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American Board of Surgery Update
Association of Residency Coordinators in SurgerySan Antonio - April 20, 2010
Barbara Jalbert-Gerkens
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Key Points
ABSITE New RequirementsQE ApplicationsYour SuggestionsNew ABS Website
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
65 pilot programs1369 examinees took exam online
1316 examinees on Saturday, January 3053 examinees on Wednesday, February 3
Also in February 2010285 VSITE examinees91 PSITE examinees
2010 Online Exams
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Computer needed for each proctor and all examineesSystem check of all computers used on day of examDownload secure browser onto each examinee computer
Prep for Online Administration
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
System checkVerifies that computers meet hardware and software requirementsA report generated showing computer’s performance
Secure BrowserLocked down version of an Internet browserDoes not allow examinees to access other websites or programsDoes not allow printing or screen shots
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Unable to launch exam Computer screens locking upExaminee SSNTechnical Support After exam - results
Online – problems on exam day
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Problems and Solutions
Unable to launch exam & computers locking up
Computer lab firewallsRemote access or .exe programsScreen saversViolation warningsRequired to re-launch exams
Developing a secure browser that will white list certain programsDisable screen savers Coordination between program and your local IT department
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Problems and Solutions
Examinee SSNXXX-XX-1234 in proctor view
ITS Technical Support
Too many promptsWait
ABS misinterpretation of fields
Confirm SSNExaminee must double check
Dedicated ABS tech support numberABS corrected program designation on reports and resent
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Exam securityProblems with delivery and/or pick-up of ABSITE shipmentOrdered incorrect number of junior vs. senior exams or vice versaAnswer sheets left in booksNot an exam problem, but a “green” one
Problems with paper exam
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
These boxes have been counted.
Still to count
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Surveyed proctors, program directors and coordinators83 respondents to survey
At least one response from 58 different programs
11 questions (strongly agree, agree, etc.) about program experience with online ABSITE5 open-ended questions
ABSITE Online Pilot Survey
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Survey Results
The “pre-examination process”, including planning, setup, downloads, system checks, etc., adequately prepared me for the administration of the examination.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Survey Results
The online testing system delivered the examinations effectively (no interruptions or glitches).
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Survey Results
The technical supported by ITS during the online examination was helpful (day of the exam).
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Survey Results
The overall examination experience was successful.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
End of exam confirmationTutorial for proctors and examineesSecurity system/firewallsReceive proctor guides soonerCreate test sessions prior to exam dayUse of a formal testing center
Survey Comments/Suggestions
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Online exam only; no paper back-upExam window – Friday, January 28 through Tuesday, February 1Price remains $65 per examSeating chart for each administrationAdvance notice for testing accommodationsTraining sessions can be scheduled on an as needed basis
ABSITE – 2011
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
ABS Testing Website
System Check and Download Secure Browser are found on homepage
Log on is notrequired to complete both tasks
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
ABS Testing WebsiteNew Examinee Profile Page collects the following:
•Name
•Gender
•SSN
•ABS Program Code
•Clinical Residency Level
•Training Type
•Exam version: junior/senior
•Additional TrainingScoring and reporting of ABSITE is based entirely on what is entered here. Examinees must double check!
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
ABSITE - ReviewThe ABSITE is a tool for program directors to assess the strengths and weaknesses within their own program. And as such:
Residents contacting the ABS to discuss and/or obtain results will be directed to contact program;ABS does not provide transcripts to any third party, including the resident, ERAS, etc.;Advise residents to keep individual score report – it is their ONLY record;ABS does not condone the use of the ABSITE for promotion or fellowship selection.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
ACLS, ATLS, FLS Certification
Provide evidence of successful completion
Certification does not need to be active/current at time of application but applicant must pass all steps to achieve initial certification
Surgical Critical Care Requirements
Minimum of 25 cases in surgical critical care patient management (this is different than AGCME)
Minimum of one in each of the seven categories
New for 2009-2010New QE Requirements
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Reporting of Surgical Critical Care
Minimum of 25 cases and at least one in each of the seven categories
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Application must be signed by program director. No other signature is acceptable.
All signatures must be original – no signature stamps
Include copy of ACGME Op Report with application
42 months devoted to content areas of surgery
Entire chief year devoted to content areas of surgery
No more than 4 months in any one specialty during chief year
150 chief cases; 750 cases in five years
QE Applications - troubleshooting
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Provide documentation of ACLS, ATLS, and FLS
Provide documentation of satisfactory completion when training occurred in more than one program
Payment of exam related fee: credit card only
Application is complete only when all hard copy materials are received at ABS - regardless of when credit card payment is made.
Must be received in ABS office by May 3 (not postmarked). Applications received after deadline will be charged the late fee ($200).
QE Apps – troubleshooting con’t
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
All vacation and leaves of absence must be listed - includes time taken for interviews, visa issues, early departure for fellowships, etc.
Report absences of 48 hours or more – not single daysConferences/national committees – non-clinical elective time can be used for clinical level 1-4 residents. Up to 6 months of non-clinical time is allowed during residency.Non-clinical elective time is not allowed in chief year; time away in chief year must be managed around the 48 weeks of training.No “free” time off for job hunting or moving.
QE Apps – reporting of leave
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Looking to see that training that is accurately reported
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Transplant Experience
Resident must have either a rotation in transplant or operative experience in transplant. If not, send patient roster with application.
ABS requires pre-operative, operative and post-operative experience in transplant.
Objective is for resident to have direct patient care of transplant patients.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Licensure
QE (written exam)Must have current, full and unrestricted medical license if taking QE more than 6 months following the completion of residency
CE (oral exam)Current, full and unrestricted medical license is an absoluterequirement when taking CE, regardless of how soon following residency
Temporary, limited, or educational licenses are NOTacceptable, even if pursuing advanced training or fellowship.
Certification requires a current, full and unrestricted medical license.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Notifications – new for 2010
Monitor status online and update contact info. Email sent once application is complete and with staff surgeon for review/approval.Email sent once application is approved and registration is open.Note: registration – active 24-48 hrs after approval.Exam authorization letter is mailed. Applicants will receive an email once letter has been mailed.Reminder – Schedule exam center as soon as exam authorization letter is received! Centers fill up quickly. Delay in scheduling will likely result in traveling outside local area.
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Monitor Website
Any problem with application will be noted on Status of Application page.
Email is sent to applicant and coordinator.
Update personal information here
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Graduate Medical EducationWe need your
input!
Is coming year’s schedule set in July?
How often does schedule change?
Add rotation info when updating roster?
Would residents realistically make their own updates?Email suggestions to [email protected]
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
New ABS Website
Site Directory
Mouse-over capability
Search Feature& Site Map
The American Board of Surgery The American Board of Surgery −− www.absurgery.orgwww.absurgery.org
Thank you for what you do!
Any questions?