american board of surgery updateabsite 2019 absite –friday, jan. 25 to tuesday, jan. 29 fee...
TRANSCRIPT
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
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Reviewoforderavailable24/7online:
Training&Certification>ForResidency&FellowshipPrograms>2018In-TrainingExams>StatusofOrder
Click“PrintForm”toverifyexamineename,clinicallevel,accommodations,hostsite
Paymentreceived?Resultswillnot bereleaseduntilfullpayment&seatingchartsarereceived
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OrderForm
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• 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
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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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