or Specialty Modules

  14. Primary Certification 50 Question Mega-Module AP/CP AP only CP only 10 20 20 20 20 Lab Management

  15. Revised 9/13 ModulesClinical Pathology

  16. General AP Gen Surg Path I, II Gen Cytology Cytology-Gyn Cytology, Non Gyn Autopsy Forensic I, II Bone-Soft Tissue Breast I, II Cardiovascular Derm-NonNeoplasti Derm-Neoplastic Endocrine Revised 9/13 ModulesAnatomic Pathology

  17. Revised 9/13 ModulesAnatomic Pathology (cont.)

  18. Revised 9/13 Common Modules*Anatomic and Clinical Pathology * May be used as AP or CP specialty modules

  19. CP General ModuleExample(25 questions)

  20. MOC Part III • Test Development and Advisory Committees (TDACs) determine content and distribution of questions • Includes “need to know” fundamental information and important validated new information

  21. Pilot ExamJuly 27, 2013 • 64 2006, 2007 diplomates participated • Full credit for passing • Limited number of modules (31) • All areas of CP • Major specialty areas in AP • 61 pass, 3 fail—95% pass rate

  22. Frequently Asked Questions

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

  24. How will Board communicate changes to MOC? • Website • Spring meeting of Co-operating Societies • Announcements in journals

  25. May candidates synchronize their reporting and testing cycles? • Reporting periods synchronized to first time limited certificate. • Exam - if they occur within two years of each other • 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 1/1/2017

  26. Making MOC Relevant

  27. Patient Quality Reporting System(PQRS) • 0.5% incentive payment on Medicare Part B for reporting quality measures 2013, 2014 • 1.5% penalty in 2015 for not reporting • Additional 0.5% incentive for MOC participants 2013, 2014 • “more frequently” requirement • ABP approved for MOC-PQRS • register at: www.mocmatters.abms.org

  28. Conceptual Framework MOC Standards 2015 ABMS proposes better alignment with: • FSMB requirements for MOL • Joint Commission Ongoing Professional Practice Evaluation (OPPE) for renewing clinical privileges

  29. Writing good SAMs Questions Avoid : • Negative stems • “all of the following EXCEPT” • Answers that are a series of true- false statements • “ ALL OF THE ABOVE ” or “ NONE OF THE ABOVE ” • Testing unimportant facts

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