2005 APPD New Program Directors

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2005APPD New Program Directors

• Introduction to the ABP
• Accreditation vs Certification
• Role of program directors in certification
  process
• Tracking and evaluation
• Verification of Clinical Competence form
• In-training Examination
• Board policies

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The American Board of Pediatrics

• Established 1933
• Purpose
• To advance the science, study, and practice of
  pediatrics and to provide assurance to the public
  and the profession that those individuals
  certified have successfully completed an
  accredited educational program and various
  evaluations, including an examination, and
  possess the knowledge, skills, and experience
  requisite to the provision of high-quality care
  in pediatrics.

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Accreditation vs Certification

• Accreditation
• The process by which residency programs in the
  various specialties are reviewed by an outside
  agency (the Residency Review Committee for each
  specialty) to ensure that they are meeting
  certain pre-specified criteria
• Certification
• The process by which individuals are evaluated
  after training to determine whether or not they
  meet the standards set forth by the boards for
  certified specialists

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Role of PDs in Certification ProcessTracking and
Evaluation

• Part of the certifying process
• PDs and faculty are key in determining who is
  eligible for the examination
• Provide meaningful overview of residents
• Clinical competence
• Professionalism
• Program directors provide annual roster of
  trainees and evaluation

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Role of PDs in Certification ProcessTracking and
Evaluation

• Transfers, leave, new additions communicated to
  ABP
• Structured evaluation system
• Ratings - satisfactory, marginal,
  unsatisfactory in clinical competence
• - satisfactory, unsatisfactory
• in professionalism
• Clear decision on annual status of resident
• Documentation of problems and remediation
• Final form Verification of Clinical
  Competence

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In-Training Evaluation Issues

• ABP asks PDs for end of year evaluation in two
  areas clinical competence professionalism
• Unsatisfactory evaluation means resident receives
  no credit for year must repeat
• Unsatisfactory in professionalism alone at ABPs
  discretion and PDs recommendation, a period of
  observation in lieu of a repeat year
• Marginal if resident receives 2 consecutive
  marginal ratings must repeat the latter year

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Verification of Clinical Competence Form

• Form asks for verification of training dates
• Areas to be evaluated
• patient care
• medical knowledge
• interpersonal and communication skills
• practice-based learning and improvement
• professionalism
• systems-based practice
• Satisfactory evaluation in all areas of clinical
  competence required

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In-Training Examination

• Scheduled for second week of July each year
• Assigned date is Tuesday, but program may
  administer exam on another day or days that week
• Residents should be instructed not to share
  questions with peers who have not taken exam
• Security of exam is a key priority!

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In-Training Examination

• Only residents in training may take exam
• no graduates, residents rotating from other
  specialties, fellows, etc
• Chief residents (PL-4s) may take exam if listed
  on tracking roster
• Performance on exam provides information to
  program about cognitive knowledge of resident and
  program as a whole as well as reflecting
  likelihood of resident passing the certifying
  examination
• Enhancements to 2005 ITE

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2000-2004 ITE5-year Moving Average Pass Rate
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Miscellaneous Items

• ITE
• ABP will no longer approve special test
  accommodations. Approval must be granted by
  program with no assurance that ABP will approve
  for certifying examination
• Transfer
• Upon request, ABP will release information
  regarding summary evaluations obtained through
  tracking, dates of training, and credit provided
• Med-Peds Accreditation
• Program requirements for combined training under
  review at ACGME
• Expect programs to be accredited in mid-2006

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Electronic Communication

• ABP is increasing electronic and e-mail
  communications with candidates and program
  directors
• Candidates must maintain both mailing address and
  e-mail address on file with ABP
• As of 2004, GP certifying examination applicants
  must apply electronically and pay by credit card
• Candidates will be able to log on to individual
  file (CPR) using a User ID and Password to view
  progress of application, letter of acceptance,
  and exam results

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Miscellaneous Information in Handout

• Synopsis of communication requests
• Key board policies
• non-accredited training
• special alternative pathway
• exceptional faculty pathway
• integrated research pathway
• accelerated research pathway
• Synopsis of training pathways
• Pediatric General Competencies
• Workforce data

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ABP Web Site

• www.abp.org
• Contains a wealth of information, including
  eligibility training requirements for general
  pediatrics and all subspecialties, program
  director information, ABP policies, program pass
  rates, 2004-2005 workforce data, etc
• Career planning for residents
  www.ucch.org/residency/CareerPlanning.html