establishing education & performance standards for

American Board of Orthopaedic SurgeryEstablishing Education & Performance Standards for Orthopaedic Surgeons

15th Annual ARCOS Conference:ABOS Update

David F. Martin, MDExecutive Medical Director, American Board of Orthopaedic Surgery

DISCLOSURESDirector (2005-2015), American Board of Orthopaedic Surgery

Executive Medical Director (2016-present), American Board of Orthopaedic Surgery

Professor of Orthopaedic Surgery (1990-present), Wake Forest Baptist Health

(Former Program Director – Residency/Fellowship)

Wake Forest Baptist Health – Winston-SalemABOS Board of Directors ABOS Headquarters – Chapel Hill

DISCLOSURES

I am still not Patsi!!

Patsi is the ABOS ‘True North!’

OVERVIEW

I. ABOS Background

II. ABOS Part I Examination Update

III. Update from the ABOS• Resident Registration

• RRA Forms

• Resident Time Requirements

IV. Questions

ABOS Background

HISTORYAmerican Medical Association (AMA) – 1847

American Orthopaedic Association (AOA) – 1887

American Academyof

Orthopaedic Surgeons

American Boardof

Orthopaedic Surgery

1933 1934

‘Qualityand

Competence’

ABOS Mission Statement 2018

To ensure safe, ethical, and effective practice of

orthopaedic surgery, the ABOS maintains the highest

standards for education, practice, and conduct

through examination, certification, and maintenance

of certification for the benefit of the public.

ABOS Background

• Established: January 7, 1934

• Nominating Societies:• AOA

• AMA

• AAOS

• 21 Volunteer Directors (Board - National)

• Staff (Chapel Hill)• Executive Medical Director – David F. Martin, MD

• Chief Operating Officer – Aaron S. White

• Staff: Examination/Credentialing/Communications/IT

Each organization provides nominees two years out of a three year cycle.

ABOS Directors (21)• 17 Academic/3 Private Practice/1 Public

• Diversity

• Subspecialty/Geographic Distribution

• Volunteer

ABOS Leadership

• President Peter M. Murray, MD

• Vice President Terrance D. Peabody, MD

• President-Elect Douglas W. Lundy, MD

• Secretary Charles L. Saltzman, MD

• Treasurer Frederick M. Azar, MD

AMERICAN BOARD OF ORTHOPAEDIC SURGERY

Raleigh, North Carolina

2017

AMERICAN BOARD OF ORTHOPAEDIC SURGERY

Raleigh, North Carolina

2017

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Board of Directors• 21 Member Board (National/Voluntary)

• 2 Directors-Elect (one year term)

• 12 Directors (six year term)

• 6 Senior Directors (three year term)

• 1 Public Member (three year term)

Full Time Staff - Chapel Hill• Executive Medical Director

• David F. Martin, MD

• Chief Operating Officer• Aaron S. White

• 11 Staff Members• Examination/Credentialing/Communications/IT

• Advisors: Legal, IT, Web, PsychometricsABOS Headquarters

Chapel Hill, NC

Who is the ABOS?

Part I (pass rate 89-94%)• Written exam taken July after graduation (ACGME Residency)• To sit you need basic minimum requirements (Credentials Committee)

Part II (pass rate 88-92%)• Oral exam based on practice (20 months in one location)• Taken 2 years after successfully passing part I

(Credentials Committee) Subspecialty Certification

Hand (est. 1989)

Sports Medicine (est. 2007)

Maintenance of Certification(MOC)

(10 year cycle)Continuous Certification Process Lifetime Certificate

HoldersLifetime Board Certification

Pathways to Orthopaedic Certification

ABOS Diplomates

Diplomates 28,418 total

• Time Limited Certificate Holders 17,769

• Participating in MOC: 97%

• Time Unlimited Certificate Holders 10,649

• Participating in MOC: 7%

• Subspecialty Certification

• Surgery of the Hand Certificate Holders: 1,741

• Orthopaedic Sports Medicine Certificate Holders: 2,272

• Both Subspecialty Certificates 38

ABOS Part I Update

ABOS Part I Examination

The Written Examination

The examination evaluates a candidate’s knowledge of general orthopaedics, the basic science of orthopaedics, and a candidate’s ability to use this information for problem solving in the diagnosis and treatment of patients.

• 328 multiple choice questions

• Previously: 7 hours of testing time divided into 2 sessions

• 2009 and onward: 8 hours of testing time over a 9 hour day – PrometricTesting Centers

• 40 minutes of break time

• 20 minutes of tutorial time

ABOS Part I Examination Update

• 856 finalized applications• 2 residents did not apply

• Part I Examination:• Scheduling Permits: posted at www.abos.org April 2017

• Schedule Examination with Prometric: April-June 2017

• Must bring scheduling permit to the examination

• Take the TUTORIAL (www.abos.org)

• Examination: July 12, 2018

ABOS Part I Examination

• Part I Examination Blueprint• More detail

• Better description of weighting

• More useful

• Education • Study Guide

• Conference scheduling

• Curriculum development

Updates from the ABOS

Update from the ABOS

• Dashboard Changes• Resident involvement early

• Register all residents – unique Dashboards

• Establish communications / Track progress

• Replace the RRA Form with a Digital Record

• Resident Time Requirements • 46 weeks per year averaged over 5 years

• Mandatory 2 weeks of vacation time

• Yearly RRA signed by PD

PGY 1

6 months orthopedics/6 months non-orthopedic rotations

PGY 2-5

12 months of adult orthopaedics

12 months of fractures/trauma

6 months of children’s orthopaedics

6 months of basic and/or clinical specialties

RRA Forms

Electronic Resident Tracking System

• Elimination of the RRA form and development of an electronic residency training tracking system

• Register with ABOS as PGY-1 matriculating Resident

• Obtain ABOS username and password

• Sign on outlines requirements for Part 1, Part 2, MOC as tabs in resident “portfolio”

• Fill in tabs of Part I with• Knowledge Test

• PGY-1 Simulation Skills Assessments

• PGY-2 - PGY-5 Surgical Skills Assessments for required procedures

• Behavior Assessments

Resident Registration- Logging of Rotations

Resident Checklist for Rotation Times

Resident Portfolio for Knowledge, Skills, and Behavior Assessments

Time Requirement

• 2018 ABOS Rules and Procedures

• “Each (residency) program may provide individual leave and vacation times for the resident in accordance with overall institutional policy. However, one year of credit must include at least 46 weeks of full-time orthopaedic education. Vacation or leave time may not be accumulated to reduce the five-year requirement.”

• Problems: Lack of flexibility for any leave greater than 6 weeks.

Change in Time Requirement

• “Each program may provide individual leave and vacation times for the resident in accordance with overall institutional policy. However, one year of credit must include no more than 50 weeks of full time orthopedic education per year; and, at least 46 weeks of full time orthopedic education averaged over five years.”

• Resident Well-being: Must have 2 weeks time off

• Flexibility:

46 weeks/year= 6 weeks off/year, averaged= 30 weeks off (7 mos)

ABOS Certification Specialists

• Last names beginning with A-B:

Denise Frazier [email protected]• Last names beginning with C-G:

Sonya Parker [email protected]• Last names beginning with H-O:

Kim Grover [email protected]• Last names beginning with P-Z:

Morgen Graham [email protected]

919-929-7103

mailto:[email protected]




American Board of Orthopaedic SurgeryEstablishing Education & Performance Standards for Orthopaedic Surgeons

Thank You / Questions?David F. Martin, MD

Executive Medical Director, American Board of Orthopaedic Surgery

919-929-7103

[email protected]

www.abos.org

establishing education & performance standards for

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