PEDIATRIC

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					                                                                                                                                              Fall 2011


                              PEDIATRIC
                                              Diplomates
                                           N e w s l e t t e r f r o m T h e A m e r i c a n B o a r d o f Pe d i a t r i c s ®

I look forward to serving as Chair of the ABP Board of Directors over       It might seem that I am speaking in support of MOC because I am
the next year and a half. I hope to bring to the Board my perspective       the ABP chair and have to say this. Not true. I recognize that getting
as a general pediatrician, working full-time in a busy private practice     started in this process can be tedious, but I also recognize that my
in Vermont. I am not alone in that perspective; many other members of       patients want the highest quality care to be delivered and want to
the American Board of Pediatrics, as well as the Board of Directors, are    know that there are standards by which that care is measured—and


                     A Message from the Chair
also     general                                                            MOC is a superb way to benchmark my ongoing competency.
pediatricians.
In fact, I believe                                                          I know that MOC is not a perfect system—which is why I hope that
the Board is a great balance of general pediatricians in private            like the quality of care in my office, the quality of MOC will improve—
practice, academic general pediatricians, and subspecialists who            but that can only happen with teamwork. Diplomates need to offer
are working together to ensure that we are most competently trained         ideas to make MOC more streamlined and easier to understand and
to improve the health of children.                                          to suggest new Part 2 and Part 4 activities applicable to their work.
                                                                            These ideas of course have to be deemed meaningful by the Board.
My decision to get involved with the ABP derives largely from having
been interested in the concept of life-long learning for as long as I can   The Board has listened, and will continue
remember. Teaching medical students and residents in my office for          to listen and in turn, with your input, strive
decades and co-directing for many years an annual CME meeting in            with each of our meetings to improve the
Vermont have helped me understand the need to continuously update           process in relevant ways. I look forward
my knowledge.                                                               along with our Board to hearing from
                                                                            you—and hope that together we can
Then along came Maintenance of Certification (MOC). Like many
                                                                            constructively mold MOC into a process
of you, I was initially skeptical about this process called MOC and
                                                                            we can all support and be proud of.
whether it would really be value-added to the life-long learning
mechanisms that already exist (such as CME). But I now strongly             MOC is here to stay. We should make it better. It shouldn’t be all
believe that Maintenance of Certification is not only the best and          tedium. It should be a meaningful experience to help us recapture the
most effective way to achieve that goal—and assure ourselves,               joy of learning, of being a pediatrician, and of taking even better
our colleagues, and our patients that we are “keeping up” with the          care of children.
latest knowledge—but also can improve the health care of children,
                                                                            Please feel free to send your comments and suggestions to me at
because we can show ourselves and others through outcomes that
                                                                            BODChair@abpeds.org.
we are improving care each and every day. And that should be the
bottom line in everything we and the Board do—work to make health           Marshall L. Land Jr., MD
care better for kids.                                                       Private Practice, General Pediatrics, South Burlington, Vermont
                                                                            R.J.McKay Jr., MD Green & Gold Professor of Pediatrics
                                                                            University of Vermont College of Medicine



T h e                A m e r i c a n                            B o a r d                   o f            P e d i a t r i c s
    MOC Changes                                                                MOC Subspecialty Examination Schedule
                                                                               Change
    in Examination Format
                       ...and other testing news
                                                                               The new Fall testing window for the MOC
                                                                               subspecialty examinations is September 1 to
                                                                               September 30. The Spring testing window
    Beginning in September 2011, all MOC examinations (both general
                                                                               for the MOC subspecialty examinations is still
    pediatrics and subspecialty) will be administered in a new format.
                                                                               March 1 to March 31.
                                             While the examinations will

     Exam Format                             remain 4 hours in length, they
                                                                               Heightened Security
          Maintenance of Certification       will consist of two separate
                                                                               To ensure the integrity of its testing process,
                                             sections, each 2 hours in
     •	Confidentiality Statement/Tutorial                                      Prometric maintains stringent security standards
                                             length. These two sections
                                                                               in its test centers and across its network. As
     •	Exam Section 1 (2 hours)              must be completed within the
                                                                               an additional measure to ensure test security,
     •	Optional Break (30 minutes)           same examination session,
                                                                               Prometric sites are now using electronic hand-
     •	Exam Section 2 (2 hours)              but diplomates will be able
                                                                               held metal detectors as part of the check-in
                                             to take a scheduled break
     •	Survey (15 minutes)                                                     procedure to detect any electronic devices that
                                             between the sections.
                                                                               a test taker did not place in their locker. You will
                                                                               be provided additional information about this
    Examination Sections
                                                                               procedure upon check-in.
    Each of the two examination sections will be 2 hours long and will be
    balanced with regard to the number of items, difficulty, and content.


    Scheduled Break                                                              MOC 10-year Exam
    Diplomates have the option of taking a break (up to 30 minutes)
    BETWEEN Section 1 and Section 2 of the examination.
                                                                                 Requirement
                                                                                 For your name to appear on the
    NOTE: For security purposes, once Section 1 is completed, this portion       ABP Web site as certified and
    of the examination will be closed and candidates will not be able to         “Meeting Requirements” for

    access this portion again following the break.
                                                                                 a specific area of certification,
                                                                                 you must successfully pass a secure MOC
                                                                                 examination in that specialty or subspecialty area every
    Unscheduled Break(s)
                                                                                 10 years.
    If a diplomate opts to take a break during the timed administration of
    either section of the examination, this break is considered unscheduled.     If you are required to take a periodic MOC examination
    During an unscheduled break, the clock continues to run and no extra         to remain certified, your examination requirement is
    time will be given. During this time, diplomates are not permitted to        based upon an independent 10-year benchmark and
    access any electronic devices, including phones, or any examination          may not coincide with the start or end of your MOC cycle.
    preparation material.                                                        Check your ABP Portfolio for details.

2
          What is included in the                                   MOC Enrollment Fee?
The MOC enrollment fee is paid when a diplomate completes the online enrollment process for a new cycle of MOC. Upon enrollment, diplomates have access
to all Part 2 and Part 4 activities developed by the ABP, which can be completed for no additional fee. ABP activities may be used to fulfill all the requirements for
MOC Part 2 and Part 4. Most of these activities are also approved for CME credit through the American Academy of Pediatrics (AAP) and may be used to meet
credentialing and licensing requirements.

For example, completion of a typical ABP Performance Improvement Module (PIM) may earn a diplomate 20 hours of CME credit in addition to the specified MOC
Part 4 credit awarded by the ABP. Utilizing a benchmark of $20 per CME credit hour, this particular example represents a $400 value for diplomates. A full list of
approved MOC activities and associated CME credits can be found at abp.org after logging in to your personal portfolio.

MOC Part 3 examinations are required every 10 years; one examination every 10 years is included in the enrollment fee. Prior
to the transition to new MOC requirements, the cost of a secure recertification examination was $1360 (in 2008), and
examinations were required every 7 years.

External organizations, such as the AAP, also offer many worthwhile educational and practice improvement activities. A
list of activities available from these organizations is also available at abp.org. Access to these activities is not included
in the MOC enrollment fee.




3         Steps to Enrolling in MOC                                                       If Your Certificate
                                                                                                        Expires in...
                                                                                                                                        2011
Certificates expiring in 2011-2016 have NOT YET transitioned
to a points-based MOC cycle. Accordingly, you must complete
ONE Part 2 and ONE Part 4 activity, regardless of the activity
                                                                                         •	 MOC Part 2 and Part 4 activities




                                                                                                                                            2012
point value, prior to the expiration date listed on your current time-                      may be completed in any order or
limited certificate. Online enrollment, which is accessible after                           simultaneously.
you have completed these requirements, must also be completed                            •	 MOC Part 2 and Part 4 requirements
                                                                                            must be met before you are able
by December of the year in which your certificate expires.
                                                                                            to access the online enrollment




                                                                                                                                                2013
                                                                                            application.
Please consider the time commitment it will take to complete                             •	 Once you have completed the online
these three steps. We encourage you to begin working on these                               enrollment process, your ABP Portfolio
activities as early as possible to ensure uninterrupted certification                                               will reflect only

status.
                                                                                          Quick Tips!                 the     requirements




                                                                                                                                                      2014
                                                                                                                      associated with your
                                                                                                                    current MOC cycle.
Steps 1 & 2: Complete MOC Parts 2 and 4
                                                                                         •	 Your online portfolio will reflect only the
           MOC Part 2 and Part 4 activities may be completed in any order.                  activities that have been completed, not



                                                                                                                                                          2015
                                                                                            activities that are currently in progress.
Step 3: Submit Your Online Enrollment Application                                        •	 If you complete an activity developed by an
           Enrollment is NOT accessible until you have met both Part 2 and Part             approved external organization and credit is
           4 requirements and credit is reflected in your ABP Portfolio. Your               not accurately reflected in your portfolio, please
           portfolio will only reflect completion, not progress, of Part 2 and Part 4.      contact the activity provider to ensure the ABP has
                                                                                            been notified of completion.
                                                                                                                                                              2016
                                                                                                                                                                    3
                                                                                        Dual Subspecialty
The American Board of Pediatrics is pleased to introduce the newest physician
member of its staff, Dr. Carol Carraccio, who was recently named as the                                         Certification
Director of Competency-based Assessment
                                                                                        There are two pathways through which a fellow
Programs. Dr. Carraccio brings to the Board
                                                                                        may achieve certification in two subspecialty areas
a unique skill set, built from 26 years of
                                                                                        that allow a reduction in the usual time required for
experience as a residency program director                                              training.
and medical educator, a myriad of national
leadership positions within the pediatric                                               One pathway allows the trainee to complete
                                                                                        integrated dual subspecialty training while pursuing
community, as well as collaborative efforts
                                                                                        a Scholarly Activity project relevant to both
with other national organizations dedicated
                                                                                        subspecialties.
to advancing medical education.

                                                                                        The other pathway, which is sequential, allows the



      Carol L. Carraccio, MD, MA
                                                                                        completion of one 3-year fellowship followed by 2
                                                                                        years of a second subspecialty. In this pathway, the
                                                                                        Scholarly Activity is accomplished during the first
    ABP Director of Competency-based Assessment Programs                                fellowship and waived during the second.

Dr. Carraccio has enjoyed many national leadership roles, including President           Recently, the ABP eliminated the requirement of the
of the Association of Pediatric Program Directors, Chair of the Pediatric Review        sequential pathway for the individual to be certified
Committee of the Accreditation Council for Graduate Medical Education,                  in the first subspecialty before taking the second
                                                                                        subspecialty certifying examination.
Director of the Initiative for Innovation in Pediatric Education, and Chair of
the Milestones Working Group. She was poised to be the next Chair of the
                                                                                        The amended policy, as it appears in the
ABP Board of Directors; however, she opted to relinquish this role to join the          General Criteria for Certification in the Pediatric
leadership staff at the Board on July 1, 2011.                                          Subspecialties, is given below:


                                                                                        If an individual has completed 3 years of
In her new position as Director of Competency-based Assessment, Dr. Carraccio
                                                                                        training in one subspecialty and the program
works closely with Dr. Paul Miles, ABP Senior Vice President of Maintenance
                                                                                        director has verified both clinical competence
of Certification and Quality, with a focus on integrating graduate medical              and satisfactory completion of Scholarly Activity,
education with the elements of MOC.                                                     he or she can become eligible to take an
                                                                                        examination in a second subspecialty after     2

The ABP is committed to creating paths that will lead to more rigorous assessment       years of additional training, of
                                                                                        which at least 1 year must be
of trainees upon which to base decisions about their qualifications to sit for the
                                                                                        broad-based clinical training.
initial certification examination. As a result of partnerships previously established
                                                                                        The requirement for Scholarly
by Dr. Carraccio, the ABP is being invited by related organizations to participate      Activity    in    the   second
in pilot projects designed to advance competency-based education across the             subspecialty is waived.
continuum of pediatric education, training, and practice. Through her work
and unique skill set, the ABP will advance its mission as well as advance its
collaborative efforts to transform medical education.


4
 Your Role in Test Security                                                                                Contact Us
 All ABP certifying and MOC examinations are administered in secure test centers by test             American Board of Pediatrics
 administrators who are trained in the importance of and the adherence to security procedures
                                                                                                       111 Silver Cedar Court
 in the certification process. Whether examinations are administered in written format by
                                                                                                     Chapel Hill, NC 27514-1513
 trained proctors or at Prometric test centers, test administrators are required to report to the
 ABP any irregular or improper behavior by a test taker. In addition to reported incidents,
 the ABP utilizes data forensic techniques that use statistical analyses of test-response data to             Web site
 identify patterns of test fraud, including cheating and copyright infringement.                           www.abp.org

 Candidates have an obligation to maintain examination confidentiality by not disclosing,
 distributing, recalling, or sharing specific examination content they have seen. All ABP test
                                                                                                               E-mail
 material is copyrighted and protected by federal copyright and trade secret law.
                                                                                                       abpeds@abpeds.org

 Per the ABP Honor Code, candidates are also obligated to report potential or known breaches
 in examination security to the ABP, including, but not limited to:
                                                                                                             Telephone
  •	Witnessing a test taker taking notes or other material into a test site                              (919) 929-0461
  •	Witnessing a test taker removing material from a test site
  •	Witnessing a test taker in possession of testing material outside of the test site
  •	Witnessing any false identification of a test taker                                                          Fax
  •	Possessing knowledge of review courses that purport to have past ABP examination items               (919) 929-9255
  •	Possessing knowledge of review courses that offer to compensate test takers for providing
    examination material
  •	Witnessing or possessing knowledge of any other behaviors that compromise the security
    of an ABP examination


 Incidents that compromise the integrity of the testing process may result in the invalidation of
 examination scores, revocation of certification, exclusion from future examinations, and the
 pursuit of legal action against participating candidates.


 The ABP is committed to maintaining the security of our examinations and the integrity of the
 certification and MOC processes.




T h e            A m e r i c a n                              B o a r d                   o f       P e d i a t r i c 5s