The ABR MOC Process. G. Donald Frey, Ph.D. Associate Executive Director

Transcription

1 The ABR MOC Process G. Donald Frey, Ph.D. Associate Executive Director

2 The MISSION of the ABR: To certify that our diplomates demonstrate the requisite knowledge, skill, and understanding of their disciplines to the benefit of patients.

3 ABMS 24 Boards ABR ABNM ABMG

4 ABR Board of Trustees DR IR/DR MP RO AED/DR AED/IR AED/MP AED/RO ED

5 More than 10 years old 2534 MP diplomates enrolled in MOC ~ ½ of the total active diplomates

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7 A robust MOC program demonstrates to the public and the government that the profession is self regulating in an effective way

8 Commitment to Self Development and to Quality and Safety in our Practices Part 1 Part 2 Part 3 Part 4 Professionalism Continuing Professional Development Maintenance of Skill Quality in practice

9 Today Getting Ready for the 2016 Lookback The Nature and Results of the Exam Looking to the Future

10 Continuous Certification Why and How?

11 Continuous Certification Preparing for Your Look-backs Looking Forward Is Planning To Be Here

12 Who is looking back? ABR MOC Services

13 Who is looking forward? ABR Diplomates!

14 When Do ABR Look-backs Occur? March 15 March First Full Lookback in 2016

15 When Do ABR Look-backs Occur? March 15 March 15 March 15 March

16 What Is the Span of an ABR Look-back? The span of the look-back depends on the various elements of Continuous Certification.

17 Part 1- Professional Standing If licensed: Maintain active, current, valid, and unrestricted licenses relevant to all locations of practice. If not licensed: Fill out Self-Competency Attestation. Select two attesters to file an evaluation. At least one attestation in previous 5 years is required.

18 Part 1- Professional Standing If you are licensed Update license status in myabr. If you are not licensed Year 5 of Cycle No No action Required. Go to myabr and update Self- Competency Attestations. Yes Select and ask attesters if they are willing. Go to myabr and enter attesters names.

19 Part 2- Lifelong Learning Look-back includes previous 3 years for CE and SA-CE. 75 CE every three years, at least 25 of which must be Self-Assessment CE (SA-CE).

20 Part 2- Lifelong Learning Basic Requirement, 1 Year 16 ⅓ CE + 8 ⅔ SA CE = 25 Total CE 3-Year Look-back 50 CE + 25 SA-CE = 75 Total CE

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22 Planning for Your Annual Requirement And Many Others Credits at Meetings CE sessions SAMs SAMs are SA-CE. Enduring Materials All are SA-CE. AAPM Online Learning Center Self Directed Education Projects (SDEPs) Up to 15 SA-CE per year

23 Part 3- Cognitive Expertise When to take exam Exam has a 10-year look-back. Most candidates take exam in year 8 or 9. Each year Check study guide for MOC exam. Review materials with emphasis on any new additions.

24 Check MyABR If you have been certified for less than 10 years or have a LTC and are in MOC this may be cryptic.

25 Part 3- Cognitive Expertise If you plan to take the exam, check dates on the ABR Website. Register with Pearson VUE to take the exam. There are limited seats at most PV centers, so register early to improve your chances of getting a local center.

26 Part 4- Practice Quality Improvement (PQI) The look-back for PQI projects is 3 years. Most PQI projects take some time to complete. PQI projects that are not rushed tend to be better and more helpful. Review template in myabr. Select topic. Complete project. Enter data in template on myabr. DL1

27 Slide 26 DL1 This might confuse people who think they need to provide baseline and remeasure data to us. I would recommend rewording to something like, "Complete attestation on myabr." David Laszakovits, 7/15/2014

28 Part 4- Practice Quality Improvement Complete at least 1 PQI project in previous 3 years. Due to the PQI attestation enhancements in myabr, PQI project attestations completed in 2012 or 2013 on your old PDB need to be re-entered in myabr. DL2

29 Slide 27 DL2 We launched myabr in March 2013, so project entered after that will be fine. Suggest rewording to say, "...attestations completed prior to March 2013 on your old..." David Laszakovits, 7/15/2014

30 Fees Must be current with fees when ABR performs a look-back.

31 A Generic ABR Look-back March Part 1 - Attestation (if no license) Cognitive Expertise (MOC Exam) CE & SA-CE PQI Project License & Fees must be current The first full ABR look-back in March 2016 will include four years for Part 2 and Part 4 ( ).

32 A License Based ABR Look-back March Part 1 Cognitive Expertise (MOC Exam) CE & SA-CE PQI Project License & Fees must be current You do not need to send a copy of license but must provide expiration date to MyABR The first full ABR look-back in March 2016 will include four years for Part 2 and Part 4 ( ).

33 Continuous Certification If you go into the not meeting status, you can go back to the meeting status any time for a year if you make up the deficiencies.

34 What happens if there is a deficiency? (for time-limited certificates) Deficiencies can be corrected at any time. Certified, Meeting Requirements Certified, Not Meeting Requirements Not Certified Not meeting at 1 st look-back Not meeting at 2 nd look-back Not meeting at 3 rd look-back and beyond Reported on ABR and ABMS Websites

35 What happens if there is a deficiency? (for time-limited certificates) Deficiencies can be corrected at any time. Certified, Meeting Requirements Certified, Not Meeting Requirements Not Certified Not Certified Not Certified Attestation 3 years of CME Exam PQI Project Re-entry fee Re-entry can be done at any time, but all requirements must be done in a single calendar year. Reported on ABR and ABMS Websites

36 Continuous Certification The Continuous Certification process is designed for continuous participation and works best when the diplomate s effort is more or less continuous.

37 Avoid condensing certification effort into the first quarter of each year. Effort = t 0 + March 15 March 15 March 15 March Effort

38 Make certification effort continuous! Effort = Constant March 15 March 15 March 15 March Effort

39 Summary Planning your Continuous Certification efforts will: Ensure that you don t enter the not meeting status. Reduce the stress of last-minute activity. Improve the quality of PQI projects.

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41 The MP MOC Exam Best single choice multiple choice Most have 3 or 4 choices 120 questions Given in the fall MNP October 14, 2015 TMP October 23, 2015 DMP October 30, 2015 Given at Pearson VueCenters. Ten in Florida

42 Pearson Vue Centers

43 The MOC Exam The MOC exam has been given since Most candidates are from therapy with lesser numbers from diagnostic and nuclear 5% 14% 81% TMP DMP NMP Percent of Takers by Specialty

44 Number of MOC Test Takers Annual Cumulative This number will continue to rise until ~2045

45 100% 95% 90% 85% 80% 75% MP MOC Annual Pass Rates for 1 st Time Takers Small Number of Takers Small Number of Takers

46 Average Item Difficulty A good exam has moderately difficult items. Items that are too easy(>90% correct) or too hard (<20 % correct) do not separate the good performers from the poor performers.

47 Average Item Difficulty A good exam has moderately difficult items. Items that are too easy(>90% correct) or too hard (<20 % correct) do not separate the good performers from the poor performers. Individuals who are used to doing very well on tests sometimes are anxious about the difficulty of the items they encounter

48 Item Difficulty for 2014 Average Performer 75% Best Performer 100% Poorest Performer 51% 40% 50% 60% 70% 80% 90% 100% Average performance is close to optimal from a statistical perspective

49 Item Difficulty 82% 80% 78% 76% 74% 72% 70% 68% 66% 64% 62%

50 Failure to Successfully Complete The Exam If you fail to pass the cognitive exam within 10 years your are shown as Certified Not Meeting MOC Requirements If you do not pass the exam within 11 years you are shown as Not Certified There is a reentry path that does not require additional formal training and can be completed in no more than a year

51 MOC Status First 3 10 Year Cohorts 9.6% 3.7% Recertified Failed to Recertify for Multiple Reasons 86.6% Failed to Recertify because of Exam Only

52 Summary Six years experience with MP MOC Exam Exam is very reliable Exam discriminates well Number of takers has increased as expected

53 Quo Vadis?

54 Near Term Providing robust feedback for the MOC exams Simplified attestation for Part 1 Improvements in Study Guide Simplified attestation for Part 2 Simplified attestation for PQI projects

55 Phone: (520) ABR MOC Services Division: (520) Mailing address: The American Board of Radiology 5441 E. Williams Circle Tucson, AZ G, Donald Frey Associate Executive Director Medical Physics

56 Questions