American Board of Radiology UpdateAmerican Board of Radiology Update
APDR/APCR APDR/APCR
March 25, 2010March 25, 2010
American Board of RadiologyAmerican Board of Radiology
N. Reed Dunnick, M.D. – Trustee, GU
Duane Mezwa, M.D. – Trustee, GI
Milton Guiberteau, M.D. – Trustee, NM
Gary Becker, M.D. – Executive Director
American Board of RadiologyAmerican Board of Radiology
Why board certification? Dunnick
Exam of the future. Mezwa
Nuclear medicine Guiberteau
ABMS and communication Becker
DisclosuresDisclosures
NoneNone
American Board of RadiologyAmerican Board of RadiologyMissionMission
“To serve patients, the public, and themedical profession. . .”
“By certifying that its diplomates have acquired, demonstrated, and maintained a requisite standard of knowledge, skill, and understanding. . .”
How can we best serve How can we best serve our patients?our patients?
Quality Milestones in MedicineQuality Milestones in Medicine
Flexner Report (1910)Flexner Report (1910)Medical Schools improved
ABMS (1933)ABMS (1933)Specialty standards established
IOM Report(s) (1999)IOM Report(s) (1999)Deaths due to medical error
Medical Imaging QualityMedical Imaging Quality
Training
Testing
Life-long learning
Practice quality improvement
Distinctions are BlurredDistinctions are Blurred
Many specialties do imagingMany specialties do imaging
• cardiology• obstetrics• gastroenterology• nephrology• emergency medicine• vascular surgery
Even more want to do imagingEven more want to do imaging
No specialty has the “right” to their No specialty has the “right” to their
turf – it must be protected by turf – it must be protected by
providing the highest quality providing the highest quality
service.service.
Clinical PrivilegesClinical Privileges
Training - Training - RRCRRC
Knowledge - Knowledge - ABMS boardsABMS boards
Quality Practice - Quality Practice - ABMS boards?ABMS boards?
TJC?TJC?
State license boards?State license boards?
Malpractice claims?Malpractice claims?
Continuing Medical EducationContinuing Medical Education
Our field changes so rapidly that remote board certification is no longer pertinent.
Life-long learning!
Maintenance of CertificationMaintenance of Certification
ABMS mandated:
• Time limited certification
• MOC program
• 10 year MOC cycle
Life-long Life-long LearningLearning
As medicine evolves, and imaging technology expands, radiology changes dramatically.
Our culture must embrace:
Life-long learning
Periodic evaluations
Education (CME)
Self assessment (SAMs)
Practice Improvement (PQIs)
Cognitive Exam (CE)
Maintenance of CertificationMaintenance of Certification
I. Professionalism
II. CME and SAMs
III. Cognitive Exam
IV. Practice Quality Improvement Projects (PQIs)
New ABR Exam StructureNew ABR Exam Structure
Allow training flexibility
Recognize life-long learning
First step in MOC