The Board of Directors of the American Board of Orthopaedic Surgery (ABOS) recently approved changes to the Scribe Case List process to create one set of requirements for all Recertification Examination pathways. No candidate will need to enter more than a maximum of 75 cases.
Starting with the 2019 Recertification Examinations (which has an application deadline of May 1, 2018), recertification candidates for any examination will begin collecting with the first surgical case of the calendar year and continue to a maximum of 75 consecutive surgical cases. No more than 75 cases need to be entered. There will no longer be different case number requirements for the Oral and Computer Recertification Examinations. The collection period is still two years prior to the examination. For example, those who would like to apply for a 2019 examination will collect cases from 2017. They will enter all consecutive surgical cases and can stop after they enter their 75th case.
Candidates who do not have 75 surgical cases in a calendar year will need to enter all the cases they have done. A minimum of 35 cases is required. Those who have fewer than 35 surgical cases in a calendar year can submit surgical cases from the case collection year and retroactively add surgical cases from the previous calendar year. Surgical cases should be collected consecutively backwards until the Diplomate reaches the 35 surgical case minimum. Those Diplomates who need to add cases retroactively from the previous year to reach the 35 case number will be required to take an Oral Recertification Examination. Diplomates unable to submit 35 surgical cases within the two-year timeframe are required to recertify through a non-operative pathway. Those Diplomates who are required to recertify through a non-operative pathway should call the ABOS office and speak to a Certification Specialist. Recertifying through a non-operative pathway does not necessarily mean the Diplomate does not perform surgical cases.
A video on how to use Scribe can be found at www.abos.org/moc/videos-to-help-prepare-for-recertification-application-and-examination.aspx.
Part II candidates are still required to enter all surgical cases from April 1-September 30 of the year prior to the examination.
Case lists are utilized for various reasons:
- The 12 cases on which the actual Oral Examination is based are selected from the overall case list.
- Case lists are analyzed for outliers, such as complications or readmissions, by the Credentials Committee of the ABOS.
- Diplomates receive a feedback report showing them the types of cases performed, complication rate, and other data.
The ABOS is working to minimize, as much as possible, any non-value-added effort and expense associated with MOC. With that goal in mind the ABOS created the Scribe Case List System and is continually working to make it as intuitive and user friendly as possible.
James Roberson, MD
President, American Board of Orthopaedic Surgery
Executive Medical Director’s Report
In the last issue of The Diplomate, I announced two changes that will improve the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification (MOC) process and reduce the burdens it places on our Diplomates. The first change is a new Diplomate Dashboard; the second change is the automatic transfer of Continuing Medical Education (CME) and Self-Assessment Examination (SAE) credits from the American Academy of Orthopaedic Surgeons (AAOS) Learning Portfolio to your ABOS Dashboard. In this issue, Dr. James Roberson discusses a potential reduction in the number of cases you will submit when applying for a Recertification Examination. There are two additional changes that I would like to tell you about in this article.
The first is called the Virtual Practice Evaluation (VPE). This is an evaluation that has the potential to replace an examination as the assessment tool in the ABOS MOC program. Diplomate preparation for the VPE is similar to preparing for an Oral Examination. After submitting your Case List, you will receive a list of 12 cases in which you upload the pertinent electronic medical records and radiographs. Oral examiners will use similar criteria to those of the Oral Examination to evaluate your cases, without the need for Diplomates to travel to Chicago. We have updated the Case Summary sheet that is required for each of the 12 cases – this will improve the ability to communicate to the examiners.
The ABOS Board has tested this system and initial results are positive. Additional testing will be done this summer during the Oral Recertification Examination. The results of that further in-depth evaluation will be utilized to place the VPE properly in the MOC processes.
We will work with psychometricians to confirm that the VPE is an effective tool. If it proves to be, we hope to offer it as a stand-alone MOC pathway. We will have a further update in the fall of this year. As a reminder, ABOS now offers Practice-Profiled Examinations in Adult Reconstruction, Foot and Ankle, Pediatrics, Spine, and Trauma. Diplomates can also take Recertification Examinations in Orthopaedic Sports Medicine and Surgery of the Hand, without holding Subspecialty Certification in those areas. None of these examinations contain general orthopaedic questions.
Another exciting development is now available for Part II Oral Examination Candidates. For the first time, patient reported outcomes (PROs) will be part of the application process. PROs are outcome measures that are directly reported by patients to help better understand a treatment's efficacy. PROs have been used at many facilities to assist surgeons in evaluating their practices. Candidates will receive PROs survey results to assist in practice improvement efforts and in examination preparation. This information will be reviewed, along with the application, peer review, and the case list, by the ABOS when determining a candidate’s eligibility to sit for the Part II Oral Examination.
Part II Candidates submit a Case List for all surgeries performed in April through September of the year prior to their examination. Candidates will be required, for surgeries performed during the months of May and June, to ask each surgical patient for an email address that will be entered into the ABOS Scribe Case List System. The ABOS will then email a link to each patient pre- (or peri-) operatively, as well as at six and 12 months post-operatively. The email will link the patient to a Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function survey.
We are excited about these changes and value your feedback.
David F. Martin, MD
Executive Medical Director, American Board of Orthopaedic Surgery
If you have called the American Board of Orthopaedic Surgery (ABOS) office any time this year, the first person you have probably spoken to is Shelia Swiger, ABOS’ Office Assistant. With dozens of calls coming in each day (hundreds before deadlines) she respectfully talks to each person, finding out what is needed and which staff member would be the appropriate person to speak with.
The ABOS takes pride in working diligently to ensure that Diplomates and Candidates speak to a live person and not an automated answering/call directing service. In addition to being our first point of contact, Shelia manages other office projects to make sure that they run smoothly.
Shelia is a native North Carolinian and has worked in the healthcare industry for more than 25 years. Her expertise ranges from backside operation involving credentialing, analytics, and revenue management to mainstream customer service. This experience allows her to have thorough knowledge of practice operations while providing a commitment toward patients, physicians, and employees.
Outside of work Shelia enjoys spending time with her family and loves going to the beach.
Shelia has quickly gained knowledge on Certification and Maintenance of Certification and is an important part of the team.
Aaron S. White
Chief Operating Officer, American Board of Orthopaedic Surgery