Establishing Profiles for Systems Engineering Standards: A ...
Establishing Education & Performance Standards for ...
Transcript of Establishing Education & Performance Standards for ...
![Page 1: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/1.jpg)
American Board of Orthopaedic SurgeryEstablishing Education & Performance Standards for Orthopaedic Surgeons
15th Annual ARCOS Conference:ABOS Update
David F. Martin, MDExecutive Medical Director, American Board of Orthopaedic Surgery
![Page 2: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/2.jpg)
DISCLOSURESDirector (2005-2015), American Board of Orthopaedic Surgery
Executive Medical Director (2016-present), American Board of Orthopaedic Surgery
Professor of Orthopaedic Surgery (1990-present), Wake Forest Baptist Health
(Former Program Director – Residency/Fellowship)
Wake Forest Baptist Health – Winston-SalemABOS Board of Directors ABOS Headquarters – Chapel Hill
![Page 3: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/3.jpg)
DISCLOSURES
I am still not Patsi!!
Patsi is the ABOS ‘True North!’
![Page 4: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/4.jpg)
OVERVIEW
I. ABOS Background
II. ABOS Part I Examination Update
III. Update from the ABOS• Resident Registration
• RRA Forms
• Resident Time Requirements
IV. Questions
![Page 5: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/5.jpg)
ABOS Background
![Page 6: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/6.jpg)
HISTORYAmerican Medical Association (AMA) – 1847
American Orthopaedic Association (AOA) – 1887
American Academyof
Orthopaedic Surgeons
American Boardof
Orthopaedic Surgery
1933 1934
‘Qualityand
Competence’
![Page 7: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/7.jpg)
ABOS Mission Statement 2018
To ensure safe, ethical, and effective practice of
orthopaedic surgery, the ABOS maintains the highest
standards for education, practice, and conduct
through examination, certification, and maintenance
of certification for the benefit of the public.
![Page 8: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/8.jpg)
ABOS Background
• Established: January 7, 1934
• Nominating Societies:• AOA
• AMA
• AAOS
• 21 Volunteer Directors (Board - National)
• Staff (Chapel Hill)• Executive Medical Director – David F. Martin, MD
• Chief Operating Officer – Aaron S. White
• Staff: Examination/Credentialing/Communications/IT
Each organization provides nominees two years out of a three year cycle.
![Page 9: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/9.jpg)
ABOS Directors (21)• 17 Academic/3 Private Practice/1 Public
• Diversity
• Subspecialty/Geographic Distribution
• Volunteer
ABOS Leadership
• President Peter M. Murray, MD
• Vice President Terrance D. Peabody, MD
• President-Elect Douglas W. Lundy, MD
• Secretary Charles L. Saltzman, MD
• Treasurer Frederick M. Azar, MD
![Page 10: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/10.jpg)
AMERICAN BOARD OF ORTHOPAEDIC SURGERY
Raleigh, North Carolina
2017
![Page 11: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/11.jpg)
![Page 12: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/12.jpg)
AMERICAN BOARD OF ORTHOPAEDIC SURGERY
Raleigh, North Carolina
2017
![Page 13: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/13.jpg)
![Page 14: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/14.jpg)
AMERICAN BOARD OF ORTHOPAEDIC SURGERY
Raleigh, North Carolina
2017
19912021
SP ‘21
19972027
SP ‘27
19932023
SP ‘22
19942024
19892019
19852020
19922022
SP ‘22
20052025
20012021
19982028
199020201996
2026
PublicMember
19932023
19932023
19962026
SP ‘26
19942024
HS ‘24
19882028
19922022
HS ‘22
19952025
HS ‘25
19902020
19902020
James Kang(not pictured)
19952025
Scott Porter
(not pictured)
20072027
![Page 15: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/15.jpg)
Board of Directors• 21 Member Board (National/Voluntary)
• 2 Directors-Elect (one year term)
• 12 Directors (six year term)
• 6 Senior Directors (three year term)
• 1 Public Member (three year term)
Full Time Staff - Chapel Hill• Executive Medical Director
• David F. Martin, MD
• Chief Operating Officer• Aaron S. White
• 11 Staff Members• Examination/Credentialing/Communications/IT
• Advisors: Legal, IT, Web, PsychometricsABOS Headquarters
Chapel Hill, NC
Who is the ABOS?
![Page 16: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/16.jpg)
Part I (pass rate 89-94%)• Written exam taken July after graduation (ACGME Residency)• To sit you need basic minimum requirements (Credentials Committee)
Part II (pass rate 88-92%)• Oral exam based on practice (20 months in one location)• Taken 2 years after successfully passing part I
(Credentials Committee) Subspecialty Certification
Hand (est. 1989)
Sports Medicine (est. 2007)
Maintenance of Certification(MOC)
(10 year cycle)Continuous Certification Process Lifetime Certificate
HoldersLifetime Board Certification
Pathways to Orthopaedic Certification
![Page 17: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/17.jpg)
ABOS Diplomates
Diplomates 28,418 total
• Time Limited Certificate Holders 17,769
• Participating in MOC: 97%
• Time Unlimited Certificate Holders 10,649
• Participating in MOC: 7%
• Subspecialty Certification
• Surgery of the Hand Certificate Holders: 1,741
• Orthopaedic Sports Medicine Certificate Holders: 2,272
• Both Subspecialty Certificates 38
![Page 18: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/18.jpg)
ABOS Part I Update
![Page 19: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/19.jpg)
ABOS Part I Examination
The Written Examination
The examination evaluates a candidate’s knowledge of general orthopaedics, the basic science of orthopaedics, and a candidate’s ability to use this information for problem solving in the diagnosis and treatment of patients.
• 328 multiple choice questions
• Previously: 7 hours of testing time divided into 2 sessions
• 2009 and onward: 8 hours of testing time over a 9 hour day – PrometricTesting Centers
• 40 minutes of break time
• 20 minutes of tutorial time
![Page 20: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/20.jpg)
![Page 21: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/21.jpg)
![Page 22: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/22.jpg)
![Page 23: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/23.jpg)
ABOS Part I Examination Update
• 856 finalized applications• 2 residents did not apply
• Part I Examination:• Scheduling Permits: posted at www.abos.org April 2017
• Schedule Examination with Prometric: April-June 2017
• Must bring scheduling permit to the examination
• Take the TUTORIAL (www.abos.org)
• Examination: July 12, 2018
![Page 24: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/24.jpg)
![Page 25: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/25.jpg)
![Page 26: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/26.jpg)
ABOS Part I Examination
• Part I Examination Blueprint• More detail
• Better description of weighting
• More useful
• Education • Study Guide
• Conference scheduling
• Curriculum development
![Page 27: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/27.jpg)
![Page 28: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/28.jpg)
![Page 29: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/29.jpg)
![Page 30: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/30.jpg)
![Page 31: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/31.jpg)
![Page 32: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/32.jpg)
Updates from the ABOS
![Page 33: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/33.jpg)
Update from the ABOS
• Dashboard Changes• Resident involvement early
• Register all residents – unique Dashboards
• Establish communications / Track progress
• Replace the RRA Form with a Digital Record
• Resident Time Requirements • 46 weeks per year averaged over 5 years
• Mandatory 2 weeks of vacation time
![Page 34: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/34.jpg)
• Yearly RRA signed by PD
PGY 1
6 months orthopedics/6 months non-orthopedic rotations
PGY 2-5
12 months of adult orthopaedics
12 months of fractures/trauma
6 months of children’s orthopaedics
6 months of basic and/or clinical specialties
RRA Forms
![Page 35: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/35.jpg)
Electronic Resident Tracking System
• Elimination of the RRA form and development of an electronic residency training tracking system
• Register with ABOS as PGY-1 matriculating Resident
• Obtain ABOS username and password
• Sign on outlines requirements for Part 1, Part 2, MOC as tabs in resident “portfolio”
• Fill in tabs of Part I with• Knowledge Test
• PGY-1 Simulation Skills Assessments
• PGY-2 - PGY-5 Surgical Skills Assessments for required procedures
• Behavior Assessments
![Page 36: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/36.jpg)
Resident Registration- Logging of Rotations
![Page 37: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/37.jpg)
Resident Checklist for Rotation Times
![Page 38: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/38.jpg)
Resident Portfolio for Knowledge, Skills, and Behavior Assessments
![Page 39: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/39.jpg)
Time Requirement
• 2018 ABOS Rules and Procedures
• “Each (residency) program may provide individual leave and vacation times for the resident in accordance with overall institutional policy. However, one year of credit must include at least 46 weeks of full-time orthopaedic education. Vacation or leave time may not be accumulated to reduce the five-year requirement.”
• Problems: Lack of flexibility for any leave greater than 6 weeks.
![Page 40: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/40.jpg)
Change in Time Requirement
• “Each program may provide individual leave and vacation times for the resident in accordance with overall institutional policy. However, one year of credit must include no more than 50 weeks of full time orthopedic education per year; and, at least 46 weeks of full time orthopedic education averaged over five years.”
• Resident Well-being: Must have 2 weeks time off
• Flexibility:
46 weeks/year= 6 weeks off/year, averaged= 30 weeks off (7 mos)
![Page 41: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/41.jpg)
ABOS Certification Specialists
• Last names beginning with A-B:
Denise Frazier [email protected]• Last names beginning with C-G:
Sonya Parker [email protected]• Last names beginning with H-O:
Kim Grover [email protected]• Last names beginning with P-Z:
Morgen Graham [email protected]
919-929-7103
![Page 42: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/42.jpg)
![Page 43: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/43.jpg)
ABOS Certification Specialists
• Last names beginning with A-B:
Denise Frazier [email protected]• Last names beginning with C-G:
Sonya Parker [email protected]• Last names beginning with H-O:
Kim Grover [email protected]• Last names beginning with P-Z:
Morgen Graham [email protected]
919-929-7103
![Page 44: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/44.jpg)
![Page 45: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/45.jpg)
American Board of Orthopaedic SurgeryEstablishing Education & Performance Standards for Orthopaedic Surgeons
Thank You / Questions?David F. Martin, MD
Executive Medical Director, American Board of Orthopaedic Surgery
919-929-7103
www.abos.org
![Page 46: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/46.jpg)
![Page 47: Establishing Education & Performance Standards for ...](https://reader031.fdocuments.us/reader031/viewer/2022020621/61ea25537ecbd33e1975c8fa/html5/thumbnails/47.jpg)