abms march 24, 2010 apdr: abr update specialty boards established to assure the public that the...
TRANSCRIPT
ABMS
March 24, 2010APDR: ABR Update
SPECIALTY BOARDSEstablished to assure the public that the physician has specific qualifications
– American Board of Ophthalmology 1917
– American Board of Otolaryngology 1924
– American Board of Obstetrics 1930
– American Board of Dermatology 1932
Advisory Board for Medical Specialties (forerunner of ABMS) established 1933
–The 4 Boards
–Associate Member organizations
ABMS 24 Member BoardsThe American Boards of:The American Boards of:Allergy and ImmunologyAllergy and ImmunologyAnesthesiologyAnesthesiologyColon and Rectal SurgeryColon and Rectal SurgeryDermatologyDermatologyEmergency MedicineEmergency MedicineFamily MedicineFamily MedicineInternal MedicineInternal MedicineMedical GeneticsMedical GeneticsNeurological SurgeryNeurological SurgeryNuclear MedicineNuclear MedicineObstetrics and GynecologyObstetrics and GynecologyOphthalmologyOphthalmologyOrthopaedic SurgeryOrthopaedic Surgery
OtolaryngologyOtolaryngologyPathologyPathologyPediatricsPediatricsPhysical Medicine and Physical Medicine and RehabilitationRehabilitationPlastic SurgeryPlastic SurgeryPreventive MedicinePreventive MedicinePsychiatry and NeurologyPsychiatry and NeurologyRadiologySurgerySurgeryThoracic SurgeryThoracic SurgeryUrologyUrology
37 primary, 111 subspecialty certificates
AMERICAN BOARD OF RADIOLOGYEstablished 1934Established 1934
Today: 3 Primary Certificates (DR, RO, RP)Today: 3 Primary Certificates (DR, RO, RP)
SubspecialtiesSubspecialtiesNeuroradiologyVascular & Interventional RadiologyPediatric RadiologyNuclear RadiologyHospice and Palliative Medicine
Maintenance of Certification: All disciplinesMaintenance of Certification: All disciplines
Founding BoardsDermatologyOB/GynOphthalmologyOtolaryngologyOrthopedic SurgeryPediatricsPsychiatry & NeurologyRadiologyUrologyInternal MedicinePathologySurgeryNeurological SurgeryAnesthesiologyPlastic Surgery
Physical Medicine & Rehab 1947
Colon & Rectal Surgery
Preventive Medicine
Family Medicine
Allergy & Immunology
Nuclear Medicine
Thoracic Surgery
Emergency Medicine
Medical Genetics
1935
1936
19371940
1936
1949
1969
1971
1979
1991
Year Joined ABMS
1933
ABMS Member Boards General Certificates Issued
BOARD 2000-2008 CUMULATIVE
Internal Med 62,953 227,387
Family Med 28,418 97,818
Pediatrics 24,603 93,720
Psych / Neuro14,977 62,376
Radiology 11,389 53,915
Surgery 10,188 58,103
Radiology ranks 6th by size of budget
ABMS THROUGH THE YEARS
• Advises the Member Boards• Approves certificates (new, modified)
• Specialization/subspecialization
• Recertification (time-limited certification)
• Maintenance of Certification (MOC)
• Engages healthcare stakeholders
• Defends/promotes/advances the specialty board movement
Medical Specialty Board Movement
Standards for knowledge, skill
Professional self-regulation
Fulfills social contract as a professional
Voluntary
Over and above licensure (compulsory) Today: >85% of U.S. physicians have earned
>1 ABMS Specialty Board certificate
Board Certification=Gold Standard
August 2003 Gallup Poll:When asked:
“When given the choice between a board certified physician and a physician who was not board certified but was recommended by a trusted friend or family member…”
75% opted for a board certified physician
23% opted for the physician recommended by a friend or family member
Board Certification=Gold Standard
May 2008 Opinion Research Corp. Telephone Poll
When asked:
“Key factors when choosing a doctor…”95% bedside manner; communication skills
91% board certification
82% friend or family member recommendation
78% doctor’s hospital affiliation
75% doctor’s office location
60% hospital or school where doctor trained
Pressures Resulting in Subspecialization and Time-Limited Certification
New technologyPace of discovery
Pressure to limit scope
Lifelong learning, periodic re-examination1
Time-limited certification– ABFM (1969)
– ABEM (1976)
Subspecialization
ABR– Radiation Oncology (since 1995)
– Diagnostic Radiology, Radiologic Physics (since 2002)
– Peds, VIR (’94), Neuro (’95), Nucl (’99), Hosp & Palliative Med (’08)
August 2003 Gallup Poll:When asked:
“If you knew your doctor’s board certification had expired, would you change doctors?”
54% Very Likely
27% Somewhat Likely
9% Not Too Likely
8% Not at All Likely
Public values maintenance of board certification
81%5
Demonstrate to the public that physicians certified by Member Boards of ABMS —including the ABR-- maintain the necessary competencies to provide quality patient care, and thereby:
Improve the quality & safety of U.S. healthcare
Purpose of MOC (in a nutshell)
CURRENT ABMS INITIATIVES
• MOL: FSMB-NBME-ABMS• Grass roots defense of
ABMS Member Board certification
• “Board Eligible”
• Alternate Pathways
• ABMS-PCPI collaborative measures development
• Institutional recognition of MOC
• Stakeholder engagement on physician performance measures & improvement through NQF
• MOC-PQRI
• Innovation Pathways in MOC: Focused Practice Recognition
• ABMS-BC/BS collaboration?
• MU-HIT
• ABMS Journal
“Certification Matters”