Download - American Board of Psychiatry and Neurology

American Board of Psychiatry
and Neurology
CREDENTIALING PROCESS FOR THE ABPN
2011 AADPRT
ANNUAL MEETING
AUSTIN, TX

Welcome and Introductions
� Larry Faulkner, M.D. President and CEO
� Victor Reus, M.D. Vice-Chair and Chair
of Psychiatry Council
� Beth Ann Brooks, M.D. Member-at-Large ,
Liaison to AADPRT
2

Welcome and Introductions
� Mary Foertsch, Ph.D. Director, Test
Development and
Core Competencies
� Pat Janda Director, Credentials
and Meetings
� Dorthea Juul, Ph.D. Vice President,
Research and
Development
� Stephen Glick Manager, Credentials
3

� Part I Examination
� Part II Examination
ABPN Update
� Review of Credentialing Process
� Certification in Child and Adolescent Psychiatry
� Other ABPN Updates
� Certification Examination
� Examination Performance
4

Part I Examination
(Not same as Certification
Examination)

Part I Examination
2011 Part I Examination
Examination Dates May 9-13, 2011
May 16-20, 2011
Deadline: September 1, 2010
Late Deadline: November 1, 2010
6

Part I Examination
2012 Part I Examination
Examination Dates May 7-11, 2012
Deadline: November 1, 2011
Late Deadline: December 1, 2011
7

Part I Examination
� With the change to an earlier administration
(spring instead of fall), the pass rate for new
examinees increased by about 5% and
remained about the same for repeaters.
� This suggests that it may be advantageous to
take the examination closer to the end of
residency training.
8

Part I Examination
Applicants applying for the 2011 Part I
Examination:
� Must complete training no later than
July 31, 2011.
� Must submit letter from program director verifying
successful completion of training to ABPN office by 7/15
(for training completed by 6/30) or by 8/15 (for training
completed by 7/31).
� Must submit copy of all medical licenses to ABPN office
by 8/1.
9

Part I Examination
Candidates who pass the 2011 Part I Examination
will be scheduled for one of the following Part II
Examinations:
� January 13-15, 2012 San Antonio, TX
� May 18-20, 2012
OR
Omaha, NE
� September 21-23, 2012 Indianapolis, IN
10

Part I Examination
If letter verifying successful completion of
training is not received by 8/15:
� Examination results will NOT be released to the
candidate.
� Candidate will not be scheduled for a Part II
Examination until ABPN has received verification of
successful completion of training.
� Such candidates are scheduled for earliest Part II
Examination that has space available and may have
to wait up to one year for an available examination
slot.
11

Part I Examination
Candidates who sit for the 2011 Part I
Examination, but do not graduate by
7/31/11:
� Will have their examination scores
invalidated.
� Part I fees will be retained by ABPN.
� Will have to reapply for examination.
12

Part I Examination
� The content outline and sample items are
posted on the ABPN web site.
13

Part I Examination Psychiatry
New 5,698
(89%)
Repeat 965
(41%)
Total 6,663
(76%)
2006 - 2010
Passed Failed Total
711
(11%)
1,396
(59%)
2,107
(24%)
6,409
(73%)
2,361
(27%)
8,770
14

Psychiatry Part I Examination
Correlations with the PRITE
1992 PRITE and 1994 Part I (n = 701)*
Psychiatry: r = 0.67 (p < .01)
Neurology: r = 0.43 (p < .01)
2002 PRITE and 2003 Part I (n = 297)**
Psychiatry: r = 0.59 (p < .01)
Neurology: r = 0.39 (p < .01)
*Webb, et al: AJP, 1996
**Juul, et al: Acad. Psych, 2009
15

Part II Examination

� Patient section
Part II Examination
Format of Oral Examination
� Vignette section (3 written vignettes + 1
video clip)
� Information about the examination,
including sample grade cards, is posted on
the ABPN website.
17

Part II Examination
2011 Part II Examinations
� January 14-16, 2011 Los Angeles, CA
� April 1-3, 2011 Atlanta, GA
� June 3-5, 2011 Portland, OR
� Sept. 9-11, 2011 Cleveland, OH
18

Part II Examination Psychiatry
May 2006 – October 2010
New 4,676
(78%)
Repeat 1,291
(54%)
Total 5,967
(71%)
Passed Failed Total
1,298
(22%)
1,099
(46%)
2,397
(29%)
5,974
(71%)
2,390
(29%)
8,364
19

Future Directions: Part I and
Part II Examinations
� The Part I and Part II Examinations have
been eliminated for residents who entered
training in psychiatry as a PGY- on or after
July 1, 2007 or PGY-2 on or after July 1,
2008.
� Such residents will be required to
complete the clinical skills requirements
and sit for the new computer-administered
Certification Examination.
20

Certification Examination
� The computer-administered Certification
Examination will be administered for the first
time in the Fall of 2011 at Pearson VUE testing
centers and will ONLY be available to those
residents who entered training in psychiatry as
a PGY-1 on or after July 1, 2007, or PGY-2 on
or after July 1, 2008.
� Such residents will be required to submit
documentation that they have successfully
completed the required clinical skills
evaluations.
21

2011 Certification
Examination
Examination Dates September 15-16, 2011
Deadline: February 1, 2011
Late Deadline: March 1, 2011
22

2012 Certification
Examination
Examination Dates September 13-14, 2012
Deadline: February 1, 2012
Late Deadline: March 1, 2012
This examination will be described in detail
at the end of this session.
23

Credentialing Process

CREDENTIALING PROCESS
� Questions regarding program
requirements - Contact RRC
� Questions regarding individual residents -
Contact ABPN
25

Submitting the
Part I Application
� Deadline for applications for 2011 was
September 1, 2010.
� Applicants must submit a current application
with required fees.
� There is a non-refundable late fee for
applications received between September
2 nd and November 1 st.
� Applications received after November 1 st will
be returned.
26

Submitting the
Certification Application
� Applicants must submit a current application
NEW
with required fees. (There is a split fee
payment option.)
� Deadline for submitting applications for
2012 is February 1, 2012.
� There is a non-refundable late fee for
applications received between February 2 nd
and March1 st.
� Applications received after March 1 st will be
returned.
27

SPLIT FEE OPTION
� Applicants may apply for Part I and
make 3 installment payments.
� 1/3 submitted with the application
� 1/3 due April 1
� Final 1/3 due May 16
28

Information Submitted with
Application
� Copy of all medical licenses*.
� Documentation of PGY-1.
� Documentation of residency training.
29

Licensure
*While a temporary or training
license is acceptable to apply and
sit for the Part I, a copy of a full,
unrestricted medical license must
be submitted to ABPN by
August 1 (Part I) or by
September 1 (Certification).
If more than one license is held,
copies of all licenses must be
submitted.
30

License Restrictions
� All license(s) must be unrestricted.
� Restrictions do not include:
� Voluntary participation in an impaired
physician program if not reported to
National Practitioner Data Bank (NPDB)
or Federation of State Medical Boards
(FSMB).
� Limitation by geographic area.
31

Part I Candidates Who Have
Not Submitted a Copy of their
License to ABPN by 8/1:
� Are not scheduled for the Part II
examination until a license is submitted.
� May have to wait up to one year before
being scheduled for the Part II
examination.
32

Candidates who have not
submitted licenses
Candidates for the Certification
Examination who have not submitted a
copy of their license to ABPN by
September 1 will be denied.

Reminder!
� Please remind your
residents to obtain and
send their medical
licenses.
34

Documentation of PGY-1
� The letter from the PGY-1 program
director must detail exact length and
content of rotations completed during
PGY-1 (m/d/y-m/d/y).
� If the resident has completed one full
year of internal medicine, family
medicine, or pediatrics, a copy of
certificate is acceptable, provided it
includes the exact dates of training.
35

Documentation of Residency
Training
� Letter from residency program director
verifying exact date (m/d/y) resident
entered training and exact date resident
will complete training.
� If the resident completed both his/her
PGY-1 and residency training in the
same program, verification may be on
one letter.
36

In-Residency Evaluation Process
The in-residency evaluation process is
effective for residents who entered
residency training in psychiatry as a
PGY-1 on or after July 1, 2007 or as a
PGY-2 on or after July 1, 2008.
37

In-Residency Evaluation Process
� Credentialing for ABPN examinations
requires successful completion of 3
evaluations with any patient type, in any
clinical setting, and at any time during the
residency.
� Each of the 3 required evaluations must
be conducted by an ABPN-certified
psychiatrist, and at least two of the
evaluations must be conducted by
different ABPN-certified psychiatrists.
38

In-Residency Evaluation Process
� Evaluations must be completed on ABPNapproved
forms.
� In lieu of using the clinical skills evaluation
forms posted on the ABPN website,
psychiatry (and CAP) residency programs
may submit forms to the ABPN for
approval.
� Programs may add additional competency
components/items to the form.
39

Verification of In-Residency
Evaluations
� For credentialing purposes, the ABPN will
accept only those evaluations done in
ACGME-accredited residency programs
and attestations done by ACGMEaccredited
residency program directors.
� Documentation must include dates
passed and the names of the ABPN
certified evaluators.
40

In-Residency Evaluation Process
� Evaluations conducted during residency
training are valid for 5 years following
completion of residency training.
� Evaluations conducted after residency
training must be completed within a 5year
period from the completion of the
first evaluation.
� Evaluations conducted after residency
training will remain valid for 5 years after
completion of the last evaluation.
41

Other ABPN Requirements
� Training must be completed in programs
accredited by ACGME.
� Resident must complete required 48 months
of training.
� All ACGME requirements must be satisfied.
� Training must be completed at no less than
½ time.
� Two of three years of residency training,
excluding PGY-1, MUST be spent in a single
program except when approved by ABPN*.
42

Other ABPN Requirements
� Credit is not granted for less than one-year
blocks of training except when approved by
ABPN*.
� Residency training must be completed in no
more than two blocks. If completed in two
blocks, the blocks must not be more than 5
years apart and the shorter block must not
be less than six months long.
43

Other ABPN Requirements
� One year of subspecialty residency training
must be completed in a continuous block at
not less than ½ time.
� Leave or vacation time may not be utilized
to reduce total amount of required training
or to make up deficiencies in training.
44

*Exceptions
Exceptions are considered on an individual
basis.
� Program director of first program sends
letter to program director of second
program detailing the training completed
and areas of training that are deficient
(see sample letter A).
� Program director of second program
informs resident whether he/she will be
able to provide resident with experience
necessary to remove deficits.
45

*Exceptions
� Program director of second program
submits proposal to ABPN office detailing
training to be completed in their program
and includes letter from first program
director.
� In the future, we hope to see this worked
out through PreCert.
46

Sample Letter A
(Should be used when a resident
transfers between training programs or
may be used to verify completion of
training.)
Sample Letter B
(Should be used to verify successful
completion of training.)
47

PreCert
� Letters to ABPN are being replaced.
� PreCert system – Programs enter resident
information into the system.
� Both the program director and the
resident may view the information.
Residents can change demographic
information. However, only the program
director can make changes to the training
data.
48

PreCert
� PD will be able to send info regarding
transferring resident to other PDs and to
ABPN.
� System will keep track of rotations
completed and clinical skills completed.
� Only those residents who have been
entered into this system will be able to
apply for the 2012 Certification
Examination online.
49

Canadian Training
� Graduates of programs accredited by the
RCPSC may apply and sit for ABPN
examinations ONLY if they:
� Have completed all training in a RCPSCaccredited
program.
� Are certified by the RCPSC.
� Possess an unrestricted license to
practice medicine in a Canadian
province.
� ABPN does not recognize partial
Canadian training.
50

Combined Training
� While the ABPN currently approves
programs to offer combined training, we
are not approving new combined programs
at this time.
� ABPN is concerned with these programs as
there are some states that seem reluctant
to grant licenses to graduates from these
training programs as they are not ACGMEaccredited.
� Peds-Portal programs are accredited by
ACGME.
51

Certification in Child and
Adolescent Psychiatry

CURRENT CAP Certification
Process
� Current CAP certification process has two
components:
� Multiple choice computer-administered
examination (Part I)
� Oral examination (Part II)
� Candidates are required to pass the Part I
examination before being scheduled for
the Part II examination.
53

CAP Part I Examination
The content outline for the examination is
posted on the ABPN web site.

2010 Child and Adolescent
Psychiatry Part I Examination
RESULTS
NUMBER OF
CANDIDATES PERCENTAGE
Pass 315 89%
Fail 40 11%
Total Number 355
55

CAP Part II Examination
� CAP Part II Examination consists of two
sections:
� Preschool/Grade School
� One written vignette
� One video based vignette
� Adolescence
� Patient examination
56

2011 CAP Part I/Part II
Examination Dates
Part I June 6-10, 2011
Part II November 11-13, 2011
Milwaukee, WI
Deadline: December 1, 2010
Late deadline: January 3, 2011
57

2012 CAP Part I/Part II
Examination Dates
Part I June 4-8, 2012
Part II November 9-11, 2012
Houston, TX
Deadline: December 1, 2011
Late deadline: January 2, 2012
58

2010 Child and Adolescent
Psychiatry Part II Examination
RESULTS
NUMBER OF
CANDIDATES PERCENTAGE
Pass (Certified) 280 73%
Fail 101 27%
Total Number 381
Total Certified
2010
280
Total certified (1959 – 2010): 7,209
59

Future Directions:
CAP Examination
� The Child and Adolescent Psychiatry oral
examination has been eliminated for PGY-4
or PGY-5 residents who enter residency
training in CAP as of July 1, 2010 (integrated
Peds Portal residents in July 2008).
� Such residents will be required to sit for the
new computer-administered CAP certification
examination.
� This examination will be administered for
the first time in the Fall of 2012.
60

CAP In-Residency Evaluation
Process
� General principles, process, training and
monitoring are same as psychiatry except:
� Three in-residency evaluations are
required in CAP.
� At least two of the three patients must
come from different age groups
(preschool, grade school, and
adolescence).
61

CAP In-Residency Evaluation
Process
� Each of the three required evaluations
must be conducted by an ABPN-certified
CAP psychiatrist.
� One of the in-residency evaluations
from CAP program can count toward
the three required general psychiatry
evaluations.
� No in-residency evaluations completed
during psychiatry residency can count
toward the three required CAP
evaluations.
62

2012 CAP Certification
Examination Dates
Examination dates October 2-3, 2012
Deadline: April 1, 2012
Late deadline: May 1, 2012
63

Graduate Performance Report
� Report available from ABPN
� Must be requested in writing on
letterhead.
� Request signed by program director or
chair.
� Include AMA program ID #.
� Allow 4-6 weeks for report.
� 5 years of data unless otherwise
requested.
64

Examination Dates/Deadlines
� Please refer to the examination schedule
on ABPN website at www.abpn.com for
updated information.
*Applications submitted after initial deadline require $500 late fee.
No applications are accepted after late deadlines.
65

Other ABPN Updates

Clinical Skills Assessment
� Several workshops for faculty have been
presented at AADPRT, AAP, AACAP, and
APA and in conjunction with Part II
Psychiatry and Part II CAP Examinations.
� The ABPN has provided some funds to
AADPRT to support the development of
additional training materials.
67

� No increase in 2007.
Examination Fees
� Approximately 12% decrease in fees in 2008.
� No increase in fees in 2009, 2010, or 2011.
� Candidates can pay fees with credit cards or
with checks.
� Approximately 50% of fees have been paid
with credit cards since 2006.
� The ABPN has approved a prepayment plan
for all examinations.
68

ABPN Website
www.abpn.com
� Information available on website
� Examination dates
� Statistics on number of certificates issued in
each of the specialties/subspecialties
� Verification of certified diplomates
� Available for download
� Information for Applicants publications
� Applications
� Content Outlines
� Clinical Skills Evaluation forms
� Newsletters
69

Questions?
� Where to contact us:
� 847-229-6510 voice
� 847-229-6600 fax
� pjanda@abpn.com
� sglick@abpn.com
ABPN
2150 E Lake Cook Road
Suite 900
Buffalo Gove, IL 60089
www.abpn.com 70

Have a great meeting!
71

Examination Performance

Geriatric Psychiatry
Pass Rate and Number of Certificates Granted
1991-2010
Certificates granted 3,067
Number of candidates 4,266
Examination pass rate 72%
73

Addiction Psychiatry
Pass Rate and Number of Certificates Granted
1993-2010
Certificates granted 2,102
Number of candidates 2,600
Examination pass rate 81%
74

Forensic Psychiatry
Pass Rate and Number of Certificates Granted
1994-2010
Certificates granted 1,814
Number of candidates 2,245
Examination pass rate 81%
75

Psychosomatic Medicine
Pass Rate and Number of Certificates Granted
2005-2010
Certificates granted 1,082
Number of candidates 1,299
Examination pass rate 83%
76

Pain Medicine
Pass Rate and Number of Certificates Granted
2000-2010
Certificates granted 264*
Number of candidates 401
Examination pass rate 66%
*Includes 49 psychiatrists, 203 neurologists, 6 child
neurologists, and 6 double-boarded psychiatrists/
neurologists. In addition, 29 diplomates of other boards
were certified via the ABPN.
77

Sleep Medicine
Pass Rate and Number of Certificates Granted
2007-2010
Certificates granted 803*
Number of candidates 1,047
Examination pass rate 77%
*Includes 95 psychiatrists, 641 neurologists, 54 child
neurologists, and 13 double-boarded psychiatrists/
neurologists.
78

Hospice and Palliative Medicine
Pass Rate and Number of Certificates Granted
2008-2010
Certificates granted 49*
Number of candidates 60
Examination pass rate 82%
*Includes 26 psychiatrists, 21 neurologists, 1 child
neurologist, and 1 double-boarded psychiatrist/
neurologist.
79