Policies and Procedures for Certification - College of Medicine

More documents

Recommendations

Info

REQUIREMENTS FOR CERTIFICATIONIN SUBSPECIALTIESGENERAL REQUIREMENTSIn addition to the primary certificate in internal medicine, ABIMcertifies physicians in the following subspecialties:• Adolescent Medicine• Advanced Heart Failure and Transplant Cardiology• Cardiovascular Disease• Clinical Cardiac Electrophysiology• Critical Care Medicine• Endocrinology, Diabetes, and Metabolism• Geriatric Medicine• Gastroenterology• Hematology• Hospice and Palliative Medicine• Infectious Disease• Interventional Cardiology• Medical Oncology• Nephrology• Pulmonary Disease• Rheumatology• Sleep Medicine• Sports Medicine• Transplant HepatologyTo apply for certification in a subspecialty, physicians must havebeen previously certified in internal medicine by ABIM. To becomecertified in a subspeciality, a physician must satisfactorily completethe requisite graduate medical education fellowship training,demonstrate clinical competence in the care of patients, meetthe licensure and procedural requirements, and pass the secureexamination for that discipline.To apply for certification and renewal of a certificate in adolescentmedicine, hospice and palliative medicine, sleep medicine, andsports medicine, diplomates must maintain a valid underlyingcertificate in either internal medicine or a subspecialty.Diplomates must maintain a valid underlying certificate in cardiovasculardisease to obtain certification and be eligible for renewal ofa certificate in advanced heart failure and transplant cardiology,clinical cardiac electrophysiology or interventional cardiology.Diplomates must maintain a valid underlying certificate ingastroenterology to obtain certification and be eligible for renewalof a certificate in transplant hepatology.Fellowship training must be accredited by the AccreditationCouncil for Graduate Medical Education (ACGME), the RoyalCollege of Physicians and Surgeons of Canada, or the ProfessionalCorporation of Physicians of Quebec. No credit will be grantedtoward certification in a subspecialty for training completed outsideof an accredited U.S. or Canadian program.Fellowship training taken before completing the requirementsfor the MD or DO degree, training as a chief medical resident,practice experience, and attendance at postgraduate courses maynot be credited toward the training requirements for subspecialtycertification.To be admitted to an examination, candidates must have completedthe required training in the subspecialty, including vacation time, byOctober 31 of the year of examination.Candidates for certification in the subspecialties must meet ABIM’srequirements for duration of training as well as minimum durationof full-time clinical training. Clinical training requirements maybe met by aggregating full-time clinical training that occursthroughout the entire fellowship training period; clinical trainingneed not be completed in successive months. Time spent incontinuity outpatient clinic, during non-clinical training, is inaddition to the requirement for full-time clinical training.Educational rotations completed during training may not bedouble-counted to satisfy both internal medicine and subspecialtytraining requirements. Likewise, training which qualifies adiplomate for admission to one subspecialty examination cannotbe double-counted toward certification in another subspecialty,with the exception of the formally approved pathways for dualcertification.6
Training and Procedural RequirementsThe total months of training required, including specific clinicalmonths, and requisite procedures for each subspecialty are outlinedby discipline in the table below.Minimum Months of Training/Clinical Months RequiredSubspecialtyCardiovascular Disease*Gastroenterology*Adolescent MedicineCritical Care MedicineEndocrinology, Diabetes,and MetabolismHematology**Infectious DiseaseMedical Oncology**NephrologyPulmonary DiseaseRheumatologyAdvanced Heart Failureand Transplant CardiologyClinical CardiacElectrophysiologyGeriatric MedicineHospice and PalliativeMedicineInterventional CardiologySleep MedicineSports MedicineTransplant HepatologyProcedures for SubspecialtiesTotal Months ofTrainingClinical Months36* 2436*2412 12* The training requirements for admission to the Cardiovascular Disease Examinationand the Gastroenterology Examination increased to 36 months of accredited fellowshiptraining in 1990 and 1996 respectively. Beginning with the 2007examinations, 36 months of accredited fellowship training are required of allfirst-time applicants for these examinations, regardless of when they trained.** Requires minimum ½ day per week in continuity outpatient clinic.1812Clinical Cardiac ElectrophysiologyElectrophysiologic studies both with a catheter and intraoperatively;catheter-based and other ablation procedures; and implantation ofpacemakers, and cardioverters-defibrillators (a minimum of 150intracardiac procedures in at least 75 patients, of which 75 arecatheter-based ablation procedures, including post-diagnostictesting, and 25 are initial implantable cardioverter-defibrillatorprocedures, including programming). Procedures performed duringtraining in cardiovascular disease may be counted toward fulfillingthese requirements provided that they are adequately documentedand are performed with supervision equivalent to that of a clinicalcardiac electrophysiology fellowship.Critical Care MedicineAirway management and endotracheal intubation; ventilatormanagement and noninvasive ventilation; insertion and managementof chest tubes, and thoracentesis; advanced cardiac lifesupport (ACLS); placement of arterial, central venous, andpulmonary artery balloon flotation catheters; calibration andoperation of hemodynamic recording systems; proficiency in useof ultrasound to guide central line placement and thoracentesis isstrongly recommended. Candidates should know the indications,contraindications, complications, and limitations of the followingprocedures: pericardiocentesis, transvenous pacemaker insertion,continuous renal replacement therapy (CRRT) and hemodialysis,and fiberoptic bronchoscopy. Practical experience is recommended.Endocrinology, Diabetes, and MetabolismThyroid aspiration biopsy.GastroenterologyDiagnostic and therapeutic upper and lower endoscopy.Geriatric MedicineNo required procedures.Adolescent MedicineHematologyNo required procedures.Bone marrow aspiration and biopsy, including preparation, examination,and interpretation of bone marrow aspirates and touchAdvanced Heart Failure and Transplant Cardiologypreparations of bone marrow biopsies; interpretation of peripheralProcedures to be determined.blood smears, including manual white blood cell and plateletcounts; administration of chemotherapeutic agents and biologicalCardiovascular Diseaseproducts through all therapeutic routes; management and care ofAdvanced cardiac life support (ACLS), including cardioversion;indwelling venous access catheters; and management of methods ofelectrocardiography, including ambulatory monitoring and exerciseapheresis.testing; echocardiography; arterial catheter insertion; right-heartcatheterization, including insertion and management of temporaryHospice and Palliative Medicinepacemakers; and left-heart catheterization and diagnostic coronaryNo required procedures.angiography.7
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: (1) Month-for-month credit may be g
Page 11 and 12: combined training must be taken in
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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?