ABR-APDR Update
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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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