ABR UPDATE: Core-competencies - The American Board of ...

What does the ACGME expect ?• Programs should document anddemonstrate:• Learning opportunities in each competencydomain• Evidence of multiple assessment methods• Outcomes of programs and individuals; useof aggregate data to improve theeducational program/patient care

Common Program RequirementsRRC Meeting• Added requirements for measurement ofcompetencies and outcomes data• Created a list with ideas for measurementwith each competencyhttp://www.acgme.org/acWebsite/navPages/nav_PDcoord.asp

American Board of RadiologyMission/Vision for MOC• …..is to promote the quality of patient caredelivered• …. to provide a process of lifelong education,self-assessment, practice improvement, andcontinuous evaluation and learning.

Paradigm ShiftOld• Training• Certification: Lifetime• CME• ReputationNew• Training• Certification: Time limited• Maintenance of certification• Life long learning andassessment

Diversity of Practice: DR, RO, RP

ABR’s s ComponentsMaintenance of Certification(MOC)• Part I: Professional Standing• Part II: Lifelong Learning and PeriodicSelf-assessment• Part III: Cognitive exam• Part IV: Practice Quality Improvement

Part II: Lifelong Learning• 250 hours, Category 1 CME credit in 10 years• Twenty-fiveper year• 20 Self Assessment Modules (2 per year)• Practice domains• General content .. At least four• CME will be automatically reported to ABR throughthe CME Gateway for all who “opt in”(www.cmegateway.org)

ABR’s s ComponentsMaintenance of Certification(MOC)• Part I: Professional Standing• Part II: Lifelong Learning and PeriodicSelf-assessment• Part III: Cognitive exam• Part IV: Practice Quality Improvement

Practice-profiled Cognitive Exam:Diagnostic Radiology CertificateEXAMCONTENTChestBreastPediatric Pediatric GeneralContent

Practice-profiled Cognitive ExamDR and Pediatric Subspecialty(CAQ)EXAMCONTENTPediatricPediatricsPediatricSubspecialtyPediatricSubspecialtyGeneralContent

Maintenance of Certification- Part IV• Highlights competencies inmedical practice, delivery ofcare• Practice Quality Improvement(PQI)• Practice-based focus• Measurement/metrics• Includes action plan for qualityimprovement

Why do we need metric/database?• Need to know our baseline at anational level• Public disclosure of qualitymeasurement data lead toimprovements in quality of care

ABR MOC: Components & the 6 CompetenciesPart IProfessionalStandingPart IILifelong Learning andSelf-assessmentPart IIICognitiveExpertisePart IVPractice PerformanceMedical KnowledgeState board licenserequirements and actionsDocumentation and completion of 250CME credits.Achieve a passing scoreon the ABR cognitiveexam.•Patient Safety•Double Reading•Practice GuidelinesPatient CareState board licenserequirements and actionsDocumentation: CME with review of newtechniques and protocols.Achieve a passing scoreon the ABR cognitiveexam, which includespatient care content.•Patient Safety•Double Reading•Turnaround Time•Practice Guidelines•Referring Physician SurveyInterpersonal &CommunicationSkillsSAMs with emphasis on communications.•Patient Safety•Double Reading•Turnaround Time•Practice Guidelines•Referring Physician SurveyProfessionalismState board licenserequirements and actionsSAMs content on professionalism.General questions aboutethics and charter onprofessionalism•Practice Guidelines•Referring Physician SurveyPractice-basedLearning& ImprovementSpecific CME and SAMs developed forpractice-based learning and improvement.General questions aboutessential core knowledgeand practice improvementprinciples.•Patient Safety•Double Reading•Turnaround Time•Practice Guidelines•Referring Physician SurveySystems-basedPracticeSpecific CME and SAMs developed forsystems-based practice.General questions aboutCQI content.•Patient Safety•Double Reading•Turnaround Time•Practice Guidelines•Referring Physician Survey

IMPROVING QUALITY/SAFETYERROR REDUCTION

“If you know where you are going,it is easier to get there”