Within the specific context of Board websites, the presenters will introduce you to the concepts and methodologies to conduct regular small group testing and apply the results to an ongoing quality improvement process. They will then administer a LIVE user test on a member Board website, and invite participants to discuss the results and how to determine appropriate follow-up actions toward continuous website improvement. The workshop will end with Q&A with testing administrators who have worked on multiple Board websites, and can address your questions based on their experiences.
- Observe an actual website user test live
- Learn how to incorporate affordable user testing into web projects
- Discuss successes and challenges of user research projects by ABMS member Boards
- Learn to use integrated marketing tactics to amplify your outreach
- Find out how to get the best from your internal and external resources
- Discover ways to maximize your marketing capacity on any budget
The hospital's Patient/Family-Centered Quality Strategic Plan provides an implementation framework for ensuring that every member of the health care team employs tools and actions designed to "Create a Safe Day, Every Day." With a goal of driving preventable harm to zero, QI permeates everything the hospital does.
Diverse teams use the Institute for Healthcare Improvement's Model for Improvement to guide more than 150 QI projects throughout the organization. Trainees are meaningfully engaged and mentored to critically examine their own practice, collect and analyze data about that practice, and make improvements based on those data.
The presenters will also share how Nationwide Children's QI culture has expanded beyond the hospital itself, leading to pioneering innovations like Ohio Children's Hospital Solutions for Patient Safety and the launch of the online peer-reviewed journal Pediatric Quality and Safety.
- Identify fundamental elements of a strong organizational quality improvement culture
- Apply a strategic approach to building and sustaining quality improvement in your setting
- Align and integrate quality improvement with individual and organizational priorities
Part 1: Crafting
When ABP piloted its online MOCA-Peds model early this year, it produced two video tutorials to walk candidates through the new experience, one for desktop/laptop users and one for mobile app users. The tutorials received more than 4,000 views and a significant rate of engagement. The presenters will describe how these tutorials were developed, shedding light on scriptwriting, audio tracking, shooting, and editing.
Part 2: Adapting
After introducing video item types for pediatric cardiology in 2010, ABP created video tutorials to help users navigate the new environment. The presenters will share how the tutorials were subsequently evaluated and adapted, including how usage affected test takers' performance and exam item speediness, as well as strategies for boosting user participation.
The session will wrap up with Q&A, inviting other Boards to share their own strategies for optimizing user experience and performance.
- Learn about the process and challenges in developing a new product tutorial
- Consider tutorial adaptation for different item types or new technologies
- Analyze item performance based on exam delivery adaptations
This informal session is intended for new and potential sponsors, as well as mentors and mentees within the Multi-Specialty Portfolio Program (Portfolio Program™). We will begin with a brief introduction to the Portfolio Program and then break off into small-group table discussions. You will have the opportunity to meet with sponsors engaged in the mentor/mentee pilot, and to pose questions about program benefits and requirements, the application process, how to get started as a new sponsor, use of the MOCAM system, and the pre-sponsor pilot.
NOTE: Please submit questions/topics you would like to have addressed in this session to email@example.com. Questions will be accepted through August 31.
- Identify benefits of Portfolio Program sponsorship to your organization
- Recognize requirements for participation in the Portfolio Program
- Recognize key implementation plans as a new sponsor
- Create documents in the MOCAM system
- Assess benefits of participation in the pre-sponsor pilot
- Identify benefits of a mentor/mentee relationship
- Learn how to create educational videos for diplomates
- Explore which types of videos are effective for your audience
- Discover how to make videos to fit any budget
- The first presentation will share the R&D process, which merged a cognitive psychological decision-making model with the daily praxis outlined by the job task analysis to a definable clinical judgment assessment model
- The second presentation will show how new technology enhanced item types were identified for measuring aspects of the clinical judgment model. The mapping process will be described and examples provided
- The third presentation will outline analytic methods for evaluating construct validity as well as scoring models for evaluating the stated assessment model
- The fourth presentation will share an analysis of items developed to measure the clinical judgment element of cue recognition using both a signal- detection and polytomous item response theory framework
- Gain insight into the process of defining the new construct of clinical judgment in nursing
- Discuss new item types that measure the aspects of clinical judgment
- Learn a variety of methods for measuring and analyzing item information
Clearly, it's not a question of if but when a data breach will occur. Is your organization prepared? Safeguarding against a breach isn't enough. It is essential to prepare your organization's legal, compliance, and communications teams to work in lockstep in the event of a devastating exposure.
Featuring a panel of regulatory and communications experts, this session will discuss strategies for navigating a breach of critical private data, including development of communications plans, what to expect from an investigation, and how to keep employees vigilant in following IT security procedures.
The engaging and thoughtful dialogue will give you an extra dose of confidence in the increasingly uncertain landscape of health data protection. #PrepareToProtect
- Learn key strategies for defending against and preparing for cyberattacks and breaches of personal/private data
- Review best practices and lessons learned from experts who have "been there"
- Understand what to expect once a breach occurs
- Understand the three major process improvement methodologies used in health care
- Describe how key tools are used in moving from the current state to an improved future state
- Implement strategies to sustain improvements over time
Burnout is marked by emotional and physical exhaustion, decreased communication, apathy, and more. Its repercussions are widespread: For physicians themselves, it can lead to substance misuse, depression, and even suicide. For patients, it can mean higher rates of errors, reduced quality of care, and lower patient satisfaction. And for organizations, physician burnout can result in higher turnover and lower productivity.
In response to growing concerns over this issue, the American Board of Family Medicine (ABFM) began collecting data from their diplomates. Early findings indicate a much lower rate than previously reported, but still alarming with 1 in 4 physicians reporting signs of burnout.
In this session, ABFM representatives will share results of their research on burnout among family physicians, discuss what they have learned about wellness and satisfaction, and show how they are working with specialty societies to address these issues.
- Learn the components of burnout and how burnout is detrimental to the delivery of health care
- Understand individual and practice characteristics associated with burnout among family physicians and how these findings may be used to promote wellness
This session will focus on designing programs that engage learners in nontraditional ways. Using simple delivery techniques, the presenters will "break some rules and shake up the room" to help you develop ideas that are appropriate and effective for your audience, as well as low-cost or free.
This interactive workshop reflects a broader trend in medical education toward "sticky" course design: formats and techniques that are compelling, inspiring, and memorable.
After the session, you will be better able to plan and deliver education that physicians will find interesting and relevant to their practice, which ultimately will lead to higher-quality patient care.
- Learn to embrace innovation in education for better learning outcomes
- Hear about specific nontraditional techniques for actively engaging today's learners
- Discuss how to make education program changes that are sustainable and measurable
Tim Brennan of the Icahn School of Medicine at Mount Sinai will highlight the benefits that have been realized since Addiction Medicine has been recognized as a subspecialty across the entire ABMS Boards Community, including better access to quality care for patients and the expansion of training programs.
- Recognize the benefits of the ABMS brand in the external healthcare environment
- Hear how licensing, advertising, and training requirements are dependent upon the ABMS brand
- Connect the value of Board Certification to improving patient care
In this session, four of this year's scholars will share their research methods and findings on the correlation between board certification and surgical outcomes; the use of simulation in surgical training; surgeons' perspectives on the value of continuing certification; and identification of a common core among Boards' quality, safety, and communication expectations.
Participants will be invited to share their thoughts on the implications of the scholars' findings and future research directions.
- Learn the methods and results of ABMS Visiting Scholar research projects
- Discuss the implications of those results for ABMS Member Board certification programs
This year, the American Board of Pediatrics piloted a new assessment system, representing the next generation of pediatric assessment and continuous professional development. If the MOCA-Peds pilot is successful, this new model will replace the every 10-year MOC pediatrics exam with a series of questions at regular intervals throughout a diplomate's career, delivered through a mobile device or web portal.
Learn from ABP's experience in this session. The presenters will give an overview of the pilot (MOCA-Peds model, pilot design, and demonstration of the platform), review preliminary survey feedback (perceived value, use of mobile app, study preparation), break down participant performance (response time data, performance statistics), and discuss future enhancements based on lessons learned.
- Hear about the MOCA-Peds model and 2017 pilot design, including implementation issues and business rules
- Review preliminary data on pilot participation rates and characteristics, survey feedback, and performance
- Discuss lessons learned from the pilot and planned enhancements
Results showed an improvement in EHR reported breast cancer screening rates from 44% to 62% and colon cancer screening rates from 44% to 62% with nine clinics exceeding the 65% goal for both breast cancer and colon cancer screening rates as assessed through EHR data.
Assessment of the study's results is continuing. We will discuss key success factors including alignment with patient, community and ACO objectives.
- Assess the implementation of a community-based improvement initiative
- Identify forces that led to the development of the initiative
- Discuss strategies that can be applied to other QI initiatives
- Understand the importance of workplace-based assessment and become familiar with popular methods
- Discuss faculty development in workplace-based assessment and how to design a basic workshop for examiners
- Learn the characteristics of effective diplomate feedback
What exactly are the statistics on DANS data, and how are Member Boards using their annual DANS reports? This session offers insights.
- Huaping Sun will describe the basis classification, action severity, and incidence rate of license actions for anesthesiologists and subgroups. She will also show how the Cox proportional hazards model can identify predictors of license actions and quantify the effect of each.
- Furman McDonald will discuss the association between state medical board disciplinary actions and the severity of actions demonstrated in both initial certification and MOC in internal medicine, including results from a recent study.
- Dorthea Juul will present data on five cohorts of psychiatry and neurology diplomates, including licensure actions, the bases for these actions, and a comparison across disciplines. Performance on certification exams will also be covered.
- Understand what a DANS report is and how it can affect a physician's certification status
- See how DANS reports can be used as performance indicators
- Review recent research data on ABA, ABIM, and ABPN diplomates related to licensure actions
- Increase your understanding of the fiscal and political environment shaping health policy
- Examine cost as a driving force in the policy debate
- Discuss the need to demonstrate certification's contribution to quality as a value-add
- Hear about the quality improvement methodology and processes used at the Mayo Clinic
- Assess quality improvement projects against scoring methodology to determine if they are eligible for credit
The session will also feature Kellie Slate-Viscavage of Maine Quality Counts, a Choosing Wisely grantee. She'll show how her organization is working to increase public awareness and guide delivery system changes to reduce unnecessary tests and procedures. She'll also discuss how Maine Quality Counts is offering maintenance of certification (MOC) points for physicians who are interested in advancing Choosing Wisely and being certified by one of the participating ABMS specialty boards.
- Gain a better understanding of the Choosing Wisely campaign, including challenges it faces
- Find out how the campaign is having real benefits for physicians and patients nationwide
- Learn how to align Choosing Wisely with MOC and quality improvement programs
Different boards employ different strategies for collecting data on diplomates and have developed their methodologies over time to enhance the rigor and increase efficiency. To help others create a roadmap, this session profiles the approaches of the American Board of Family Medicine (ABFM) and the American Board of Pediatrics (ABP). It will cover:
- The history, rationale, and similarities and differences of the ABFM and ABP data collection strategies
- The evolution of the data collection methodology and advancing the rigor of the questions
- How ABFM's data collection methodology has been used to help residency programs obtain feedback on recent graduates and meet program requirements through the National Graduate Survey
- How strategic, regular reports from collection efforts can benefit organizational management and other stakeholders
- Key findings of ABFM and ABP research efforts and the potential for multi- board research using these data
- Articulate the rationale for certifying boards to collect data from Diplomates on their clinical practice.
- Describe the benefits of aligning Diplomate surveys among ABMS boards
- Discuss how certifying boards can use data to advance the science of their specialty
To bridge the gap between education and practice, the American Medical Association's Accelerating Change in Medical Education (ACE) Consortium has developed an emerging discipline called health systems science. Areas of focus include improving health care quality and value, enhancing patient safety, delivering population-based medical care, engaging in community advocacy, and understanding health care policy and economics.
This session will examine the progress that schools comprising the ACE consortium have made in developing health systems science curricula, including both classroom-based and experiential learning. The presenters will also share consortium efforts to build an assessment infrastructure for health systems science, and to measure how this work translates to GME and clinical practice, and more.
- Understand how the domains of health systems science are integrated into UME curricula
- Learn about how instructional methods, clinical experiences, and assessment in this discipline are adding value for all stakeholders
- Explore how innovations in health systems science may be incorporated into GME and CME/MOC
This hour-long town hall session will focus on how American Board of Internal Medicine (ABIM) physicians can make a difference in your Portfolio Program and other issues. The discussion will:
- Identify successes and challenges in engaging ABIM Diplomates in Portfolio Program activities
- Address concerns organizational leaders may have about becoming or continuing as a Portfolio Program sponsor
- Generate strategies for engaging ABIM Diplomates and organizational leaders in a Portfolio Program
- Learn strategies for increasing ABIM Diplomate participation in your organization's Portfolio Program
- Understand the reluctance by some organizational leaders to sponsor a Portfolio Program and how to address it
- Hear how others are gaining program buy-in from organizational leaders
- Improve understanding of the challenges of workplace assessments
- Effective strategies for implementing workplace assessments ‘back home'
This session will focus on the movement toward using patient-reported outcome data to improve physician practice through MOC. It will also discuss the commitment by many healthcare institutions to transform their organizations by implementing PROMIS measures across the entire enterprise.
- Learn about the growing national policy interest in patient-reported outcomes
- Discuss how PROMIS supports patient engagement, clinical decision-making, and performance improvement
- Recognize how the American Board of Orthopaedic Surgery is using patient- reported data in its MOC program
In the last 50 years the field of assessment of professional competence has seen remarkable progress. Developments in assessment technology have taken place across all areas of professional competence, ranging from cognitive to behavioral and emotional aspects of competency. This has been accompanied by extensive research.
In order to make assessment more meaningful for learning, however, we need to change our thinking around assessment. We need to move from assessment of learning to assessment for learning, from individual assessment methods to a systems approach of assessment, and from cross-sectional assessment to longitudinal approaches to assessment.
In this presentation, we will give an account of such a synthetic systems approach to assessment called programmatic assessment, and we will illustrate it with an existing assessment practice. You will come away with an understanding of how learning may drive assessment, the value of professional judgment, and the value of a qualitative discourse in assessment.
- Recognize the value and limitations of using instituiton-based assessments of professionalism and professional standing in Member Boards' Continuing Certfication programs
- Identify 'lessons learned' from assessment of professionalism and professional standing in the academic medical setting and the relevance those methods may have for assessment in Continuing Certification programs
This town hall session will be led by two seasoned quality improvement leaders and early ABMS Portfolio Program adopters. They'll share their own vast experience and invite audience participation for an interactive discussion aimed at helping organizations involve physicians more fully in quality improvement initiatives.
- Better understand the complexities of physician engagement in QI initiatives
- Develop strategies to improve physician engagement in QI initiatives
- Increase the number of physicians engaged in QI initiatives at Portfolio Program sponsor institutions
This session will describe principles developed by the University of Michigan to address these potentially complex situations.
The presenters will illustrate the application of these principles to actual QI efforts involving multiple health centers within a department, multiple health centers across multiple departments, sites in affiliated accountable care organization practices, multiple institutions in statewide and national voluntary collaboratives targeting specific medical conditions, research projects involving community practices, and other multiple site/group contexts.
- Identify functions of a report on a QI effort for individuals involved in leading, participating in, and reviewing a QI effort
- Learn principles for determining whether QI initiatives across multiple sites/groups/timeframes are better reported as a single effort or multiple efforts
- Identify key characteristics of "assessments of learning" and "assessments for learning"
- Describe similarities and differences between traditional high-stakes summative assessments used by ABMS Boards and a programmatic approach to assessment design and development
- Discuss the relevance and applicability of programmatic assessment for initial and continuing certification programs
This session will clearly define branding, and using standards and best practices from industry experts, explore the key components needed to establish or enhance your organization's brand, including brand promise, value, attributes, benefits and features, equity, voice, image, and identity.
- Establish a clear, concise definition of brand
- Outline the key elements necessary in establishing or refreshing a brand
- Form the roadmap for creating a new or updated brand strategy
ABEM took a comprehensive look at the latest needs of the emergency medicine community, including residency programs, candidates, Diplomates, fellow ABMS Boards, and other emergency medicine organizations. Once changes were decided on, ABEM's Certification Services team—the organization's front line to customers— played an integral role in designing systems and processes to successfully execute them.
Certification Services delivers the day-to-day messaging, explains processes, and cements buy-in from constituents. This session will show how they:
- Enhanced ABEM's communications portal for residency programs
- Converted initial certification processes from paper to digital
- Piloted phasing out a requirement for MOC Communication and Professionalism CP)
- Transformed customer service using reassuring language and positivity to defuse challenging interactions
- Learn methods for operationalizing Board of Directors decisions
- Explore best practices for system and process changes
- Understand the ABEM approach to providing superior customer service
Increasingly, modeling is being conducted to forecast the workforce of the future and inform Board strategic planning. This session will demonstrate how different research tools are applied toward this end. The presenters will:
- Discuss why certifying Boards have chosen to study the workforce
- Present different approaches currently in use: surveys (American Board of Pediatrics); surveys and claims or clinical data (American Board of Family Medicine); modeling (The Physicians Foundation, Health Resources and Services Administration)
- Discuss the opportunities and risks involved in collecting and employing workforce data to ensure our specialties are adequately staffed, trained, and geographically dispersed to meet the health care needs of the public
- Describe the common methodologies used to understand the physician workforce
- Discuss how Boards can collect and analyze workforce data and disseminate findings to inform training and practice improvement
- Outline the opportunities and risks involved in using workforce data to support public accountability
As a worldwide leader in child health, the American Board of Pediatrics (ABP) set out to address this gap in global health competency for pediatricians. In 2013, the organization formed a Global Health Task Force to develop a global health agenda around training assessment, certification, quality improvement, and continued professional development. To achieve its goals, the task force produced a variety of publications and resources, MOC activities, and a leadership conference.
ABP has also focused on sharing resources and partnering with international colleagues. Its International In-Training Examination is now delivered in nine countries and available in Spanish and Italian.
This session will highlight ABP's experience and how it might be extrapolated to other medical specialties to improve the quality of training and assessment in a diverse and interconnected world.
- Appreciate the ever-broadening meaning of global health
- Review examples of global health resources, self-assessments, and quality improvement activities
- Learn how the work of ABP's Global Health Task Force might translate to your own Board
- Recognize the value and limitations of peer review surveys for assessment of Professionalism and Professional Standing
- Understand legal considerations in the environment within which Member Boards assess the professionalism and professional standing of diplomates
- Identify ‘lessons learned' from assessment of Professionalism and Professional Standing in the academic medical setting and the relevance those methods may have for assessment in Continuing Certification programs
Technology now makes it feasible to facilitate personalized practice gap analysis, engagement in practice-relevant learning, and translation of new knowledge or skills in ways that align with the aim of improving population health, containing health care costs, enhancing patients' experience of care, and supporting physician well-being.
Payers are evolving their systems and transforming their organizations in order to drive value, not just volume. Likewise, CME accreditors and certifying and licensing boards are evolving systems to support the national quality strategy with minimal administrative burden.
You will hear about new accreditation standards under development meant to facilitate more meaningful engagement of physicians in assessing their practice gaps learning needs, and translating their learning into improvements in practice.
You may then provide feedback on the new credit system conceptual model, and offer suggestions for implementing those changes in ways that will be synergistic with the certifying boards and CME provider community.
Together, we will explore how credit system modernization can best complement innovations underway in specialty board certification.
- Understand changes underway in the accreditation of learning activities
- Provide feedback on those changes
- Identify opportunities for synergy among certifying boards and CME/CPD
Better understanding and engaging these young professionals can go a long way in improving your work environment and culture. In fact, organizations that do not prepare risk missing out on the best and brightest millennial talent.
Amelie Karam has presented on this topic to audiences nationwide. A millennial herself, she offers unique insights into what leaders should be doing today to attract and retain this newest generation of professionals. Her engaging style and approach will leave you feeling enlightened and inspired.
- Learn how different generations can better communicate and work together to meet common goals
- Better understand millennials and their needs, to improve both associate and patient satisfaction scores
- Gain greater insight into today's multi-generational patient healthcare environment
This session focuses on a projects that ticks all of those boxes and also fills a growing public health need: increasing adolescent human papillomavirus (HPV) vaccination rates in pediatric offices and clinics.
The presenters will describe the methods and results of HPV vaccination QI projects undertaken by American Academy of Pediatrics chapters and the Academic Pediatric Association's research network, CORNET. They include experiential learning with some didactics, simulation, and then action. In addition to examples of actual QI process products (e.g., clinic flow maps used to help prioritize change ideas), you will see both quantitative and qualitative results.
The session will wrap up with lessons learned, resources, and opportunities for further collaboration.
- Formulate a change cycle that incorporates change ideas relevant to those previously published in the medical literature on vaccination, and specialty to HPV vaccination
- Hear examples of approaches taken by AAP chapters to increase HPV vaccination coverage
- Learn how faculty can help pediatrics residents connect with QI projects that are both meaningful and meet certification requirements
The goal of the trainings, which were tailored to each facility, was to decrease mortality from preventable medical errors through advanced simulation scenarios, and to decrease health care costs by teaching prevention and/or early infection identification best practices to the health care professionals.
The presenters will describe these and other outcomes:
- A collaboration between UAMS content experts and hospital leaders in reviewing and revising hospital policies and procedures
- Follow-up procedures with each facility, including the creation of four accredited online learning modules to reinforce the training content
- The close relationships fostered between UAMS and the two hospitals, which have led to the hospitals requesting additional training and best practices
- Review and revise hospital policies and procedures
- Train hospital staff on current best practice techniques in hands-on learning sessions
- Teach assessment and management techniques through simulation scenarios involving standardized patients
The American Board of Pediatrics (ABP) and the American Board of Anesthesiology (ABA) have both been challenged by accelerated timelines as they have introduced non-proctored MOC assessment models, accessed by diplomates via personal computer or mobile device.
ABP's MOCA-Peds pilot and ABA's MOCA Minute® pilot required setting clear timelines and milestones, working more closely with subject matter experts, utilizing online platforms for editing and review, and creating large banks of items to draw on. These and other steps ensured that all items received the same rigorous review and scrutiny as traditional exams while compressing what would normally be a two-year development cycle down to several months.
Representatives of both organizations will share their experiences and recommendations in this session. You'll leave feeling better prepared to develop content for new products when time is of the essence.
- Know the important variables to consider when rapidly developing test content
- Develop and implement training strategies for subject matter experts
- Understand how to set realistic timelines and milestones
The landmark 2015 report Improving Diagnosis in Health Care focused national attention on the prevalence of diagnostic error, casting diagnosis as a process in which every patient and health care professional must be an active and engaged participant. Published by the Institute of Medicine (now the National Academy of Sciences, Engineering and Medicine), the report challenged medical educators, training programs, and the certification community to ensure that medical specialists have and maintain the competencies needed for effective performance in the diagnostic process across their career trajectory.
This session will consider ways the Boards community can help meet that challenge. You'll hear about opportunities to advance improvement in diagnosis through initial and continuing certification programs as well as innovations that are underway to better assess clinical reasoning; to recognize, acknowledge, and manage uncertainty; and to identify specialty-specific clinical concerns.
- Increase your familiarity with the causes of diagnostic error and mechanisms for improving diagnostic accuracy
- Understand the relationship between uncertainty and error and how it impacts diagnostic process
- Explore longitudinal assessment and other certification-related strategies for improving diagnostic accuracy and clinical reasoning
- Improve the understanding of current advances across the spectrum of undergraduate medical education, graduate medical education and board certification internationally.
- Advance knowledge related to future international initiatives.
- Identify potential opportunities for collaboration through international initiatives.
This session tracks ABFM's journey over the last five years toward this more comprehensive, streamlined approach. The presenters will describe the following steps and others, including best practices and lessons learned:
- The pilot study that assessed the data collection methods and their outcomes
- Vendor selection for a quality measurement platform
- Identification of clinical quality measures
- Naming of the registry
- Measuring governance efforts
They will close with a look at future enhancements and refinements to the PRIME Registry and ABFM's overall certification process.
- Understand the ABFM's journey from pilot study to a fully functioning patient data registry
- Learn how the PRIME Registry is used to help physicians identify gaps in performance and appropriate improvement activities
- Hear how the registry aids physicians in the transition to value-based payment
- How to create a strategic plan
- How to implement the strategic plan from an operational to a tactical level
- How to develop an measure KPI's to evaluate performance and advancement of the strategic plan
- How to operationalize KPIs
- Legal and regulatory issues, including recent key court decisions and Justice Department guidance
- Requests for adaptations that may adversely impact test validity or security
- Emerging issues with assistive technology, particularly for candidates with vision impairments
The panelists—experts in the areas of disability law, accommodations, and assistive technology—will provide the high-level updates that every testing organization needs to be aware of. They will emphasize a perspective that uses a moderate, reasonable approach, ensuring that candidates with disabilities have full access to the test, while also protecting the integrity of the test and security of test content.
- Hear updates on laws and legal trends that inform operational policies and practices
- Discuss trends in adaptation requests—particularly those that may impact the validity or security of the test—and ways to mitigate concerns
- Explore the latest tools and approaches in assistive technology and strategies for balancing accessibility needs with costs
In this session, representatives from the American Board of Family Medicine and the American Academy of Family Physicians will describe their experience in collaborating on various initiatives. They'll give case examples touching on the following:
- Staff-to-staff regular communications (dyad meetings)
- In-person staff collaboration meeting annually
- CME data service for exchanging CME credits
- Activity completion service to share completion updates
- Physician comparison data exchange
- Data-sharing agreements
- Different organization objectives and business models
The speakers will then lead attendees in a discussion about other opportunities and challenges in communication and collaboration between Boards and specialty societies.
- Identify opportunities for Boards and specialty societies to complete mutually beneficial projects
- Discuss challenges in communication and identification of common goals given different missions, business models, and structures
- Kickstart your knowledge of infographics
- Learn to tell your data-driven story in a compelling, powerful, and straightforward way
- Discover quick and repeatable visual tricks for ensuring infographics convey a clear message
Selected by the ABMS Portfolio Program, the University of California San Francisco (UCSF) and Vanderbilt University are piloting programs that grant MOC Part IV credit to faculty who meaningfully supervise medical student quality improvement (QI) projects designed to improve patient care.
At UCSF, students are assigned to a coach and participate in a longitudinal clinical microsystem clerkship during the first 18 months of medical school. In September 2016, 180 medical students began participating in QI projects under the supervision of 28 coaches.
At Vanderbilt, students enroll in a 12-week course, implementing a QI project in the clinical setting of a faculty member and presenting a poster on it. Between September 2015 and August 2016, 75 projects were completed with more than 100 students and 54 faculty coaches participating.
This session will review the results of these pilot initiatives to date and offer insights for how the program might be adopted more broadly—for the benefit of medical schools, physicians, and students alike.
- Hear about the implementation of the pilot program to award MOC credit for supervision of medical student QI activities
- Discuss the components of meaningful faculty participation in such a program
- Identify barriers to implementation
When ABIM surveyed diplomates about desired attributes in an MOC program, they embedded a probability sample within their census to ensure a greater response rate and meaningful inferences. Using a cash incentive and email/phone reminders, they issued a second survey for further input. All respondents were then invited to be part of a Community Insights Network, a panel of nearly 3,000 diplomates reflecting the overall population. As predicted, a subsequent survey of this group garnered a significantly higher response rate.
ABS started by surveying a random sample of diplomates. Results showed that diplomates strongly preferred a practice-focused/modular approach to MOC. So ABS extensively analyzed surgeon practice patterns to develop modules for an MOC pilot program, which they will continue to evaluate and improve.
- Learn how to engage the diplomate community in MOC planning through different survey methods
- Explore how survey data can advance evidence-based policy making
- Compare two approaches to community engagement and what made each successful
Led by physicians, CONNECT aims to strengthen job satisfaction by teaching skills that improve relationships with patients and families. While MOC Part IV credit was initially offered to encourage physician participation, CONNECT participants began to see the value of using the MOC structure to reinforce learning objectives and sustain behavior change. Each improvement cycle generated new ideas from participants and facilitators, which helped refine and expand the project goals.
Qualitative feedback indicates that CONNECT is meaningful to physicians, with one commenting, "This project was actually relevant for my daily practice rather than just checking off required MOC needs!"
The success of this model has now spread to other initiatives at Seattle Children's, including patient safety and value improvement.
- Discuss ways to align organizational goals with a MOC program to improve physician engagement
- Learn novel interventions to inspire-and sustain-physician behavior change
- User of test-cycle (PDCA) approach to improving MOC projects
The Accreditation Council for Continuing Medical Education (ACCME), the American Board of Internal Medicine (ABIM), the American Board of Anesthesiology (ABA), and the American Board of Pediatrics (ABP) saw an opportunity to simplify the integration of maintenance of certification (MOC) and accredited CME. They worked together to allow educational activities to count for multiple requirements, create a data-sharing platform, and develop an online search tool for diplomates (cmefinder.com).
Learn how these boards simplified and aligned their processes, created more flexibility for physicians, and identified and implemented improvements.
- Hear a collaboration success story that streamlined requirements and processes for diplomates and CME providers
- Assess your own approach and identify opportunities for better addressing the needs of diplomates and CME providers
- Explore options for collaboration with ACCME and other specialty boards
In this session, a representative of the American Board of Pediatrics will share ways to incorporate patient engagement into your work, how to become involved in patient advocacy, and the impact patient advocates can have on the health care experience overall.
A patient will also join the session to share her perspective, including his/her experience within the health care system and the difference a patient advocate has made in his/her care.
- Understand the role patient advocacy has within the Member Board community
- Find out how you can get involved in patient advocacy
- Learn how to incorporate patient advocacy into your individual role
- Identify, interview, hire and retain top-notch executive talent effectively and quickly
- Utilize essential internal discussions before a candidate is interviewed
- Learn concepts to ramp up your ability to land elusive top talent
The research team hypothesized that the exam process may lead to useful
learning that can benefit patients, even for physicians who do not see value in
the MOC exam — both by exposing them to useful new information and by
reinforcing/refreshing their existing knowledge. The ABIM-ABFM team interviewed a
sample of 40 general internists and 40 family physicians who recently took an MOC
exam and found that nearly all devoted significantly more time and resources to
study for the exam than what they would normally do to stay current.
For most interviewees, knowledge gained through exam preparation appeared to improve care, in one or more of the following: improved diagnosis, better understanding of guidelines, and reduced need for referrals, less unnecessary testing, changes in prescribing, and/or improved communication with patients." We don't want to overstate the impact of studying.
- Learn about the ABIM-ABFM study design, including the recruitment process that ensured a representative sample
- Identify common approaches physicians use to prepare for the MOC exam, as well as their costs
- Hear examples of knowledge gains and practice changes that resulted from physicians preparing for the MOC exam
As the first U.S. medical specialty board to incorporate OSCEs into a high- stakes certification exam, the ABA has navigated largely uncharted waters in its planning and development process, experiencing some rough currents along the way. Initial OSCE blueprints were complicated and needed to be simplified to encompass fewer domains. A new group of content experts was assembled to develop scenarios based on the updated skill areas. Along the way, ABA gained valuable insight from other organizations that use OSCEs, including the National Board of Medical Examiners and organizations in the UK and Israel.
In this session, ABA staff involved in OSCE development, administration, and scoring will discuss their road to innovation, including lessons learned and final preparations for their upcoming launch.
- Understand what's involved in incorporating OSCEs into a high-stakes certifying exam
- Explore various OSCE scenarios and how to incorporate standardized patients into the exam development process
- Discuss the scoring process for a new assessment
In this session, the presenters will describe how their specialties have designed registries to support professional improvement initiatives and align their Boards' MOC programs with federal and state quality incentive programs. They will discuss ways registries can be designed to target high-value, high- priority quality concerns; provide clinicians with meaningful, actionable information; and satisfy multiple reporting requirements while making MOC programs more professionally rewarding, convenient, and impactful.
- Identify ways that QCDRs can support individual performance improvement activities
- Learn how QCDRs can transform programs for continuing certification and at the same time support physicians in satisfying quality incentive and reporting programs
In this session, Jeanne Kin will demonstrate how a thoughtful stakeholder analysis or map can help:
- Engage the right people in support of your MOC program
- Gain the resources you need for your program to succeed
- Communicate more effectively with key stakeholder groups
- Better meet your customers' needs
The discussion will provide specific examples of stakeholder analysis and mapping tools applied in the setting of an MOC program. You will leave with a template for creating a stakeholder grid or map specific to your organizational context.
- Understand the purpose and process of conducting a stakeholder analysis
- Use a few different stakeholder mapping tools and grids, customized to MOC programs
- Apply a stakeholder analysis within your own environment
This has forced health systems to ensure that physicians are strong communicators, and that focus begins with interns, who arrive at residency program orientation with various levels of communication skills.
To test whether this could be improved, one residency program assigned learning modules on online communication skills to interns before orientation. Assessments before and after the interns completed the self-directed training indeed showed big improvements in their skills: empathic recognition scores increased from an average of 41 to an average of 96, and multiple-choice scores went up by as much as 75 percent.
With an increasing focus on patient-centered care, hospitals and residency programs are adopting online curricula, similar to the residency program's study, that allow clinicians to improve communication skills anywhere, anytime.
- Learn the evidence-based importance of communication skills
- Find out how to assess the communication skills learning curriculum at your institution
- Understand the relationship between HCAHPS survey scores and the survey's two communication dimensions
Join your colleagues at The Field Museum where you will discover artifacts from civilizations past, explore almost every corner of the globe, learn about new scientific discoveries, and walk away inspired! Every space at The Field Museum reveals new knowledge.
When you enter Stanley Field Hall, you’ll be standing on 300 million-year-old fossilized limestone and standing in awe of SUE, the largest, most complete and best preserved Tyrannosaurus rex fossil yet discovered. Under her watchful gaze, enjoy appetizers and beverages while networking with peers from all over the United States.
Shuttle buses will take you from The Westin Michigan Avenue to the front door of Chicago’s most exciting and unique museum overlooking beautiful Lake Michigan and Chicago’s breathtaking skyline.
Plenary Session IV: Do Patients Care About Board Certification? What Do They Want, Need, and Have the Right to Expect?
These are uncertain times for those who receive medical care, those who
practice medicine, and for long-revered bodies—inside and outside of health care
—that regulate standards and assess competency. With so many policy and
regulatory levers in flux, health care leaders are agonizing over where to
invest, what to prioritize, and with whom to collaborate. How to choose the best
The True North during these turbulent times lies in venturing into the heart of health care: what is it that patients want, need, and have a right to reasonably expect? We fail to address this at our peril: health care consumers are more awake than ever to health care cost and value; outside-industry disruption is giving patients more choice and control; and consumer rating systems that track metrics patients care about seem to be sprouting like mushrooms. Where does Maintenance of Certification and quality assurance fit into this changing landscape? What does it all mean to patients? And how can we best ensure that our system of vetting physicians and other clinicians remains viable into the future? In this journey we will walk through the territory patients currently navigate, and discover the challenges and opportunities around us.
This session will highlight the experience of one institution in designing a QI curriculum that meets this challenge while also linking the GME requirement to MOC and CME for faculty. The presenters will share the success of their structured curriculum/process that can be customized based on the length of the training program.
- Learn about one sponsoring institution's QI curriculum for trainees and how it was linked to MOC and CME
- See how a QI process improvement plan was applied to the QI curriculum to achieve the GME goals and meet the needs of the faculty
- Discuss some of the challenges involved in supporting the learning needs of a multidisciplinary community of professionals
- Learn how evaluators used the ADDIE model (commonly used for instruction design) to promote discussion and continuous improvement efforts for a number of AAMC learning and leadership development programs
- Understand how a unique mixed-method systemic review of evaluation findings from different programs can improve the consistent provision of learning opportunities offered by the AAMC
This session will discuss the CKSA's purpose, question delivery/data collection functioning, immediate feedback, and long-term plans for more sophisticated aggregated feedback. The presenters will also explain:
- Discuss the difference between lifelong learning and self-assessment and how ABFM envisions using CKSA to help physicians select CME
- How the CKSA provides indicators of physicians' metacognitive accuracy (including what metacognitive accuracy is and why it is important to physician education as well as safety in medical practice)
- How the CKSA provides ability estimates of physicians' medical knowledge and clinical decision-making, which can be used to predict their probability of passing the certification examination—reducing anxiety for those who are prepared and motivating those who are not
- In addition, the presenters will share how the new CKSA has been received by family physicians
- Better understand what metacognitive accuracy is and its relevance to physician education and practice
- Understand how the CKSA can be used by physicians to continuously monitor their medical knowledge and clinical decision-making ability in a manner that permits comparisons to the certification examination's passing standard to be made
The American Board of Obesity Medicine is committed to using the certification process to increase patient access to physicians who are qualified to treat this complex disease. The organization aims to see an obesity medicine specialist in every U.S. community.
This session will demonstrate how ABOM has created a credible examination in partnership with the National Board of Medical Examiners. The discussion will cover selection of content experts, training in item writing, and the item development process — all a challenge in an emerging field of medicine.
The presenters will also discuss building consensus in what comprises evidence-based, standardized practice in obesity medicine, and highlight the rise in the number of physicians from numerous specialties achieving ABOM Diplomate status and showing interest in this fast-growing field.
- Discuss the development of a credible examination with high-quality items for an emerging field of medicine
- Understand the challenge of creating credibility in a stigmatized specialty
- Learn how ABOM engaged physicians from over 10 ABMS Member Boards
This session will profile Project Sonar, a care management program for Crohn's disease patients developed by the Illinois Gastroenterology Group (IGG) to move physicians from a dependency on fee-for-service medicine into value-based practice.
The goal of Project Sonar was to engage Crohn's disease patients who might otherwise minimize the severity of their disease, identify patients who were depressed and/or at risk of decompensation, and optimize patients on appropriate pharmaceutical treatment as early as possible, with the objectives of improving patient quality of life and decreasing costs.
In 2014, Blue Cross Blue Shield of Illinois partnered with IGG to create its first specialty-based Intensive Medical Home around Crohn's disease. The first full year of data for Project Sonar showed a decrease in costs of nearly 10 percent and a decline in emergency room visits and inpatient admissions of more than 50 percent each.
- See how a large, procedure-dependent specialty practice can be transformed into a value-based entity
- Learn how a technology-driven patient engagement can result in improved clinical outcomes, patient satisfaction, and cost of care
- Discuss ways specialty societies can integrate with community providers to enhance quality and build value for their members
Anticipating this seismic shift, the American Hospital Association examined the ABMS/ACGME competencies framework in a 2013 report, judging the competencies of professionalism, interpersonal communication, practice-based learning and improvement, and system-based practice as the keys to success in the emerging delivery environment.
This session will explore the changing role of physicians in a redesigned healthcare system and the implications for medical specialty certification.
- Understand the changing context of medical specialty practice and the new competencies needed
- Identify opportunities for physician leadership
- Identify ways Boards can support physicians' participation in integrated delivery networks
- Learn what you can expect to achieve through social media
- Determine which social media channels to use for your strategic goals
- Hear best practices for getting eyeballs on your posts
- Improve communication and collaboration efforts across the Boards' Community
- Advance the implementation of ‘best practices' across Member Boards Continuing Certification Programs
As a physician lead for MOC and Multi-Specialty Portfolio Programs for Advocate Physician Partners—covering an area from central Illinois to the Wisconsin border—Patrick Dolan learned a lot about complex MOC programs.
In this session, he will focus on three fundamental concerns:
- How to make projects for both employed and independent physicians, including the challenges of working with each of these groups, the motivation needed for each, and the benefits that each brings to the table;
- How to create multiple types of projects, from single physicians to large collaboratives, including criteria for each, the benefits and challenges of offering a diversified portfolio of projects, and how the ABMS Portfolio Program can help in the process;
- How to coordinate it all, given different levels of physician engagement and project types—and what measurements or interventions can be used to show improvement for both the physician and the hospital system?
- Discuss how to address the needs of both independent and employed physicians
- Understand how to create programs that span from single physicians to large collaboratives
- Hear about the many aspects of coordinating across different specialties, employee models, and project types
In this session, the American Board of Family Medicine (ABFM) will showcase its successful approach to monitoring diplomates' certification experience and applying the results to make program enhancements. The presenters will cover:
- The feedback survey instruments ABFM employs, designed to elicit both quantitative and qualitative data
- Their ongoing process for revising, aligning, and standardizing the surveys to compare certification activities over time and across parts
- Their analytic approach to different types of data and select results, including key findings from various self-assessment module feedback surveys, some compiled over as many as 10 years
- How diplomate feedback has informed modifications of specific activities and how findings have been disseminated in internal reports and peer-reviewed research articles
- Learn about the survey instruments ABFM uses to collect feedback from diplomates about certification activities
- Understand the analytic process applied to the survey data
- Discuss how diplomate feedback has been used to inform changes in certification activities
Standard setting establishes a performance standard or cut score for use on an examination. Most Boards are familiar with the Angoff method of standard setting and use it most often. However, other methods exist, and in some cases may be a better fit.
This session will provide an overview of the Angoff method (and its variants) and contrast it with the features and advantages of alternatives, including the bookmark method, the item-mapping method, the objective standard setting method, the Beuk method, and the Hofstee method.
The session will appeal to subject-matter experts who participate in standard setting exercises and psychometricians.
- Understand the standard setting methods used in licensure/certification, including the unique features and benefits of each
- Weigh the considerations for selecting a standard setting method and implementing it
- Understand when and how to use market research
- Learn how to develop your research project and match the right techniques to your objective
- Pick up tips for analyzing results and taking action
Integrated payment models put physicians at the nexus of managing cost and quality at the patient level and will demand a full range of clinical competencies. To succeed under these models, physicians and their clinical teams will be called upon to coordinate care, eliminate redundancies and waste, increase patient engagement, and improve health outcomes.
This session will explore the convergence of cost and quality under these new payment and delivery models; the increased responsibilities for physicians; and the implications for continuing certification.
- Understand how integrated payment models alter the context of physician practice
- Recognize changing expectations of physicians' role in managing patient care cost and quality
- Consider opportunities for certification to support physicians in next generation delivery systems
- Improve communication and collaboration efforts across the Boards' Community
- Advance the implementation of 'best practices' across Member Boards Continuing Certification Programs