1. American Osteopathic Association Continuous Certification Process

2. American Osteopathic Association  Members – House of Delegates  Board of Trustees - President  Department of Education  Bureau of Osteopathic Specialists  18 Certification Boards

3. Bureau of Osteopathic Specialists  2007 – approved schedule for implementation for continuous certification  All 18 boards required to submit plan for continuous certification by Nov. 2008  All plans to be implemented by 2012  American Osteopathic Board of Emergency Medicine implemented continuous certification program in 2004

4. American Osteopathic Board of Emergency Medicine  Continuous certification replaces traditional recertification  Program requires all diplomats to provide evidence of meeting four components on a continual basis  Components include: Professional Status, Continuous Osteopathic Learning Assessment, Formal Recertification Examination, and Practice Status

5. Professional Status  Maintain valid, unrestricted and unqualified medical license in state(s) where practice  Current, non-expired documentation of licensure is required to be on file with the AOBEM ongoing  All new licenses must be submitted  Must maintain AOA membership and meet all CME requirements and adherence to AOA’s Code of Ethics

6. Continuous Osteopathic Learning Assessment (COLA)  Eight modules over 10 year cycle available on-line  All diplomats must take all eight COLA modules within 10 year cycle  Diplomat must receive passing score on six  Taking all eight and passing six are required for eligibility to take Formal Re- Certification Examination (FRCE)

7. Formal Re-Certification Examination  Required by all diplomats to maintain certification – 10 year cycle  Two year window before and after date of certification expiration to successfully complete FRCE - certification date not extended  Examination consists of written and oral component  Written is computer based (Prometric)  Oral is 2 stations, 4 cases, 1 Interpersonal

8. Practice Status  Diplomats must provide evidence of active practice of emergency medicine at time of application for FRCE  May be satisfied by direct clinical practice of emergency medicine or related activities such as administration, academic emergency medicine, emergency medical services, toxicology, sports medicine, and undersea and hyperbaric medicine.  AOBEM makes decision on relevance

9. Clinical Assessment Program (CAP)  Quality improvement tool for osteopathic physicians to evaluate the effectiveness and safety of patient care in their clinical practice  CAP provides evidence-based measurement sets on 8 clinical conditions including diabetes, asthma, COPD, coronary artery disease, hypertension, women’s health screening, childhood immunizations, and low back pain  CAP measurements can be used as a component of continuous certification for relevant osteopathic boards.