Policies and Procedures for Certification - College of Medicine

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Infectious DiseaseMicroscopic evaluation of diagnostic specimens including preparation,staining, and interpretation; management, maintenance, andremoval of indwelling venous access catheters; and administrationof antimicrobial and biological products via all routes.Interventional CardiologyA minimum of 250 therapeutic interventional cardiac proceduresduring accredited interventional cardiology fellowship training.Those out of interventional cardiology training three years or moreas of June 30 of the year of exam must document post-trainingperformance as primary operator of 150 therapeutic interventionalcardiac procedures in the two years prior to application for exam.Sleep MedicineAbility to interpret results of polysomnography, multiple sleeplatency testing, maintenance of wakefulness testing, actigraphy, andportable monitoring related to sleep disorders.Sports MedicineNo required proceduresTransplant HepatologyPerformance of at least 30 percutaneous liver biopsies, includingallograft; interpretation of 200 native and allograft liver biopsies;and knowledge of indications,contraindications, and complicationsof allograft biopsies.Medical OncologyBone marrow aspiration and biopsy; administration of chemotherapeuticagents and biological products through all therapeuticroutes; and management and care of indwelling venous accesscatheters.NephrologyPlacement of temporary vascular access for hemodialysis and relatedprocedures; acute and chronic hemodialysis; peritoneal dialysis(excluding placement of temporary peritoneal catheters); continuousrenal replacement therapy (CRRT); and percutaneous biopsyof both autologous and transplanted kidneys.Pulmonary DiseaseAirway management including endotracheal intubation; fiberopticbronchoscopy and accompanying procedures; noninvasive andinvasive ventilator management; thoracentesis; arterial puncture;placement of arterial, central venous and pulmonary artery balloonflotation catheters; calibration and operation of hemodynamicrecording systems; supervision of the technical aspects ofpulmonary function testing; progressive exercise testing; insertionand management of chest tubes; moderate sedation. Proficiency inuse of ultrasound to guide central line placement is strongly recommended.RheumatologyDiagnostic aspiration of and analysis by light and polarized lightmicroscopy of synovial fluid from diarthrodial joints, bursae, andtenosynovial structures; and therapeutic injection of diarthrodialjoints, bursae, tenosynovial structures, and entheses.Clinical Competence RequirementsABIM requires documentation that candidates for certificationin the subspecialties are competent in: (1) patient care (whichincludes medical interviewing, physical examination, andprocedural skills); (2) medical knowledge; (3) practice-basedlearning and improvement; (4) interpersonal and communicationskills; (5) professionalism; and (6) systems-based practice.Through its tracking process, FasTrack, ABIM requires verificationof subspecialty fellows’ clinical competence from the subspecialtytraining program director. As outlined in the table on page 3,all fellows must receive satisfactory ratings of overall clinicalcompetence and moral and ethical behavior in each of the requiredyears of training.In addition, fellows must receive satisfactory ratings in each of thecomponents of clinical competence and the requisite proceduresduring the final year of required training. It is the fellow’s responsibilityto arrange for any additional training needed to achieve asatisfactory rating in each component of clinical competence.Dual Certification RequirementsHematology and Medical OncologyDual certification in hematology and medical oncology requiresthree years of accredited combined training which must include: aminimum of 18 months of full-time clinical training, of which atleast 12 months are in the diagnosis and management of a broadspectrum of neoplastic diseases including hematological malignancies,and six months are in the diagnosis and management of abroad spectrum of non-neoplastic hematological disorders. If the8
combined training must be taken in two different programs, 24continuous months must be in one institution, and both institutionsmust be accredited in both hematology and medical oncology.During the entire three years, the fellow must attend a minimum ofone-half day per week in continuity outpatient clinic. Time spentin continuity outpatient clinic, during non-clinical training, is inaddition to the requirement for full-time clinical training.the allergy and immunology training program directors and byABIM and the American Board of Allergy and Immunology.Admission to either examination requires: (1) certification ininternal medicine; (2) satisfactory clinical competence; and(3) completion of the entire three-year combined program.Candidates seeking dual certification for other subspecialtycombinations should contact ABIM for information.Candidates must complete all three years of required combinedtraining before being admitted to an examination in eithersubspecialty. Those who elect to take an examination in onesubspecialty following only two years of fellowship training willbe required to complete four years of accredited training fordual certification.Pulmonary Disease and Critical Care MedicineCandidates seeking dual certification in pulmonary disease andcritical care medicine must complete a minimum of three years ofaccredited combined training, 18 months of which must be clinicaltraining.Only candidates certified in a subspecialty following at least twoyears of accredited fellowship training (three years for cardiovasculardisease and gastroenterology) are permitted to take the critical caremedicine examination after completion of 12 months of accreditedclinical critical care medicine fellowship training. Candidatescertified in internal medicine only must complete 24 months ofaccredited critical care medicine fellowship training, including12 months of clinical training, to qualify for the critical care medicineexamination.Thus, for candidates applying for dual certification in pulmonarydisease and critical care medicine with three years of combinedtraining, certification in pulmonary disease must be achieved beforethe candidate is eligible to apply for admission to the critical caremedicine examination.Rheumatology and Allergy and ImmunologyDual certification in rheumatology and allergy and immunologyrequires a minimum of three years of training which must include:(1) at least 12 months of clinical rheumatology training supervisedby the director of an accredited rheumatology training program;(2) 18 consecutive months of rheumatology continuity clinic; and(3) at least 18 months of allergy and immunology training supervisedby the training program director of an accredited program inallergy and immunology. Plans for combined training should beprospectively approved in writing by both the rheumatology andSpecial Candidates for Subspecialties*ABIM diplomates in internal medicine may be proposed for specialconsideration for admission to a subspecialty examination by theprogram director of an accredited fellowship program if they:(1) have completed the full training required by ABIM in thesubspecialty in another country and have met all currentapplicable ABIM procedural requirements;(2) are a full-time Associate Professor or higher in the specifiedsubspecialty division of the Department of Medicine in anLCME-accredited medical school or an accreditedCanadian medical school;(3) have served eight years, after formal training, as a clinicianeducator or clinical investigator with a full-time appointmenton a medical school faculty.* Proposals require a fee of $300. Guidelines for proposals areavailable at www.abim.org/certification/policies/special/aspx.CERTIFICATION USING THE RESEARCHPATHWAYThe Research Pathway is intended for trainees planning academiccareers as investigators in basic or clinical science. The pathwayintegrates training in clinical medicine with a minimum of threeyears of training in research methodology. Prospective planning ofthis pathway by trainees and program directors is necessary.Program directors must document the clinical and research trainingexperience each year through ABIM’s tracking program. The charton page 10 describes the Research Pathway requirements.All trainees in the Research Pathway must satisfactorily complete 24months of accredited categorical internal medicine residencytraining. A minimum of 20 months must involve direct patientresponsibility.9
Page 1 and 2: AUGUST 2009&FOR CERTIFICATIONPOLICI
Page 3 and 4: TABLE OF CONTENTSRequirements for C
Page 5 and 6: PROGRAM DIRECTOR RATINGS OF CLINICA
Page 7 and 8: (1) Month-for-month credit may be g
Page 9: Training and Procedural Requirement
Page 13 and 14: Leave of Absence and VacationsUp to
Page 15 and 16: Substance AbuseIf a candidate or a

Policies and Procedures for Certification - College of Medicine

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