American Board of Pathology and Co-operating Societies Meeting May 3, 2011 Modules revised November 2008

Maintenance of Board Certification (MOC) ABP MOC is part of ABMS-wide MOC process ABP MOC is part of ABMS-wide MOC process All certificates beginning in 2006 are time limited (10 yrs) All certificates beginning in 2006 are time limited (10 yrs) MOC is a continuous process with specific deadlines; failure to comply results in a warning MOC is a continuous process with specific deadlines; failure to comply results in a warning

Requirements For MOC Part I: Professional Standing Part I: Professional Standing Part II: Life-Long Learning and Self-Assessment Part III: Cognitive Expertise Part IV: Evaluation of Performance in Practice

Part I Professional Standing Maintenance of a full and unrestricted license Maintenance of a full and unrestricted license Foreign license accepted with English translation Foreign license accepted with English translation Documentation of medical staff membership and privileges Documentation of medical staff membership and privileges

Part II Life Long Learning-Self-Assessment Intersociety AP and CP Content Committees produce “Content Specifications” outlines available on line and updated annually Intersociety AP and CP Content Committees produce “Content Specifications” outlines available on line and updated annually Outlines emphasize fundamental information for daily practice and important, validated new knowledge Outlines emphasize fundamental information for daily practice and important, validated new knowledge Outlines should not be construed as templates for exam or endorsements of certain authors Outlines should not be construed as templates for exam or endorsements of certain authors These will: These will: Serve as a template for CME and self-assessmentServe as a template for CME and self-assessment Assist pathologists to prepare for MOC examAssist pathologists to prepare for MOC exam Direct MOC test question developmentDirect MOC test question development Focus on practical “need to know” information that is used in daily practice and required for competenceFocus on practical “need to know” information that is used in daily practice and required for competence Cover all disciplines of pathologyCover all disciplines of pathology

Part II Life Long Learning- Self-Assessment 70 Category 1 CME credits / 2 year cycle 70 Category 1 CME credits / 2 year cycle 20 CME credits / 2 yr cycle must be SAMs 20 CME credits / 2 yr cycle must be SAMs 80% CME related to individual’s practice 80% CME related to individual’s practice A fellowship fulfills Part II requirements for 2 year period A fellowship fulfills Part II requirements for 2 year period

Self-Assessment Modules (SAMs) Elements of SAMs Educational productEducational product Self-administered examSelf-administered exam Minimum performance levelMinimum performance level FeedbackFeedback All SAMs count as CMEs, but not all CMEs are SAMsAll SAMs count as CMEs, but not all CMEs are SAMs

Part III Cognitive Expertise Exam may be taken beginning year 8 of 10 year cycle (first exam 2014) Exam may be taken beginning year 8 of 10 year cycle (first exam 2014) AP/CP diplomates may maintain their certification in AP/CP, AP only, CP only AP/CP diplomates may maintain their certification in AP/CP, AP only, CP only Diplomates with subspecialty boards may maintain certification in subspecialty only Diplomates with subspecialty boards may maintain certification in subspecialty only

Part III Cognitive Expertise MOC exam Tailor exam by selecting modulesTailor exam by selecting modules Consists of 6 modules of 25 questions (150 total questions)Consists of 6 modules of 25 questions (150 total questions) 80% practical (virtual microscopy, case-based questions, etc.); 20% written80% practical (virtual microscopy, case-based questions, etc.); 20% written Blends and grades modules as one examBlends and grades modules as one exam

Part IV Performance in Practice Four personal attestations (4 th and 8 th year) Four personal attestations (4 th and 8 th year) Lab accreditation (4 th and 8 th year) except forensic labs Lab accreditation (4 th and 8 th year) except forensic labs Laboratory participation in inter-laboratory PI programs (2 yrs) Laboratory participation in inter-laboratory PI programs (2 yrs) Individual participation at least 1 laboratory PI- QA program/yr. (2 yrs) Individual participation at least 1 laboratory PI- QA program/yr. (2 yrs)

Part IV Performance in Practice Programs may be society-sponsored or created by departments/institutions Programs may be society-sponsored or created by departments/institutions All programs must be ABP-approved All programs must be ABP-approved Programs Programs

AP/CP MOC Exam General module Specialty module add. = 6 total + 3 add. = 6 total AP CP Option 1 Option 2 Option 3

AP only MOC Exam CP only MOC Exam General module Specialty module AP CP 6 total 6 total or or or 3 max + +

Modules Clinical Pathology General CP I, II, III, IV Hematology I, II Blood Bank I, II Immunopathology Blood Bank-Coagulation Microbiology I, II Coagulation Chemistry I, II General Modules Revised 11/08

Modules Anatomic Pathology Gen AP I,II Gen Surg Path I, II Gen Surg Path-Cytology Gen Cytology Cytology-Gyn Cytology, Non Gyn Bone-Soft Tissue BreastCardiovascular-Autopsy Dermatology I, II EndocrineGI-Biliary Revised 11/08 General Modules

Modules Anatomic Pathology (continued) Genitourinary Pediatric Pathology GynecologicPulmonary-Mediastinal Head-Neck Transplant pathology Medical Renal Forensic Pathology Neuropathology Revised 11/08

Common Modules* Anatomic and Clinical Pathology * May be used to fulfill AP or CP specialty modules General Hemepath I (Lymph node-Spleen) (Lymph node-Spleen) Flow Cytometry General Hemepath II General Hemepath II (Bone Marrow) (Bone Marrow) Molecular Pathology Molecular-Cytogenetics Molecular-Cytogenetics Lab Management / Informatics Informatics Revised 11/08

General AP/CP MOC Test Development and Advisory Committees (TDAC) to determine content and distribution of questionsTest Development and Advisory Committees (TDAC) to determine content and distribution of questions Knowledge needed to practice and validate new informationKnowledge needed to practice and validate new information Many questions will be suitable for primary or MOC examMany questions will be suitable for primary or MOC exam

Modification of Modules Some organ-specific areas may have >1 module designed for graded difficulty Some organ-specific areas may have >1 module designed for graded difficulty General CP modules to reflect practice patterns: 3 different modules General CP modules to reflect practice patterns: 3 different modules CP general CP on call (appropriate for AP practitioner with minimal CP responsibilities) CP Director (heavy CP responsibilities)

Subspecialty MOC Exam Subspecialty TDACs will: Determine content and distribution of questionsDetermine content and distribution of questions Decide on modular vs. non modular examDecide on modular vs. non modular exam Write MOC questionsWrite MOC questions

General CP module Example Practical20Written5 TM/BB2-7 Chemistry2-5 Hematology2-7 Microbiology2-5 Adm/Man3-7

Bone and Soft Tissue Grid Written 17 Practical 5 Virtual3Total25 Bone8-10 Neoplastic Neoplastic5 Non-neoplastic Non-neoplastic3 Soft Tissue Neoplastic Neoplastic12 Non-neoplastic Non-neoplastic5 Administration2-4

Decertification Failure to report for two cycles Failure to report for two cycles Letter giving days to comply Letter giving days to comply Announcement of revocations in journals Announcement of revocations in journals

How will information flow? Candidate Board Society Exam results New and recertified diplomates Registration with ABP # Documentation of MOC activities CME CME/Part IV ABP #

Frequently Asked Questions

Are these the final modules? Not necessarily Not necessarily Changes will reflect practice patterns Changes will reflect practice patterns Example: academic pathologist with subspecialty practice only Example: academic pathologist with subspecialty practice only

May candidates synchronize their reporting and testing cycles? Yes, if they occur within two years of one another Yes, if they occur within two years of one another –2006 AP/CP could be synchronized with 2007 subspecialty board –Supporting documentation in 2008, 2010, etc. –MOC exam eligibility from –Second MOC period begins in 2016

Is there a definition for “credits related to practice” for CME/SAMs? Broad interpretation Broad interpretation Use good judgment Use good judgment

When does the second MOC cycle start? From the date of the examination From the date of the examination From January of the following year From January of the following year

What about diplomates practicing in foreign countries who are unable to maintain a US license? Official license accepted if accompanied by an English translation Official license accepted if accompanied by an English translation

How will Board communicate changes to MOC? ABP Website ABP Website Spring meeting of co-operating societies Spring meeting of co-operating societies Announcements in journals Announcements in journals

How do we make MOC more relevant? PQRI will incentivize MOC PQRI will incentivize MOC Maintenance of licensure = MOC Maintenance of licensure = MOC Diplomates with time-unlimited certificates enroll in MOC Diplomates with time-unlimited certificates enroll in MOC