UPDATE FROM THE AMERICAN BOARD OF SURGERY by murplelake78

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									     UPDATE FROM THE
AMERICAN BOARD OF SURGERY

      Frank R. Lewis, M.D.
       Executive Director

      APDS Annual Meeting
          Tucson, AZ
        March 23, 2006
           Board Initiatives – 2005-6
• At-Large Directors
  – 3 new Directors, community practitioners
  – Tom Cogbill, MD; Nathalie Johnson, MD;
    J. Patrick Walker, MD
• Vascular Surgery Primary Certificate
  – RRC - New vascular program requirements-approved
  – Vascular residencies – 2 year minimum eff 7/1/06
  – No GS certification required prior to VS certification
    for GS graduates in 2006-7 year. Completion of GS
    training (but not certification) still required unless in
    approved integrated program.
• Board Restructuring
  – Implemented 6/2005. Advisory Councils in GI,
    Transplant, and Trauma, Burns, CC.
                     NEW ABS STRUCTURE
                      ABS BOARD OF DIRECTORS

  Examination            Executive Committee
     Com                                        Component
                                                Boards/Adv
Executive Exam Com        Standing Com           Councils

    Intraining              Credentials             VSB

       QE                                           PSB

       CE                 Surg Res Ed&Ev       Surg Onc/Breast

      MOC                 Adv Surg Ed&Ev         GI/Foregut

      SCC                   Surg Diplom          Transplant

      VSB                                        Trauma/CC

      PSB

      Hand
          Election of New Directors
• AAST
  – Bill Cioffi, MD>>>>J. Wayne Meredith, MD
• ACS
  – Keith Lillemoe, MD>>>>Ken Sharp, MD
• APSTPD
  – Keith Georgeson, MD>>>>Tom Tracy, MD
• CSA
  – Mike Nussbaum, MD>>>>Fabrizio Michelassi, MD
• NESS
  – Jim Hebert, MD>>>>Len Jacobs, MD
• SAGES
  – Jeff Ponsky, MD>>>>Jo Buyske, MD
           Board Initiatives – 2005-6

• APDS
  – QE shifted to August – next 8/10/06. Allows
    graduates to enter fall Certifying Exams.
  – Fall 2006 – will have 3 QE’s before Xmas-60%
    certified by end 2006.
  – New CE scheduling procedure: Candidates may
    schedule CE anywhere, on first-come, first-served
    basis. Can sign up for one definite reservation and
    one earlier waiting list. Regular reservations will
    expire 12 weeks before exam, and filling from waiting
    list will begin.
             Board Initiatives – 2005-6
• APDS
   – Will require PD’s to certify “satisfactory year” for all
     residents at time of roster approval.
   – Operative data for QE apps will be downloaded
     directly from ACGME, and will not be required from
     PD or candidates.
   – Two episodes last 18 months of copying and
     distributing QE questions. In one case, selling on the
     web – permanent revocation plus $40k damages. In
     second case, distribution of questions to residents –
     all residents have to take QE over, and person
     distributing has had QE pass revoked and year delay.
           Board Initiatives – 2005-6

• APDS
  – ABS considers questions to be copyright protected
    and will prosecute any similar episodes vigorously.
  – All QE questions are being rewritten and scoring
    methods changed to eliminate repeat questions.
  – Both QE and CE are broad based, fair exams. PD’s
    need to quell paranoia re: need for “special” prep
    courses or other means to pass.
  – Board is adding a “combined” pass rate to all QE and
    CE first time pass rate data and will be reporting this
    to RRC and on web site after end of academic year.
                              Correlation of QE and CE First Time Pass Rates

                              100




                               80
CE First Time Pass Rate (%)




                               60




                               40




                               20
                                    20    40          60           80   100

                                          QE First Time Pass Rate (%)
            Board Initiatives – 2005-6

• APDS
  – New two level ABSITE
  – Four episodes of irregular examination
    behavior noted this year in ABSITE.
  – Sensitivity is set to 1 in 1,000,000 (p<.0000001)
  – PD’s will be notified of identity of pairs and
    specifics of question matching will be given.
  – Investigation and action will be up to them.
          Junior Level ABSITE - 2006

ABSOLUTE       PGY-1      PGY-2        ALL
SCORES         (2205)     (1633)       (3930)
Total
Test            63%       70%          66%

Clinical
Management      62%       71%          66%

Basic
Science         64%       69%          66%
           Senior Level ABSITE - 2006

ABSOLUTE     PGY-3    PGY-4    PGY-5    ALL
SCORES       (1414)   (1089)   (1007)   (3601)
Total
Test          61%     65%      67%      64%

Clinical
Manag         63%     66%      68%      65%

Basic
Science       56%     57%      58%      57%
            Board Initiatives – 2005-6

• APDS
  – Curriculum Project
     • Intent to be much broader than “curriculum”
     • Focus on teaching of basic skills as well as use of
       simulation, visual reality
  – Assistant Exec Director position at ABS office
  – Steering Committee
     • APDS, ASE, ACS, ASA, RRC, ABS
  – Anticipate project will become active mid 2006

								
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