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An Update on Progress Toward Subcertification in Complex Pediatric Otolaryngology

by Brian Nussenbaum, MD, MHCM • August 17, 2020

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CPO Subcertification Eligibility Criteria

 Training pathwaypractice pathway
ABOHNS Primary Certification in good standingRequiredRequired
TrainingACGME accredited fellowship within past 5 yearsNo requirement
Pass CPO Written Qualifying ExamRequiredRequired
Practice SettingPrivileges at facility with NICU level 3 or equivalentPrivileges at facility with NICU level 3 or equivalent
Qualifying Cases50 index cases over up to 2 consecutive years100 index cases over up to 4 consecutive years
Multidisciplinary Activities, for example, cleft lip/palate clinic, VPI clinic, craniofacial clinic, NICU rounds, tumor boardsAt least 12 times per year; can be from > 1 activityAt least 12 times per year; can be from >1 activity

Defining a scope of knowledge

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August 2020

The scope of knowledge for CPO subcertification was created based on the core curriculum for pediatric otolaryngology fellowships. Public comments were solicited from pediatric otolaryngology program directors and representatives from ABOHNS-sponsoring societies to help delineate knowledge that is beyond the expectations of the primary certification in otolaryngology-head and neck surgery.

Generating written and oral examinations

The CPO subcertification WQE blueprint was created from the scope of knowledge document. The blueprint was finalized and approved by the ABOHNS board of directors after receiving input from pediatric otolaryngology fellowship program directors, chiefs of pediatric otolaryngology divisions, chairs of the pediatric and pediatric education committees of the AAO-HNS, and the ASPO president, along with four ASPO designees.

The CPO steering committee created a diverse CPO item writing working group composed of 25 pediatric otolaryngologists. These item writers are now in the second year of authoring items for the WQE.

The training pathway will require completion of an ACGME-accredited fellowship and satisfaction of the eligibility criteria. The practice pathway does not specify a training requirement; candidates will be required to meet the eligibility criteria to take the examination.

In addition, the CPO oral certifying exam working group was formed. This group is composed of members of the CPO steering committee plus five additional members from ASPO (Cristina Baldassari, MD; Carol J. MacArthur, MD; Anna H. Messner, MD; Richard Smith, MD; and Gregory J. Wiet, MD). The charge of this working group is to discuss the structural and process details for recommendation to the ABOHNS board of directors and to write oral exam protocols. The OCE will focus on the application of knowledge necessary for safe and effective practice in a tertiary care pediatric facility. Eligibility for this exam will occur after passing the CPO WQE and fulfilling all eligibility requirements in either the fellowship training or practice pathways.

The first CPO WQE is scheduled for July 29, 2021. Exam registration is expected to start in October 2020. The ABOHNS encourages those who are interested in applying for CPO subcertification to attend one of the informational virtual town hall meetings that will take place during the summer of 2020. Prospective candidates can find these dates, along with additional information, at www.abohns.org/Complex_Pediatric_Otolaryngology.html. 


Dr. Nussenbaum is the executive director of the American Board of Otolaryngology-Head and Neck Surgery.

Pages: 1 2 | Single Page

Filed Under: Career Development, Departments Tagged With: certification, medical educationIssue: August 2020

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