ED Report

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ABMS
March 24, 2010 APDR ABR Update
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SPECIALTY BOARDS

• Established to assure the public that the
  physician has specific qualifications
• American Board of Ophthalmology 1917
• American Board of Otolaryngology 1924
• American Board of Obstetrics 1930
• American Board of Dermatology 1932
• Advisory Board for Medical Specialties
  (forerunner of ABMS) established 1933
• The 4 Boards
• Associate Member organizations

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ABMS 24 Member Boards

• The American Boards of
• Allergy and Immunology
• Anesthesiology
• Colon and Rectal Surgery
• Dermatology
• Emergency Medicine
• Family Medicine
• Internal Medicine
• Medical Genetics
• Neurological Surgery
• Nuclear Medicine
• Obstetrics and Gynecology
• Ophthalmology
• Orthopaedic Surgery

• Otolaryngology
• Pathology
• Pediatrics
• Physical Medicine and Rehabilitation
• Plastic Surgery
• Preventive Medicine
• Psychiatry and Neurology
• Radiology
• Surgery
• Thoracic Surgery
• Urology

37 primary, 111 subspecialty certificates
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AMERICAN BOARD OF RADIOLOGY

• Established 1934
• Today 3 Primary Certificates (DR, RO, RP)
• Subspecialties
• Neuroradiology
• Vascular Interventional Radiology
• Pediatric Radiology
• Nuclear Radiology
• Hospice and Palliative Medicine
• Maintenance of Certification All disciplines

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Year Joined ABMS

• Founding Boards
• Dermatology
• OB/Gyn
• Ophthalmology
• Otolaryngology
• Orthopedic Surgery
• Pediatrics
• Psychiatry Neurology
• Radiology
• Urology
• Internal Medicine
• Pathology
• Surgery
• Neurological Surgery
• Anesthesiology
• Plastic Surgery

1933
Physical Medicine Rehab 1947 Colon Rectal
Surgery Preventive Medicine Family
Medicine Allergy Immunology Nuclear
Medicine Thoracic Surgery Emergency
Medicine Medical Genetics
1935
1949
1969
1936
1971
1937
1940
1979
1991
1936
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ABMS Member Boards General Certificates Issued

• BOARD 2000-2008 CUMULATIVE
• Internal Med 62,953 227,387
• Family Med 28,418 97,818
• Pediatrics 24,603 93,720
• Psych / Neuro 14,977 62,376
• Radiology 11,389 53,915
• Surgery 10,188 58,103
• Radiology ranks 6th by size of budget

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ABMS THROUGH THE YEARS

• Advises the Member Boards
• Approves certificates (new, modified)
• Specialization/subspecialization
• Recertification (time-limited certification)
• Maintenance of Certification (MOC)
• Engages healthcare stakeholders
• Defends/promotes/advances the specialty board
  movement

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Medical Specialty Board Movement

• Standards for knowledge, skill
• Professional self-regulation
• Fulfills social contract as a professional
• Voluntary
• Over and above licensure (compulsory)
• Today gt85 of U.S. physicians have earned gt1
  ABMS Specialty Board certificate

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Board CertificationGold Standard
August 2003 Gallup Poll When asked When
given the choice between a board certified
physician and a physician who was not board
certified but was recommended by a trusted friend
or family member 75 opted for a board
certified physician 23 opted for the
physician recommended by a friend or family
member
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Board CertificationGold Standard
May 2008 Opinion Research Corp. Telephone
Poll When asked Key factors when choosing a
doctor 95 bedside manner communication
skills 91 board certification 82 friend
or family member recommendation 78 doctors
hospital affiliation 75 doctors office
location 60 hospital or school where doctor
trained
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Pressures Resulting in Subspecialization and
Time-Limited Certification

• New technology
• Pace of discovery
• Pressure to limit scope

• Lifelong learning, periodic re-examination1
• Time-limited certification
• ABFM (1969)
• ABEM (1976)
• Subspecialization

• ABR
• Radiation Oncology (since 1995)
• Diagnostic Radiology, Radiologic Physics (since
  2002)
• Peds, VIR (94), Neuro (95), Nucl (99), Hosp
  Palliative Med (08)

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Public values maintenance of board certification

• August 2003 Gallup Poll
• When asked
• If you knew your doctors board certification
  had expired, would you change doctors?
• 54 Very Likely
• 27 Somewhat Likely
• 9 Not Too Likely
• 8 Not at All Likely

81 5
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Purpose of MOC (in a nutshell)

• Demonstrate to the public that physicians
  certified by Member Boards of ABMS including the
  ABR-- maintain the necessary competencies to
  provide quality patient care, and thereby
• Improve the quality safety of U.S. healthcare

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CURRENT ABMS INITIATIVES
Certification Matters

• Stakeholder engagement on physician performance
  measures improvement through NQF
• MOC-PQRI
• Innovation Pathways in MOC Focused Practice
  Recognition
• ABMS-BC/BS collaboration?
• MU-HIT
• ABMS Journal

• MOL FSMB-NBME-ABMS
• Grass roots defense of ABMS Member Board
  certification
• Board Eligible
• Alternate Pathways
• ABMS-PCPI collaborative measures development
• Institutional recognition of MOC