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