American Board of Surgery UpdateABSITE 2019 ABSITE –Friday, Jan. 25 to Tuesday, Jan. 29 Fee...

AmericanBoardofSurgeryUpdate

BARBARAJALBERT-GERKENSASSOCIATIONOFRESIDENCYADMINISTRATORSINSURGERYAUSTIN– MAY5,2018

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Topics● ABSITE● ACCOMMODATIONS● TRAINEEROSTER● QE/CE● ENTRYOFOSTEOPATHICTRAINEES● PRIORABSAPPROVAL● REPORTSOFPERFORMANCE

THEAMERICANBOARDOFSURGERY|www.absurgery.org

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ABSITE

● 2019ABSITE– Friday,Jan.25toTuesday,Jan.29○ Fee– possibleincrease

● Pre-registrationofallexaminees

● ABSITEorderformpre-populatedwithtraineerosterdata

● On-goingdiscussionofapossibleearlierABSITE– nodecisionatthistime


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Pre-Registration● Advancedregistrationprovides:

○ Nameofall Examinees□ IncludingPD,faculty,or“guest”examinee

○ ClinicalLevel○ Nameofhostprogramifresidentistakingexamelsewhere○ Testingaccommodations:time-and-a-halfordoubletime

● Registrationcode:○ Includesalloftheaboveinformation○ Not transferable○ Uploadedtotestingwebsite


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TheLearningCurve

● “Yes”mustbeselectedforeachresidenttakingtheexam

● Clinicallevelandexamineenameonorderform comesdirectlyfromtraineeroster○ Makesurerosterisaccurate– everything isbasedonit○ Informationonorderformwillbeusedforresults

□ Correctedreportswillnotbepreparedwhenerrorsoccur

● Reviewperiodbeforedataisuploadedtotestingwebsite


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ReviewOrder


Reviewoforderavailable24/7online:

Training&Certification>ForResidency&FellowshipPrograms>2018In-TrainingExams>StatusofOrder

Click“PrintForm”toverifyexamineename,clinicallevel,accommodations,hostsite

Paymentreceived?Resultswillnot bereleaseduntilfullpayment&seatingchartsarereceived

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OrderForm


• Namespelledcorrectly

• Isclinicallevelcorrect?

• Takingexam?- “NO”inthiscase

• Testingaccommodation

• Hostlocation

• Nopercentilecalculated

• Corrections:emailbjgerkens@absurgery

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RegistrationCheck● Priortoexam,aregistrationcheckandnotifyABSofanychanges○ For2018,emailsentJan.17w/changesduebynoonJan.22

● Afterreviewperiod,registrationcodesuploadedtotestingwebsite=finalexamdata

● $100perchangefee○ ForchangesafterJan.22andupuntilexamadministration;not

afterexamadmin○ Deleteexistingdataandre-upload“new”examdata


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Non-ResidentExaminee● Individualwhoisnotinprogram

○ Possiblyaprelimhopingtomatchinaprogram

● Hostprogramassumesresponsibilityfor○ Addingexamineenameandclinicallevel(orstaff/other)○ Paymentofexam○ Receivingresultsandprovidingthemtoexaminee

● Designation:“staff”or“other”:no percentilecalculated○ SeeABSITEPercentileLookupTableinCoverMemoand

SupplementalReports


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ABSITE– DataForensics● ABSengagesCaveonTestSecuritytoexamineresponses

● Everyresident’sanswersarecomparedtoeveryotherresident’sanswers○ Performanceonnewvs.usedquestions○ Responsetime○ Itemvisits○ Asharedhistory:evenifmatchesarefromdifferentprograms

● Identifiesirregularbehaviorwherelikelihoodofamatchoccurringrandomlyislessthanoneinamillion


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ExamIrregularities● Whenanirregularityorasecurityviolationoccurs:

○ PDnotifiedofindividualsinvolvedandaskedtoinvestigate□ All resultswithheldpendingoutcomeofinvestigation□ Flaggedresultswithheldpermanentlyas“notreliable”

○ DepartmentchairandDIOalsonotified○ Exam:takenonfirstdayofwindowforthenextthreeyears

□ Entireprogram,includinganyvisitingresidents○ Subsequentoffense:examatPearsonVUEathigherper/examfee○ Anydisciplinaryactions:atprogramdirector’sdiscretion


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ABSITEResults

● Only parentprogramwillreceivetheresults○ ABSwillnotdiscussABSITEresultswithindividualresidents;

willbereferredbacktoprogram○ Availableonwebsiteforalimitedtime○ Results:pdffilesthatshouldbesavedtoyourrecords○ ABSdoesnotretainindividualscorereports;onlykeep

summaryreportswithallresidentslisted○ Transcriptsarenotavailabletoresidentsoranythirdparty

□ Encourageyourresidentstosavetheirreportstotheirpersonalfiles


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Accommodations● ABSITE

○ Programdeterminescriteriaandgrantstheaccommodation□ Options:time-and-a-half(1.5x)ordoubletime(2x)

○ DoesnotguaranteeaccommodationsonQE

● QE– duebyApril16○ LearningDisability– documentation/questionnaire(add’lexamtime)

□ PerPolicy:ExaminationofPersonswithDisabilities

○ Comfort– breastpumping,diabetestesting,injury□ Additionalbreaktime


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TraineeRosterUpdates

● Rosterverificationofpreviousyearagaincombinedwithupdatesforcurrentacademicyear

● Foreachtrainee,verificationwillinclude○ FECCurriculumLevelcompletedthusfar○ 250casesbystartofPGY3year*○ Gender*

● Makesureanticipatedcompletionyearisadjustedwhenresidentsstepin/outfromresearch/fellowship


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RosterVerification


Misspelling–sendmeanemail

AnincorrectcompletionyearistheMOSTcommonreasonwhy:v Noton

orderformv NoQEletter

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AdmissibilitytoQEandCE● Totalof7yearstoachievecertification (passingbothQE&CE)

○ QE– 4opportunitiesin4years○ CE– 3opportunitiesin3years○ not7yearsfortheQE– anincorrectassumption

● Timebeginstickingimmediatelyuponcompletionofresidency,not whenapplicationisapproved

● Delayinapplyingornottakingexaminagivenyear:willloseanexamopportunity

● YearlimitisabsoluteforbothexamsTHEAMERICANBOARDOFSURGERY|www.absurgery.org

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2018QE– Tuesday,July17● Encourageyourresidents:ApplyandRegisterearly!

○ Applicationmaysubmittedbydeadlinew/omeetingallrequirements

○ Apphelduntilupdatedinformationisreceived○ Delayinapprovalofappandregistration/schedulingexamcenter

● Examcentershavelimitedcapacity;willlikelyfillupwellbeforeexam,particularlyinurbanareas○ Delays=mayresultintraveltoamoredistantcenter

● Checkstatusonline


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StatusofApplicationPage


StatusofApplicationpage

• Maileditemsmarkedas“Received”inBoardoffice• Not dateofonline

submission• Useacarrierwith

tracking• Duetovolume,unable

toconfirmreceipt• Locked=unabletomake

furtherchanges• Canbeunlocked

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ApplicationReview


ClickPrintPreviewicontoreviewinformationbeforeapplicationislocked

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QEApplication● Mustbesignedbyprogramdirector

○ Nosignaturestamps,scans,orfaxes

● GMEsection:listallrotationsandallnon-clinicaltime

● 6operativeand6clinicalassessments○ Assessmentformsarenot submittedwithapplication

● ECFMGcertificateforinternationalmedicalgraduatesonly

● Morethanoneprogram- documentationofsatisfactorycompletionrequired


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QEApplications- continued

● ACGME- ExperienceReportbyRole○ 200chiefcases*○ 850totalcases*○ 40surgicalcriticalcarepatientmanagementcases*○ 25TAcases

● DefinedCategory– ACGMErequirementthatmustbemetbycompletionofresidency○ NottoapplytoQE


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QEAfterPGY-4

● WithpriorRC-Surgeryapproval,upto6monthsofchiefrotationsmaybecompletedinPGY-4

● ProgramtoprovidenamesofpotentialresidentstoABS

● Mustmeetsameapplicationrequirementsasgraduatingchiefs

● IncludingFEScertification


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QEAfterPGY-4- continued

● Duringfinalyearofresidency,allPGY-4applicantswillberequiredtosubmit:

● ListofPGY-5rotationsandnon-clinicaltime

● Updatedoperativelog

● ProgramdirectorwillberequiredtoattesttothePGY-5informationand tothesatisfactorycompletionofentireresidency


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StatusofthePGY-4Applicant

● WillnothaveanyofficialABSstatusuntilsuccessfulcompletionofresidencyandPDattestationisreceived

● Onlyoncetheaboveisreceived,applicantwillthenhave○ AbilitytomakeexamsiteselectionforCE○ AbilitytoregisterforQEifunsuccessfulonpreviousattempt

● TakingtheexamafterPGY-4willcounttowardsthefourexamopportunitiesinfouryears


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FESCertification

● QEapplicationwillnot beapprovedwithoutFEScertification

● EncourageyourcurrentPGY4residentstoscheduleexamnow○ Timelagbetweenschedulingandtakingtheexam○ Examspotsarefiniteineachregion○ Possibilityofhavingtoretakeexam○ Maytakeseveralmonthsgetthroughentireprocess


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MedicalLeave

● Documentedmedicalconditionsthatdirectlyaffecttheindividualresident○ Noseparatemedicalandmaternityleavepolicies○ Noseparatepaternityorfamilyleave

● StandardMedicalLeave:anadditionaltwoweeksoffwhichmeans:○ Firstthreeyears=142weeks○ Lasttwoyears=94weeks


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ExtendingChiefYear● Withadvancedapproval

○ ExtendtrainingthroughendofAugustor;○ ApplyasPGY4– ifchiefyearisextendedbeyondAugust31

● Takethatyear’sQE

● FinalattestationletterfromPDrequiredpriorto:○ ReleaseofQEresults○ SelectionofCEsite


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Six-YearOption● Complete5clinicalyearsover6academicyears

● Trainingmustbecompletedinasingleprogramandattheprogram’sdiscretion

● Maytakeupto12monthsoff,withpriorABSapproval

● Usedforanypurpose,includingbutnotlimitedto○ Medical,maternity,familyleave○ Volunteerism○ Educationalopportunities


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TrainingTime– addedflexibility● 48weeksoffull-timeclinicalexperienceeachyear

○ Other4weeksareconsiderednon-clinicalsuchas□ Vacation□ Meetings□ Conferences□ Earlydepartureforfellowship

● Foraddedflexibility,the48weeksmaybeaveraged:○ 144weeksinthefirst3years○ 96weeksinthelast2years


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CE– CertifyingOralExam

● Must havefullandunrestrictedmedicallicense○ Evenifinfellowship;limitedlicensesarenotacceptable○ Beginprocessofobtaininglicenseearly○ Majorityofapplicantsunderestimatetimeneeded

● Registeredonlywithpossessionoffullandunrestrictedmedicallicenseandpaymentofexamfee○ Exammayfillpriortoobtainingfullandunrestrictedmedical

licenseand/orpayingtheexamfee


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PriorABSApproval● InternationalRotations

○ ABSrequiresaminimum4-weekrotation(RC-Surgery– 2weeks)

● FlexibleRotations

● Six-YearOption

● ExtendedMedicalLeave(iftimeexceedsStandardMedicalLeavepolicy)

● CreditforForeignTrainingandJ-1Visa

● Anythingoutofthenorm


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PriorABSApproval– continued● Requestsmustbeaformalletterfromprogramdirector(notfromtheresident)

● Must bemailedorfaxed;emailnotaccepted

● FailuretoobtainpriorABSapprovalmayresultinarefusaltoadmitresidenttothecertificationprocess

● FormalABSapprovallettermustbeincludedwithapplication

● FormalABSrepliesaremailed


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FlexibleRotations● Customizeupto12monthsofresidents’rotationsinthelast36monthsoftraining

● Mustmeetallapplicationrequirements○ 12monthsofchiefrotationsinthecontentareaofsurgery○ Ifrotationisinchiefyearandisnotinthecontentareathen:

● Must includeRC-SurgeryapprovalofPGY4chiefrotationswiththeflexrotationrequest

● Willnotconsideruntildocumentationisreceived


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EntryofOsteopathicTrainees

● CertificationinGeneralandVascularSurgery(5-yearprogramsonly)○ Completeaminimumofthelastthreeyearsofresidency

(PYG-3,-4,and-5)inanACGME-accreditedprogram○ AcademicyearinwhichACGMEaccreditationisobtainedwill

countasonefullyeartoward3-years○ Effectivedate:thedateprogramisgrantedaccreditationbythe

ACGME(notpre-accreditation)○ Meetallrequirementsineffectattimeofapplication


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EntryofOsteoTrainees– continued

● VascularSurgery(2-yearfellowshipprograms)○ MeetallrequirementsforACGME-accreditedgeneralsurgery○ HaveanapprovedgeneralsurgeryQEapplication

● CertificationinotherABSspecialties:PediatricSurgery,SCC,andSurgicalOncology○ Mustbefirstcertified ingeneralsurgerypriortoobtaining

subspecialtycertificationandassuch,○ MeetallrequirementsforACGME-accreditedgeneralsurgery


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ReportsofPerformance● Reports/Resultsarepdfsthatshould besavedtoyourrecords○ Requestsforpreviousreportsmaytakeupto30days

● AccesstoQEandCEresultsforformertrainees○ Only accessiblebyusingtrainee’spersonal log-inNOT byusing

program’slog-in

● Five-YearSummaryReport○ Emailed toPD/administratorannuallyinearlyfall○ Linksinemailwilldeactivateafteraperiodoftime


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