ABR-APDR Update
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Transcript ABR-APDR Update
ABR-APDR UPDATE:
PRESENT AND FUTURE (EOF)
EXAMS
Kay Vydareny, M.D.
April 2011
Outline
Exam of today
Qualifying (aka written/physics)
Certifying (aka oral)
Exam of (near) future
Core
Certifying
Qualifying exams: Physics and
Clinical
Registering for exam – will be notified via
website when able to register at Pearson
Vue
Erroneous reporting of results –
Affected those who checked physics results
before receiving email from ABR
Have changed processes and are certain will
not happen again
Electronic payment for initial certification
Top priority for ABR
Process will be complete by end of 2011
Certifying exam: oral
Core pilot exam
- 2011
6 modules will be piloted in May (MSK ,
Breast, Peds, Cardiac, IR, Neuro,)
Candidate can choose to take before or after
exam
Passing score can raise conditioned score
but will not allow a failing candidate to pass
Will allow evaluation of time, software
interface, questions, etc
Will not represent actual modules to be given
during core exam
Will be a second pilot May 2012 to include
all modules
Appointments for oral and for core pilot
were sent at end of last week
Certifying exam - oral
Results
To be posted electronically Friday May 27
Letters will be mailed in late June
Candidates must make sure we have up-to-
date contact information.
EOF Core exam, purpose
To validate that a diagnostic radiology
candidate has acquired knowledge, skill,
and understanding of the entire field of
diagnostic radiology, including physics
EOF, Core exam - Timing
Residents expected to take at 36 months
Exception – research residents with >9
months research in first 3 years can delay
Would be few other exceptions granted
First exam September 30-October 4, 2013
Subsequent exams – third week of June
EOF, Core exam, structure
Image-rich
Will assess knowledge and
comprehension (40%) and application,
analysis, synthesis, and evaluation (60%)
Level of expertise expected for the exam
is basic to intermediate
EOF – Core exam, structure
18 categories, each must be passed
Organ system: MSK, Cardiac, Thoracic,
Gastrointestinal, Urinary, Repro/Endo, Neuro,
Pediatric, Breast, Vascular
Modality: Ultrasound, Interventional, Nuclear
Radiology/Molecular Imaging, CT, MRI,
Rad/Fluoro
Fundamental concepts: Patient safety, physics
Items presented in random order
RISE (RadioIsotope Safety Exam)
Will be embedded in Core exam
Rationale: radioisotope safety is important
for all DR not just for AU’s
50-60 scorable units
25-30 already contained in NM, Safety,
Physics
25-30 additional radioisotope safety items
If fail RISE, can re-take if desire AU-E
status; don’t need to retake if don’t
qualify/want AU-E
Must pass this virtual exam + NRC
requirements before end of residency to
have AU-E on certificate
Must pass Core exam before RISE counts
towards AU-E status
Core exam, general
Study guides posted on ABR website
(www.theabr.org) January 2011
Exam will take two half days
Given in central locations – Chicago,
Tucson – 2x year
Breast
Cardiac
GI
MSK
Neuro
Peds
Thorax
Repro /
Endo
Urinary
Vascular
Q#
CT
60
IR
60
MR
60
NM/Molecul
ar
60
Rad/Fluoro
60
US
60
Physics
90
Safety
60
Q#
60
60
60
60
60
60
60
60
60
minimum 60 questions per row/column
60
EOF, Core exam, Physics
Practical, image based
More questions than other categories
Physicist included on each of the
item-writing committees
EOF, Core exam - Scoring
Criterion-referenced exam
Must pass each row/column
Condition exam = fail of 1-5 categories
(including physics)
RISE will not count as one of these categories,
but will be scored separately
EOF, Core exam – transition
If fail last attempt at clinical exam- go to
core
If fail last attempt at oral – go to core
EOF, Certifying exam, Purpose
To validate that the candidate has acquired
and is able to apply the requisite knowledge,
skill, and understanding that:
every practicing physician should possess. (20%)
( NIS)
every practicing radiologist should possess. (20%)
(Essentials)
this particular practicing radiologist should
possess to begin independent practice in chosen
clinical practice area(s). (60%) (CPA’s)
EOF, Certifying exam, Timing
To be taken 15 months after finishing
residency
Will be given 2x/year
EOF, Certifying exam - Structure
Image-rich exam
Emulate practice
Focus assessment on application,
analysis, synthesis, and evaluation
Level of expertise expected for the exam
is intermediate to advanced
Will include normals, normal variants,
artifacts
Each module at least 60 scorable units
Exam will be ~ 5 hours long
Administered 2 X / year
Is both the first MOC exam and the
certifying exam for the residency
EOF, Certifying exam, NIS
What every physician should know
Domain includes:, ethics, governmental
regulations, systems-based practice, etc.
EOF, Certifying exam, Essentials
What every radiologist should know
Includes but not limited to Emergency
Radiology, common on-call dx
EOF. Certifying exam, CPA
Candidate chooses 3 modules
If more than 1 in an area, will contain more
advanced content
CPA’s: Breast, Cardiac ,GI ,MSK, Neuro,
Pediatric, Thoracic,
Reproductive/Endocrine, Urinary,
Vascular-Interventional, Nuclear Medicine,
Ultrasound, and General Radiology.
Each will include relevant Peds, Physics
EOF, Certifying exam, Scoring
Criterion referenced
Will be pass/fail only
Must pass NIS, Essentials and CPA’s (as
a group)
If fail, must keep CPA’s the same for next
administration of the exam
EOF, Certifying, Transition from
present
If condition oral on last attempt – take one
module in each conditioned section +
NIS+Essentials
If fail, take entire Certifying exam (5 modules)
How can the APDR help?
Help establish a culture shift from “how many
questions can I remember?” to “I am honor
bound not to share reminiscences”
Much time and effort to write new exams
Want certificate to be worth something
Avoid analysis/management items becoming recall
only
Public would expect no less
Should be part of professionalism competency
How can APDR help? (2)
More complete evaluation of resident’s
abilities since can’t evaluate
communication, etc on CBE
Milestones may help with this