Initial Certification Reportinvestigation, or translational investigation. <strong>Trust</strong>ee KianAng, MD, PhD, and Paul Wallner, DO, AED for radiationoncology, asked diplomates who had completed<strong>the</strong> Holman Pathway to evaluate <strong>the</strong> program. <strong>The</strong>irresearch results will be used to streng<strong>the</strong>n <strong>the</strong> programand to prepare an article to be submitted for publicationin an appropriate journal.<strong>The</strong> Diagnostic and Interventional <strong>Radiology</strong> EnhancedClinical Training (DIRECT) Pathway is currently a provisionalABR program. Surveys <strong>of</strong> DIRECT participants,both residents and program directors, were conductedthis year and will provide data to be considered in <strong>the</strong>program evaluation being conducted by a committeeunder <strong>the</strong> leadership <strong>of</strong> <strong>Trust</strong>ee Matt Mauro, MD. <strong>The</strong>Alternate Pathway for International Medical Graduates,under <strong>the</strong> direction <strong>of</strong> a committee headed by <strong>Trust</strong>eeDennis Balfe, MD, and Kay Vydareny, MD, AED fordiagnostic radiology, has refined its policies related toprerequisites for entering <strong>the</strong> pathway for radiologiststrained in India. <strong>The</strong> committee is ga<strong>the</strong>ring statisticsto compare <strong>the</strong> effectiveness <strong>of</strong> this pathway with <strong>the</strong>usual ACGME-accredited residency training pathway.Finally, a special time-limited program to reinstate eligibilityfor subspecialty certification for diplomates withfellowship training ending more than ten years ago hasbeen crafted by <strong>the</strong> Subspecialty Committee under <strong>the</strong>leadership <strong>of</strong> <strong>Trust</strong>ee Milton Guiberteau, MD, chair.What Is <strong>the</strong> Exam <strong>of</strong> <strong>the</strong> Future?For diagnostic radiology (DR), <strong>the</strong> Exam <strong>of</strong> <strong>the</strong> Future consists <strong>of</strong> <strong>the</strong>Core Exam, which will replace <strong>the</strong> current “written” computer-basedexam, and <strong>the</strong> Certifying Exam, which will replace <strong>the</strong> current oralexam. <strong>The</strong> first Core Exam will be given in October 2013. It will include 18categories, and physics questions will be integrated into each category;<strong>the</strong> exam will take 1 1/2 days.<strong>The</strong> first Certifying Exam, to be administered in October 2015, willemphasize syn<strong>the</strong>sis <strong>of</strong> information, differential diagnosis, and patientmanagement. Aspects <strong>of</strong> physics and basic sciences important in imagingwill be included. <strong>The</strong> exam will take 1/2 day and will include five modules:noninterpretive skills, essentials <strong>of</strong> DR, and three clinical practice areasselected by <strong>the</strong> individual based on training, experience, and practiceemphasis. Both exams will be computer based, image rich, and <strong>of</strong>feredtwice yearly at <strong>the</strong> ABR’s new Chicago Exam Center and in Tucson.Ella A. Kazerooni, MDJohn K. Crowe, MDDennis M. Balfe, MDKay H. Vydareny, MDAll efforts in working toward <strong>the</strong> ABR’s DR Exam <strong>of</strong> <strong>the</strong> Future wereguided by <strong>the</strong> DR trustees, with specific leadership provided by Ella Kazerooni, MD, for <strong>the</strong> Core Exam; JackCrowe, MD, for <strong>the</strong> Certifying Exam; and Dennis Balfe, MD, who is also assistant executive director for DRinitial certification. Kay Vydareny, MD, associate executive director for DR, has also provided a great deal <strong>of</strong>leadership. <strong>The</strong>y have devoted countless hours to conference calls, emails, meetings, and presentations, inorder to provide <strong>the</strong> strategic and policy oversight that will ensure both exams meet <strong>the</strong> quality, security,timeliness, and service standards rightfully expected <strong>of</strong> examinations for certification in a medical specialty.For more information, visit <strong>the</strong> ABR website at www.<strong>the</strong>abr.org.10
Initial Certification Examination ResultsInitial certification examination results in diagnosticradiology, radiation oncology, and medical physics areshown here. All figures represent <strong>the</strong> percentage <strong>of</strong> candidateswho passed <strong>the</strong> exam. For more information,visit <strong>the</strong> ABR website at www.<strong>the</strong>abr.org. Under <strong>the</strong>Initial Certification red box, click on a specialty and <strong>the</strong>nclick on “Scoring and Results” in <strong>the</strong> red Exam Informationbox to <strong>the</strong> right.YearDiagnostic <strong>Radiology</strong> Clinical ResultsThird-yearresidentsFourth-yearresidents2006 93% 95%2007 93% 96%2008 96% 98%2009 92% 97%2010 94% 91%Medical Physics Part I ResultsYearDiagnostic <strong>Radiology</strong> Physics ResultsSecond-yearresidentsThird-yearresidents2006 90% 90%2007 87% 87%2008 90% 88%2009 90% 90%2010 94% 88%YearDiagnostic <strong>Radiology</strong> Oral Exam ResultsResidents taking exam for first time2006 85%2007 90%2008 88%2009 90%2010 92%Medical Physics Part II ResultsYear General Clinical2006 77% 82%2007 86% 79%2008 78% 86%2009 77% 85%2010 77% 85%Year Diagnostic Nuclear <strong>The</strong>rapy2006 60% 56% 69%2007 70% 56% 70%2008 71% 31% 71%2009 70% 58% 70%2010 69% 62% 72%Medical Physics Oral Exam ResultsRadiation Oncology Oral Exam ResultsYearResidents taking exam for first timeYearResidents taking exam for first time2006 53%2007 47%2008 57%2009 55%2010 53%2006 90%2007 86%2008 80%2009 89%2010 85%Radiation Oncology Computer-Based Exam ResultsYear Clinical Physics Biology2006 92% 95% 98%2007 95% 85% 95%2008 98% 95% 96%2009 98% 89% 96%2010 96% 90% 91%11