ABP Updates APPD Virtual Café April 16, 2020 - Suzanne K. Woods, MD Executive Vice President - Association of ...

ABP Updates
APPD Virtual Café
 April 16, 2020

       Suzanne K. Woods, MD
      Executive Vice President
Credentialing and Initial Certification

Disclosures
None

Topics
 COVID – 19 Updates              Professionalism Guide
 Waivers - Absences              Behavioral/Mental Health
 GP Initial Certifying exam      MOC Part IV credit
 Online Tracking – The Portal    Ask in advance!
 ITE                             Miscellaneous ?s
                                  Resources

VISION     Inspiring a lifetime pursuit of learning to improve child health

             Advancing child health by certifying pediatricians who meet standards of excellence and are
 MISSION     committed to continuous learning and improvement

             Consistency: Making unbiased decisions based on published ABP policies
             Excellence: Striving to do our best work
 VALUES
             Reliability: Living up to responsibilities and commitment
             Transparency: Sharing non-confidential information openly

             Overarching Principle: The “North Star” for the ABP is and will remain the improvement of
             health outcomes for children, adolescents, and young adults.
                  •   The ABP is primarily accountable to children, from infants to young adults, and their
                      families as it guides professional self-regulation and certifies pediatricians.
                  •   ABP certification recognizes pediatricians who meet rigorous standards for
                      competencies essential to improving child health.
                  •   The ABP supports best practices for the assessments of all core competencies using
                      tools that are fair, valid, reliable, and contribute to lifelong professional development.
                  •   The ABP prioritizes work that the organization is uniquely positioned to do.
 GUIDING          •   The ABP strives to align opportunities for continuing certification with pediatricians’
                      professional practice.
PRINCIPLES        •   The ABP continually evaluates and improves its work based on changing trends in
                      child health, stakeholder feedback, and advances in knowledge, assessment,
                      technology, and care delivery.
                  •   The ABP engages in open dialog with pediatricians, patients and families, and other
                      members of the public.
                  •   The ABP seeks out and respects diverse backgrounds, experiences, and perspectives
                      to inform its work.
                  •   The ABP collaborates with other regulatory bodies, medical organizations, and
                      professional societies to align accreditation and certification across the continuum
                      from training through practice.

VISION     Inspiring a lifetime pursuit of learning to improve child health

             Advancing child health by certifying pediatricians who meet standards of excellence and are
 MISSION     committed to continuous learning and improvement

             Consistency: Making unbiased decisions based on published ABP policies
             Excellence: Striving to do our best work
 VALUES
             Reliability: Living up to responsibilities and commitment
             Transparency: Sharing non-confidential information openly

             Overarching Principle: The “North Star” for the ABP is and will remain the improvement of
             health outcomes for children, adolescents, and young adults.
                  •   The ABP is primarily accountable to children, from infants to young adults, and their
                      families as it guides professional self-regulation and certifies pediatricians.
                  •   ABP certification recognizes pediatricians who meet rigorous standards for
                      competencies essential to improving child health.
                  •   The ABP supports best practices for the assessments of all core competencies using
                      tools that are fair, valid, reliable, and contribute to lifelong professional development.
                  •   The ABP prioritizes work that the organization is uniquely positioned to do.
 GUIDING          •   The ABP strives to align opportunities for continuing certification with pediatricians’
                      professional practice.
PRINCIPLES        •   The ABP continually evaluates and improves its work based on changing trends in
                      child health, stakeholder feedback, and advances in knowledge, assessment,
                      technology, and care delivery.
                  •   The ABP engages in open dialog with pediatricians, patients and families, and other
                      members of the public.
                  •   The ABP seeks out and respects diverse backgrounds, experiences, and perspectives
                      to inform its work.
                  •   The ABP collaborates with other regulatory bodies, medical organizations, and
                      professional societies to align accreditation and certification across the continuum
                      from training through practice.

ABP Values
 onsistency:    Making unbiased decisions based on published
                ABP polices

 xcellence:      Striving to do our best work

 eliability:     Living up to responsibilities and commitment

ransparency: Sharing non-confidential information openly

ABP and Program Directors
 The ABP acknowledges the work of program director is complex,
                  challenging and stressful.

      It is also critically important, meaningful and rewarding!

 The relationship between ABP and PDs must have a foundation of
 trust. Together we are responsible for verifying the competence of
                  pediatric graduates to the public.

COVID-19

COVID-19 Updates
Communications with PDs/coordinators:
    March 12,23, 30 and April 8

Highlights:
 March subspecialty exams moved to August
 Initial GP exams still planned for October
 Waiver of late fee for Fall exam registrations
 No change in registration deadlines

COVID-19 Updates
Absences from Training policy: Waiver

      The waiver is actually a recognition of
  competence achieved in less than the usual
    total duration of training for the program

COVID-19 Updates
Absences from Training policy: pre-pandemic
• Applicable to 3 year training programs (36 months)
• Allow up to 2 months waiver in addition to 1 mo/year
• No fewer than 31 months of pediatric training
• Must have PD and CCC verify competence
• May only waive elective months
• Request waiver in final months of graduating year

COVID-19 Updates
Absences from Training policy: pandemic
• For competent graduating categorical residents:
   • Allow 1 additional month waived for personal/family COVID-10 related illness –
     this results in a requirement for at least 30 months in the program
   • Allow up to 2 core months to be altered – to meet the needs of the institution and
     patients

• For competent graduating combined pathway residents:
   • Allow combined pathway trainees up to 1 additional month for illness/quarantine
     to be applicable (IRP, ARP, Peds Neuro). This is not for parental leave.
   • Allows combined Med-Peds trainees up to 1 additional month of adult medicine in
     place of a pediatric rotation

COVID-19 Updates
Absences from Training policy: pandemic
All graduating trainees:
   • May waive any rotation - at discretion of PD and CCC
   • The program should provide curriculum to fill the gaps of missed
     experiences!
   • Final year trainees - we need the data
   • Should the final assessment change – must notify ABP

Non-final year trainees:
   • should rearrange schedules to meet core requirements in latter years.

COVID-19 Updates
Absences from Training policy - TBD
• Format to collect info for final year, graduating residents by
  program
• Specifics of the data – name, ABP ID, rotations skipped, amount of
  adult time, reason for absence
• Individual issues outside of this must be addressed with ABP

COVID-19 Updates
Subspecialty Training Programs
•   Waiver of 1 clinical month
•   No plan for early graduation or early orientation
•   No exemption from scholarly work product
•   Individual issues outside of this must be addressed with
       ABP

Assessment Tools
• Milestone data
• Entrustable Professional Activities (EPAs)
• Review aggregate data from:
   • ITE
   • Clinical evaluations
   • Multi-source feedback
   • Direct observation (actual or simulated encounters)

COVID-19 Updates
Continuity Clinics
• Volume of pediatric outpatient work has declined
• Fewer well visits and follow up appointments for healthy children
• Telemedicine is being used in some places
• Shortage of PPE

COVID-19 Updates
Continuity Clinics
• The ACGME requirements:
    36 ½ day clinic sessions in at least 26 discrete weeks over a year.

• For graduating residents, the minimum number of ambulatory continuity
 clinics is reduced to 24 in this academic year.

• For non-final year residents (PGY 1–2), the minimum number of ambulatory
 continuity clinics is reduced to 24 in this academic year. However, we strongly
 urge programs to consider additional clinic experiences in future years of
 training to make up for the current deficit.

CBME
Competency Based Medical
       Education

 E-Books EPAs sent 2018

         STAY
    TUNED for more…

ITE Updates
• Ordering General Pediatrics ITE: February 3-April 30, 2020, through
  your Program Portal.
• Cost: $85/exam. Payment due within 30 days from the order.
• Administration Dates: July 8-15, 2020
• Remember:
   effective with the 2019 exam no chief residents can participate in the ITE
   exam must be administered to your trainees at your institution proctored
    by your program
   Reconciliation process – still have incorrect DOB, SSN, training program

ITE Updates
Issues – not yet resolved:

  • We may extend window to test in July
  • We may need to move window to later date
  • We may need to issue refunds if location cannot test

  However:
  • We are unlikely to use virtual/remote proctoring

Initial Certifying Exams
GP exam:           October, annually
Subs exams:        Fall or Spring, every two years

                             REQUIREMENTS
 Successful completion of all training in an ACGME/Royal College
      accredited program
 Receipt of completed Verification Form by PD
 Application
 Payment
 Active and unrestricted state medical license
 Subs – scholarly work product, personal statement

Initial Certifying Exams

Subspecialties: April 30, 2020
     (Cardiology, Critical Care, Pulmonary, Hospice/Palliative Medicine,
        Sports Medicine, Medical Toxicology, Transplant Hepatology)

General Pediatrics: May 15, 2020

Initial Certifying Exams
             202O FALL EXAMS

               LATE FEE

GP Certification Fee
           Actual vs. Consumer Price Index (CPI)

$2,520                                                                         $2,480
$2,480
                                                                      $2,430
$2,440
$2,400                                                       $2,380
$2,360                      $2,320         $2,330
$2,320            $2,300
$2,280   $2,265   $2,265   $2,265          $2,265            $2,265   $2,265   $2,265
$2,240
$2,200
$2,160
$2,120
         2014     2015       2016          2017              2018     2019     2020

                            Fee      Fee with CPI Increase

Subspecialty Certification Fee
         Actual vs. Consumer Price Index (CPI)

$3,300                                                                         $3,230
$3,200                                                                $3,170
                                                             $3,100
$3,100                                     $3,040
                            $3,020
                   $2,990
$3,000
          $2,900   $2,900   $2,900         $2,900            $2,900   $2,900   $2,900
$2,900

$2,800

$2,700
          2014     2015     2016            2017             2018     2019     2020

                            Fee      Fee with CPI Increase

Exam Questions

    Responses to Questions
     from the membership

Online Tracking – PD Portal

Online Tracking – PD Portal
Release Fall 2019
  Rosters
  Communication Feature
  SITE registration feature
  ITE ordering features
  Enhancements – score reports section

Online Tracking – PD Portal
Release Fall 2019
  Rosters
    Expectation this is finished for the 2019-2020 year!
    All new trainees must be added into your roster.
    For fellows use the option:
      “Search using previous ABP training”
  Communication feature
  SITE registration feature
  ITE ordering features

This box is NEW during evaluation window

Online Tracking – PD Portal
Program to do list:
 Complete your review/clear flags
 Use the portal to make changes, send communications
 Enter your incoming July trainees now – deadline
 Submit waiver requests for final year trainees
 ?Change of address for mailing
 Non final evaluations Spring 2020 ONLINE
 Final evaluations Spring 2021 PAPER; no notary signature
 Subs – mail in SWP/PS

Behavioral/Mental Health Initiative

The American Board of Pediatrics (ABP) Board of Directors
  unanimously voted in March 2020 to continue the ABP
initiatives related to competency-based medical education
  and to behavioral/mental health. We are committed to
working with the pediatric community on both these areas.

ABP Professionalism Guide
              Recent Chapter Addition!
              Chapter 10: Identity Formation and
              Trustworthiness: Foundations of Professionalism
                  • Instilling in trainees this pillar of practice
                  • How pediatricians maintain a trusting relationship
                    with patients and society

              Digital version: https://www.abp.org/professionalism-guide

MOC Part 4 Credit for ACGME Program
   Evaluation and Improvement
• Link to ABP QI / Part 4
    ACGME Program Evaluation for Part 4

• Projects that improve an educational
  intervention or improve a research process.
  Sample educational project on our website.

• Documented QI done as part of the annual
  program evaluation required by the ACGME

• We ‘score’ the educational projects the same
  as the QI projects. There is a basic checklist
  on our website.

ABP MOC Part 4 Credit
• Organizational leaders can apply through the ABP IQIL Pathway –
  Institutional Quality Improvement Leadership.
  • If program directors have 2 major initiatives that have integrated QI or
    patient safety into their residency programs, this pathway can be used.
  • There needs to be data attached to support the initiatives (e.g. # of
    resident projects / year for the past x years or # of changes implemented
    from a new systems based M&M).
  • This pathway is largely focused on institutional leadership influencing large
    scale change and may apply to some PDs.

  Dr. Keith Mann: k.mann@abpeds.org

NIH StARR program
ABP is committed to providing flexibility for residents who wish to
 pursue research during training
   • Integrated Research Pathway
   • Accelerated Research Pathway
Stimulating Access to Research in Residency
   • Goal: help provide a continuum of research opportunities
            throughout clinical training.
   • Needed: letter of support from the appropriate ABMS Board
   • Proposal structure must lead to board eligibility of participants
   • ABP letters of support

Subspecialty Rollout Schedule – MOCA Peds
Year       Subspecialties
2019       CHAB, GAST, IDIS (Gen Peds)
2020       DBEH, NEON, NEPH, PULM
2021       CRIT, ENDO, HMED, RHEU
2022       ADOL, CARD, EMER, HEMO

ABP Annual Report 2019
            Download from the ABP homepage
                           or:
https://www.abp.org/sites/abp/files/pdf/2019_abp_annual_report.pdf

ABP Home Page
                       www.abp.org
•   Eligibility and training requirements
•   PD information, ABP policies, etc.
•   Resources for Program Directors
      Program Directors button

Help Us to Help You!
 Please complete your rosters with new trainees ASAP

 Verify current trainee data is accurate

 Complete online evaluations for junior trainees

 Timely return of paper final evaluations for graduating
     trainees

 Use the portal for communications

Contact ABP
ITE: ite@abpeds.org
Initial Cert Exams: gpcert@abpeds.org
Subspecialties: ssert@abpeds.org

MOC: moc@abpeds.org

(919) 929-0461