1. 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

2. Outline of Presentation
ABPN Leadership for 2017
ABPN Psychiatry Subspecialties
Percent of Residency Graduates Pursuing Additional Training
Trends in CAP:
Psychiatry Residency and Fellowship Graduates and ABPN Candidates:
“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

3. ABPN Leadership for 2017

4. 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

5. ABPN Psychiatry Subspecialties

6. 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.

7. Percent of Residency Graduates Pursuing Additional Training: 20147 7

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

9. Trends in CAP: 9 9

10. Trends in Child and Adolescent Psychiatry: 2001-2016
Academic Year
Number of Programs1
Number of Graduates2
Number of New ABPN Certification Candidates
115
363
197 (2001)
122
404
392 (2011)
124
400
537 (2012)
429
510 (2013)
123
431
500 (2014)
----
520 (2015)
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

11. Psychiatry Residency and Fellowship Graduates and ABPN Candidates: 2001-201511 11

12. Estimated No. of Candidates/Exam
Estimated Participation in Psychiatry Specialty and Subspecialty1 Certification:
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)
; ACGME training required after 2009 12

13. “Board Eligibility” for ABPN CAP Examinations13 13

14. “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.

15. 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).

16. CAP In-residency Evaluation Process16 16

17. 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).

18. 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.

19. 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.

20. 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.

21. 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.

22. ABPN CAP Certification Examination22 22

23. 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.

24. 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

25. ABPN CAP Certification Fees25 25

26. 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.

27. X. ABPN Diplomate Participation in MOC Through 201527 27

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

29. 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%

30. X1. Canadian Training 30 30

31. 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.

32. 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

33. 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

34. Xlll. ABPN Faulty Innovation In Education Award34 34

35. 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.

36. 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

37. 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

38. 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

39. 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

40. XlV. ABPN Research Award40 40

41. 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.

42. 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

43. 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?

44. 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?

45. The third Crucial Issues Forum on Needed Innovations in MOC took place in Chicago on April , 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

46. 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.