American Board of Surgery UpdateABSITE 2019 ABSITE –Friday, Jan. 25 to Tuesday, Jan. 29 Fee...
Transcript of American Board of Surgery UpdateABSITE 2019 ABSITE –Friday, Jan. 25 to Tuesday, Jan. 29 Fee...
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AmericanBoardofSurgeryUpdate
BARBARAJALBERT-GERKENSASSOCIATIONOFRESIDENCYADMINISTRATORSINSURGERYAUSTIN– MAY5,2018
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Topics● ABSITE● ACCOMMODATIONS● TRAINEEROSTER● QE/CE● ENTRYOFOSTEOPATHICTRAINEES● PRIORABSAPPROVAL● REPORTSOFPERFORMANCE
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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
THEAMERICANBOARDOFSURGERY|www.absurgery.org
Reviewoforderavailable24/7online:
Training&Certification>ForResidency&FellowshipPrograms>2018In-TrainingExams>StatusofOrder
Click“PrintForm”toverifyexamineename,clinicallevel,accommodations,hostsite
Paymentreceived?Resultswillnot bereleaseduntilfullpayment&seatingchartsarereceived
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OrderForm
THEAMERICANBOARDOFSURGERY|www.absurgery.org
• 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
THEAMERICANBOARDOFSURGERY|www.absurgery.org
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
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StatusofApplicationpage
• Maileditemsmarkedas“Received”inBoardoffice• Not dateofonline
submission• Useacarrierwith
tracking• Duetovolume,unable
toconfirmreceipt• Locked=unabletomake
furtherchanges• Canbeunlocked
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ApplicationReview
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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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Questions/Comments
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