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American Board of RadiologyNovember 29, 2009RSNA - 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 Maintenance of Certification Borgstede External
Environment Becker Including
ABMS Questions ,
American Board of Medical Specialties (ABMS) Established 1933
ABR established 1934
24 member boards Overarching governing body
,Among the 24
Member Boards Radiology is “medium large.”
Working to reduce expenses.
Playing an increasingly influential role. ,ABMS Member Boards2007 Certificates ABIM13,062
Pediatrics 3,221
Family Medicine 2,872
Psych &
Neuro 2,570 Radiology 1,842 Radiology ranks 6th by revenue. ,Time-Limited
Certification Field evolves
Practice changes
Remote certification obsolete Must “recertify” ,ABMS MandatesTime
Limited Certification All 24 member boards
Maintenance of Certification Continue to lead quality Attain “deemed status” ,ABR
Last lifetime certificate
2001
8,412 time limited in
DR 1,129 time limited in RO 1,885 time limited in RP ,
Current Exam Structure Physics 2, 3 or 4th year
General Content 3 or 4th year Oral4th year Maintenance of Certification ,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 ,
Emphasis on fact retention and pattern recognition Unrealistic exam format
Poor face validity Intimidating exam setting ,Physics
Scores Falling Can take exam 3 years
not studying first time?
Considered a hurdle, not necessary knowledge Physics teaching inconsistent
,Exam of the
Future (EOF) Residents entering July
2010
Computer based Practical
Image rich
Core and certifying exams ,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
,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. ,
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. ,International Medical Graduates 243,457IMG physicians
25.8% of practicing physicians 28.5% of physicians in training ,Must have alternate pathway
State Medical Licensure
Healthcare organization
Quality Reimbursement ,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
- published: 01 Jun 2016
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