Update on the ABPN for AADCAP by Larry R. Faulkner, M. D Update on the ABPN for AADCAP by Larry R. Faulkner, M.D. President and CEO ABPN May 2017

Outline of Presentation ABPN Leadership for 2017 ABPN Psychiatry Subspecialties Percent of Residency Graduates Pursuing Additional Training Trends in CAP: 2001 - 2016 Psychiatry Residency and Fellowship Graduates and ABPN Candidates: 2001 - 2015 “Board Eligibility” for ABPN CAP Examinations CAP In-residency Evaluation Process ABPN CAP Certification Examination ABPN CAP Certification Fees ABPN Diplomate Participation in MOC Through 2015 Canadian Training ABPN Combined Training Programs/PPPPs ABPN Faculty Innovation In Education Award ABPN Research Award ABPN Crucial Issues Forums

ABPN Leadership for 2017

1. ABPN Leadership for 2017 Psychiatry Directors Robert Ronis, M.D., M.P.H. (ABPN Vice Chair) George Keepers, M.D. Robert Golden, M.D. Paramjit Joshi, M.D. Jeffrey Lyness, M.D. Joan Anzia, M.D. Christopher Thomas, M.D. Josepha Cheong, M.D. Neurology Directors Kerry Levin, M.D. (ABPN Chair) Laurie Gutmann, M.D. J. Clay Goodman, M.D. John Bodensteiner, M.D. Allison Brashear, M.D., M.B.A. Steven Lewis, M.D. Nina Schor, M.D. Imran Ali, M.D. Location Cleveland, OH Portland, OR Madison, WI Washington, DC Rochester, NY Chicago, IL Galveston, TX Nashville, TN Iowa City, IA Houston, TX Rochester, MN Winston-Salem, NC Toledo, Ohio

ABPN Psychiatry Subspecialties

ABPN Psychiatry Subspecialties and Year of First ABPN Examination Subspecialty Year of First ABPN Examination Child and Adolescent Psychiatry (CAP) 1959 Geriatric Psychiatry 1991 Clinical Neurophysiology* (CNP) 1992 Addiction Psychiatry 1993 Forensic Psychiatry 1994 Pain Medicine** 2000 Psychosomatic Medicine 2005 Sleep Medicine** 2007 Hospice and Palliative Medicine** 2008 Brain Injury Medicine** 2014 *Interdisciplinary subspecialty for both psychiatrists and neurologists. **Interdisciplinary subspecialty involving ABPN and other ABMS member boards.

Percent of Residency Graduates Pursuing Additional Training: 2014 7 7

Percent of Residency Graduates Pursuing Additional Training: 20141 Specialty Percent Psychiatry 42% Neurology 88% Child Neurology 47% 1 AMA data.

Trends in CAP: 2001-2016 9 9

Trends in Child and Adolescent Psychiatry: 2001-2016 Academic Year Number of Programs1 Number of Graduates2 Number of New ABPN Certification Candidates 2000-2001 115 363 197 (2001) 2010-2011 122 404 392 (2011) 2011-2012 124 400 537 (2012) 2012-2013 429 510 (2013) 2013-2014 123 431 500 (2014) 2014-2015 ---- 520 (2015) 2015-2016 125 ---- (2016 Mean 119 (n = 16) 375 (n = 14) 326 (n = 15) 1ACGME web site (acgme.org) 2JAMA medical education issues; includes graduates of Triple Board programs

Psychiatry Residency and Fellowship Graduates and ABPN Candidates: 2001-2015 11 11

Estimated No. of Candidates/Exam Estimated Participation in Psychiatry Specialty and Subspecialty1 Certification: 2001-2015 Specialty/Subspecialty Estimated No. of Graduates/Year Estimated No. of Candidates/Exam Percent (%) Participation Psychiatry 1,2552 1,300 ≈100% Child and Adolescent Psychiatry 3752 326 ≈87% Geriatric Psychiatry 69 (1383) 122 88% Addiction Psychiatry 47 (943) 76 81% Forensic Psychiatry 58 (1163) 117 Psychosomatic Medicine4 55 (1103) 123 1Non-interdisciplinary subspecialties 2Include graduates of combined programs 3Graduates x 2 (examination administered every other year) 42010-2015; ACGME training required after 2009 12

“Board Eligibility” for ABPN CAP Examinations 13 13

“Board Eligibility” for ABPN CAP Examinations Seven years following successful completion of an ACGME-accredited or ABPN-approved fellowship program. Graduates can take the ABPN Certification Examination as many times as allowed during the 7- year period.

Individuals who do NOT become certified during the 7-year will be required to: Repeat the 3 CAP clinical skills evaluations. Complete one stage of MOC (90 CME credits, 24 self-assessment CME credits, and 1 PIP Unit (includes a Clinical Module or a Feedback Module).

CAP In-residency Evaluation Process 16 16

CAP In-residency Evaluation Process Three in-residency evaluations are required in CAP. At least two of the three evaluations MUST be patients of different age groups (preschool, grade school, and adolescence).

Each of the three required evaluations MUST be conducted by an ABPN-certified CAP psychiatrist. ONE of the CAP in-residency evaluations can count toward the three required general psychiatry evaluations. NONE of the psychiatry in-residency evaluations can count toward the three required CAP evaluations.

All 3 competencies MUST be demonstrated in a satisfactory manner on each evaluation. Physician – patient relationship Clinical interview, including mental status examination Case presentation The standard for satisfactory performance is that of a practicing CAP psychiatrist in the community.

Evaluations MUST be documented on ABPN-approved forms. Date passed and evaluator name MUST be listed on the form. ABPN accepts ONLY those evaluations done in ACGME-accredited training programs and attestations done by current Program Directors or Chairs of ACGME-accredited or ABPN-approved training programs.

The final evaluation MUST be completed within 5 years of the first evaluation. Evaluations conducted during CAP training are valid for 7 years following completion of training requirements. If one or more of the evaluations are conducted after CAP training, they are valid for 7 years after completion of the last evaluation.

ABPN CAP Certification Examination 22 22

ABPN CAP Certification Examination The CAP oral examination has been eliminated for PGY-4 or PGY-5 residents who enter residency training in CAP as of July 1, 2010 (Peds Portal residents in July 2008). CAP graduates are now required to sit for the CAP Certification Examination. The CAP Certification Examination was administered for the first time in the Fall of 2012.

2012-2016 CAP Certification Examination Results Passed Failed Total New 1,577 (90%) 185 (10%) 1,762 (94%) Repeat 56 (49%) 58 (51%) 114 (6%) 1,633 (87%) 243 (13%) 1,876

ABPN CAP Certification Fees 25 25

IX. ABPN CAP Certification Fees CAP Certification fees have been reduced 34% since 2011. No increase in fees in 2017. 5% decrease in fees in 2018. Applicants may pay fees with credit cards or checks.

X. ABPN Diplomate Participation in MOC Through 2015 27 27

ABPN Diplomate Participation in MOC Specialty Time-Limited Certificates Issued Number of Diplomates Number Recertified Psychiatry 10/94-2005 12,063 10,035 (83%) Neurology 10?94-2005 4,588 4,078 (89%) Child Neurology 554 497 (90%) Subspecialty Geriatric Psych. 1991-2005 2,699 1,492 (55%) Clinical Neuro 1992-2005 1,630 972 (60%) Addiction Psych. 1993-2005 1,895 946 (50%) Forensic Psych. 1994-2005 1,594 917 (58%) CAP 1995-2005 2,060 1,683 (82%) NDD 2001-2005 55 24 (44%) Vascular Neuro 2005 240 124 (52%) Psych Med 419 182 (43%)

Maintenance of Certification Pass Rates Through 2015 Specialty Number Passing Number of Examinees Percent Passing Psychiatry 11,111 11,209 99% Neurology 4,560 4,587 Child Neurology 562 573 98% Subspecialty Addiction Psych. 1,184 1,269 93% CAP 1,965 1,976 Forensic Psych. 1,067 1,120 95% Geriatric Psych. 1,934 2,029 Psych Medicine 217 238 91%

X1. Canadian Training 30 30

Xll. Canadian Training Graduates of CAP programs accredited by the RCP-C may apply and sit for ABPN CAP examinations ONLY if they: Have. Are completed ALL training in a RCP-C- accredited program. Are certified by the RCP-C. Possess an unrestricted license to practice medicine in a Canadian province. ABPN does NOT recognize partial Canadian training, except for PGY-1 that meets ABPN rotation requirements.

Xll. ABPN Combined Training Programs/PPPPs The ABPN has assumed the oversight of Combined Training Programs. 9 Triple Board Programs (1 new application in 2017) Applications for new Combined Training Programs are due each year by February 1 The ABPN has assumed the oversight of PPPPs. 4 PPPPs (1 new application in 2017) Applications for new PPPPs are due each year by February 1

Review of Combined Training Programs and PPPPs is done by an ABPN Alternative Pathway Oversight Committee. 4 ABPN Directors 4 Training Program Directors (Nominated by AADPRT and/or CNPD) Combined Training/Fees Application Fee: $2,000 Annual Fee: $2,000

Xlll. ABPN Faulty Innovation In Education Award 34 34

XIll. ABPN Faculty Innovation In Education Award The ABPN has established a Faculty Fellowship Program to promote innovative education and/or evaluation initiatives for psychiatry and neurology residents or practitioners. Up to four psychiatry and four neurology faculty supported per year. Each ABPN Fellow will receive $50,000 per year for two years. The fourth group of ABPN Fellows were selected in October for 2017.

2014-2015 ABPN Faculty Fellows Fellow Institution Melissa Arbuckle, M.D., Ph.D. Columbia University Department of Psychiatry Michael Jibson, M.D., Ph.D. University of Michigan Department of Psychiatry Charles Flippen, II, M.D. UCLA Department of Neurology Robert Stone, M.D. University of Rochester

2015-2016 ABPN Faculty Fellows Fellow Institution Jonathan Avery, M.D. Weill Cornell Medical College Department of Psychiatry Jill Williams, M.D. Rutgers Robert Wood Johnson Medical School Department of Psychiatry Andrew Southerland, M.D. University of Virginia Department of Neurology Andrea Hunderfund, M.D. Mayo Clinic

2016-2017 ABPN Faculty Fellows Fellow Institution Ruth Shim, M.D., M.P.H. Hofstra North Shore - LIJ Department of Psychiatry Shilpa Srinivasan, M.D. University of South Carolina Department of Neuropsychiatry and Behavioral Science Jonathan H. Smith, M.D. University of Kentucky Department of Neurology Augusto Miravalle, M.D. University of Colorado

2017-2018 ABPN Faculty Fellows Fellow Institution Andrea Crowell, M.D. Emory Univ. School of Medicine Department of Psychiatry Jeffrey Rakofsky, M.D. Emory Univ. School of Medicine Department of Psychiatry Alauna Curry, M.D. Baylor College of Medicine

XlV. ABPN Research Award 40 40

XlV. ABPN Research Award The ABPN has established a Research Award to support research related to the mission of the ABPN. It is expected that projects will focus on innovative approaches to assessing physicians as they prepare for and continue to practice psychiatry or neurology. Up to four psychiatry and neurology faculty supported per year. Awards will be up to $100,000. Projects may take up to two years to complete. First awards will be granted in 2017.

2017 Research Awardees Fellow Institution Michael Jibson, M.D., Ph.D. University of Michigan School of Medicine Department of Psychiatry John Q. Young, M.D. Hofstra Northwell School of Department of Psychiatry Douglas Larsen M.D., M.Ed. Washington University School of Department of Neurology

XV. ABPN Crucial Issues Forums The ABPN has decided to fund an annual Crucial Issues Forum on topics of importance to psychiatry and neurology. The first Crucial Issues Forum on Subspecialties took place in Chicago on April 6-7, 2014. The Current Status of ABPN Subspecialties The Current Status and Future Directors for Subspecialties in American Medicine Should the ABPN Continue to Recognize New Subspecialties? Should Subspecialty Training Be Allowed to Occur During General Residency Training? Should the ABPN Continue to Require Certification/MOC in a General Specialty as a Prerequisite for Certification/MOC in a Subspecialty?

The second Crucial Issues Forum on Resident Competence Requirements took place in Chicago on May 3-4, 2015. ABPN Perspectives on Promoting and Assessing Resident Competence Establishing and Assessing Competencies During Residency Training What Should Be the ABPN Goals and Requirements for General Medicine During Residency Training? Should the ABPN Change the Content and/or Process of CSEs? What Should Be the ABPN Goals and Requirements for Neurology for Psychiatry Residents and Psychiatry for Neurology Residents?

The third Crucial Issues Forum on Needed Innovations in MOC took place in Chicago on April 10 -11, 2016. ABPN Perspectives on Promoting and Documenting Physician Competence Current Status and Future Directions for Promotion and Documentation of Physician Competence ABMS Member Board Innovations in MOC How to Improve MOC Parts 2, 3, and 4

The fourth Crucial Issues Forum on Physician Wellness and Burnout took place in Chicago on April 9-10, 2017. Drivers of Physician Wellness and Burnout The Role of Medical Schools, Residencies, and Certifying Boards in Promoting Physician Wellness and Preventing Burnout The Role of Specialty Societies in Promoting Physician Wellness and Preventing Burnout Relevant professional organizations in psychiatry and neurology are asked to nominate representatives to participate in the Forums.