ABR-APDR Update

January 6, 2018 | Author: Anonymous | Category: Science, Health Science
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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

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