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CAP New in Practice Pathologists Webinar Series

• Jacqueline Granese, MD, FCAP, Chair – CAP New in Practice Committee

• Targeted topics on issues and important information specific to Pathologists in the first five years of practice

• Watch your email for more topics in 2011!

• Contact Tina Morton ([email protected]) to suggest a topic.

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The American Board of Pathology Maintenance of Certification ProgramWhat is it and who should participate?

Betsy D. Bennett, M.D., Ph.D., Executive Vice President, American Board of Pathology

December 6, 2010www.cap.org

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Betsy D. Bennett, M.D., Ph.D.Executive Vice President, American Board of Pathology

• Dr. Bennett is responsible for development and administration of the primary and subspecialty board examinations given by the ABP, the ABP Maintenance of Certification program, and other activities of the board.

• Dr. Bennett was in the MSTP program in the Vanderbilt University School of Medicine and received her Ph.D. in 1975 and her M.D. in 1976.

• She completed a residency in Anatomic and Clinical Pathology at Vanderbilt in 1980.

• After serving on the Vanderbilt faculty for a year, she joined the faculty of the University of South Alabama in Mobile, Alabama. At the University of South Alabama, Dr. Bennett served as pathology course director, pathology residency program director, director of laboratories and vice-chair of the Department of Pathology. In 1999 she became Vice Dean for Student Affairs and Medical Education. She remained in this position until 2003 when she became Executive Vice President of the ABP.


ABP Maintenance of Certification (MOC) Program

• Why is MOC required?

• What are the features of the ABP MOC Program?

• What is required for MOC?

• Who should participate?

• Summary

Why is MOC required?

• MOC was developed by the 24 member boards of the American Board of Medical Specialties to replace the recertification process used by most boards.

• It is based on the concept that maintaining certification should be a continuous process and involve more than an examination.

What are the features of the ABP MOC Program?

• ABP began issuing time-limited certificates in 2006.

• Certificates are valid for up to 10 years – but may be invalidated sooner if interim MOC requirements are not met.

• Diplomates must report at 2 year intervals beginning 1/31 of the 3rd year after certification. Example: A 2010 diplomate must provide the first report by 1/31/13.

• The first year of participation has no fee. After that, the fee is $50 per diplomate per year, payable when a report is submitted. The diplomate pays $50 with the first report and $100 with subsequent reports. The fee is per diplomate, not per certificate.

What are the features of the ABP MOC Program?

• Diplomates may combine reporting for primary and subspecialty certificates based on the primary certificate timeline. The same CME and part IV activities can be used for both primary and subspecialty certificates. There will be an exam for each certificate both of which must be successfully completed by the end of the 10-year primary cycle. The diplomate may choose to take the examinations in the same year or in separate years.

• Diplomates may choose which certificates they wish to maintain – AP, CP, subspecialty, or all. A new certificate will not be issued until the end of cycle in which decision was made.

• If a diplomate relinquishes a certificate, that certificate may be reinstated within 5 years by participation in MOC activities in that area.

• After 5 years, the diplomate will have to retake the initial certification examination in order to regain certification in that area.

What is required for MOC?

• Part I: Professional Standingo Maintain full and unrestricted medical license in US or Canada

- Institutional licenses are not acceptable- If the diplomate practices outside the US or Canada, the ABP will accept

documentation of a full and unrestricted license in the local jurisdiction in which he or she practices.

o Document medical staff membership and health care privileges, if applicable- Diplomates who are not members of a medical staff must submit a description

of their practice instead.o Part 1 reports are due at the end of the 4th and 8th years of the cycle.


• Part II: Life-Long Learning and Self-Assessmento Obtain an average of 35 Category 1 CME credits per year over each 2-year periodo Ten (10) of the 35 credits must be from Self-Assessment Modules (SAMs).o The ABP approves CME providers to offer SAMs, not the individual SAMs activities.

Providers designate which of their activities are SAMs and certificates should reflect both CME and SAMs credit. Please check providers’ web site to see what SAMs are offered.

- NOTE: SAMs are Category 1 CME activities and can be used as such for licensure, etc.

o CME and SAMs must be reported at 2-year intervals throughout the MOC cycle beginning at the end of the 2nd year after certification.

o Documentation is not required unless a diplomate’s file is selected for audit.o By 2012, the ABP hopes to receive CME information directly from some providers.



• Part III:Cognitive Expertiseo The examination will be a proctored, secure, computerized test.o AP/CP examinations will be modular – 6 modules of 25 questions each.o Some subspecialty examinations will be modular (Hematology, Neuropathology,

Molecular Genetic Pathology, Pediatric Pathology). The remainder will not. o All slides will be virtual.o A diplomate will be able to complete the AP/CP examination and one subspecialty

examination in one day.o Each module will be 80% practical and 20% written questions.o Modules will be graded together as one examination.


AP/CP MOC Exam

General moduleSpecialty module

+

+

+

+ 4 add. = 6 total

+ 3 add. = 6 total

+ 3 add. = 6 total

AP

CP

Option 1

Option 2

Option 3

AP only MOC Exam CP only MOC Exam

General moduleSpecialty moduleAP

CP

6 total 6 total

or or

or

or

or

or

or

or

or

or

3 max

+ +

ModulesAnatomic Pathology

• Gen AP I, II

• Gen Surg Path I, II

• Gen Cytology I, II

• Cytology, GYN

• Cytology, Non-GYN

• Bone-Soft Tissue

• Breast

• Cardiovascular

• Dermatology I, II

• Endocrine

• GI-Liver-Biliary

ModulesAnatomic Pathology (cont.)

• Genitourinary

• Gynecologic

• Head and Neck

• Medical Renal

• Neuropathology

• Pediataric Pathology

• Pulmonary-Mediastinal

• Transplant pathology

• Forensic Pathology

Modules Clinical Pathology

• Gen CP I, II, III, IV

• Blood Bank I, II

• Blood Bank –Coag

• Coagulation

• Hematology I, II

• Immunopathology

• Microbiology I, II

• Chemistry I, II

Common Modules*Anatomic & Clinical Pathology

• General Hemepath I

(Lymph node-Spleen)

• General Hemepath II(Bone Marrow)

• Molecular/ Cytogenetics

• Flow Cytometry

• Molecular Pathology

*may be used to fulfill AP or CP module requirements


• Part IV: Evaluation of Performance in Practiceo Most Part IV MOC requirements for Pathology are based on CLIA and are, therefore,

already being done.o Part IV requirements are primarily related to quality assurance, performance

improvement, continuous quality improvement etc.o Many Part IV activities provide CME and can be used for Part II also.o Peer attestations – 360o

- ABP-certified pathologist- Person in senior management at diplomate’s health care facility.- Board-certified physician in another specialty- Technologist or Pathologist’s Assistant who works with diplomate

o Laboratory accreditation is strongly encouraged.- CMS- The Joint Commission- College of American Pathologists- AABB- ASHI- NAME- State of _______



• Part IV: Evaluation of Performance in Practiceo Inter-laboratory performance improvement/ quality assurance.

- Part of accreditation process (proficiency testing).- Activities available through societies.

– Compare lab results to other labs.– Lab participates as part of multi-laboratory project.

o Individual diplomate participation in performance improvement/quality assurance activity

- Cytopathology proficiency exam- Inspector in laboratory accreditation process- Society sponsored activities

– Slide review program– Other educational activity

- Institutional/departmental activity– Part IV approval form on website


Who should participate in MOC?

• Diplomates who have a time-limited certificate must participate in MOC for that specialty. This includes all diplomates who certified in 2006 or later. If a diplomate’sprimary certification occurred before 2006 but he/she was certified in a subspecialty in 2006 or later, MOC participation is required only for the subspecialty certificate.

• Diplomates who have non-time-limited certificates are encouraged to participate in MOC but are not required to do so by the ABP. Participation in MOC will not jeopardize the original certification of these diplomates.

• It is possible that other agencies, such as 3rd party payers and/or credentialing committees, may require participation. CMS is considering MOC as an indicator for PQRI. In addition, the Federation of State Medical Boards has approved a Maintenance of Licensure program for which MOC will be accepted.

• The ABP Voluntary Recertification program is being phased out and will not be available after 2013. After that time, diplomates who need to take a secure, proctored examination in order to obtain a state license will have to participate in MOC in order to do so.

• Diplomates who wish to voluntarily participate in MOC will be able to sign up online shortly after the first of the year.


Who should participate in MOC?

• Diplomates who are not practicing pathology must meet the ABMS definition of “clinically inactive” in order to modify their MOC participation.o Clinically inactive is defined by ABMS as not practicing pathology for 2 years.o The diplomate must notify the ABP that he/she is inactive at the time they report.o The only part of MOC that being inactive exempts the diplomate from is Part IV.

Parts I – III must still be completed.o The diplomate must notify ABP when he or she re-enters practice and must begin

Part IV activities within 6 months.


Summary

• ABP diplomates certified in 2006 or later must participate in MOC

• CME and Part IV activities must be reported every 2 years.

• Licensure and references must be reported after the 4th and 8th years.

• Reporting deadline is 1/31 of the following year.

• AP/CP examinations will be modular and can be tailored to practice circumstances.

• MOC requirements were set up to minimize additional worko All except SAMs can be met by state licensure and CLIA requirementso http://www.abpath.org; Maintenance of Certificationo [email protected]


http://www.abpath.org/�


My MOC (www.cap.org/MyMOC)

• CAP Launched NEW member benefit November 2010: www.cap.org/MyMOC

• All CAP members who passed the board exam in 2006 or after are automatically enrolled. Other members can enroll quickly and easily.

• New information, news and customized reminders regarding MOC deadlines.

• Easy online education transcript – track all CAP and non-CAP CME.

• FREE to all CAP Members!


My MOC (www.cap.org/MyMOC)


My MOC (www.cap.org/MyMOC) – Targeted Reminders


http://www.cap.org/MyMOC�

My MOC (www.cap.org/MyMOC) – Adding non-CAP CMEto the Online Transcript



Questions?

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CAP New in Practice Pathologists Webinar Series

• Watch your email for more topics in 2011!

• Contact Tina Morton ([email protected]) to suggest a topic.



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cap new in practice pathologists webinar...

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