Otolaryngology Residents Gain Access to Maintenance of Certification Modules

by Robert H. Miller, MD, MBA • November 5, 2014

Otolaryngology Residents Gain Access to Maintenance of Certification Modules

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The ABOto is pleased to announce that U.S. otolaryngology residents PGY levels two through five now have access to the Part II and Part IV MOC modules. The ABOto is providing this access for the residents at no charge to either the resident or the program.

The MOC Part II modules are used for self-assessment. Each self-assessment model (SAM) begins with a patient management section in which the resident will collect data and interpret the information, followed by a diagnosis/differential diagnosis process. Finally, the resident will “manage” the patient. The module includes a variety of visuals, including patient photographs, imaging studies, histopathology, and video.

Successful completion of the module requires a score of 80% in each of the three sections. If the resident does not obtain a “passing” score, he or she can go through the patient management section repeatedly. The ABOto does not require residents to complete the modules but simply offers them as an educational tool.

In addition to the patient management section, there is a 30-minute panel discussion of the controversial aspects of the topic, as well as a recommended reading list.

Residents also have access to the Part IV Performance Improvement Modules (PIMs). These modules are based on the classic quality improvement cycle of measure, analyze, implement changes, and re-measure. The first PIM is based on the American Head and Neck Society’s oral cavity cancer measures. Essentially a data registry that provides feedback, the participant enters data for 10 patients with a given condition and then receives feedback by comparing the entered data to others who have completed the module. After reviewing strengths and areas for improvement, the participant enters five more patients to demonstrate improvement. PIMs in allergy and rhinology are coming very soon, and more PIMs will be produced in 2015.

Finally, the ABOto is putting the finishing touches on a module format called SEMO, which stands for Structured Educational Module. SEMOs will be linked to the topics covered in the SAMs and PIMs, and access is limited to MOC participants and now residents. The SEMO is written in a highly structured bulleted format and will be rich in illustrations and video. In addition, there will be links to article abstracts from the reading list. The ABOto is field testing a SEMO on oval cavity cancer, and, once the format is finalized, SEMOs will ultimately be produced for each SAM and PIM.

Residents can access the various modules by logging in to their ABOto webpage and clicking on the “MOC Modules” button. Currently, there are approximately 40 SAMs available, and eight new modules are produced each year. The modules are authored and reviewed by representatives from the ABOto sponsoring societies.

New Oral Exam Format

The format for the oral certifying exam in April 2015 will be different than in previous years. In order to more accurately reflect the broad spectrum of otolaryngology, the distribution of protocols has changed so that examinees will be given more protocols in what has been termed “General” in the past. The General section will be expanded to six protocols and Head and Neck, Otology/Audiology, and Facial Plastic Surgery will be reduced to three each.

During five exam periods, three protocols will be presented. The exam topics will be:

  • Pediatric Otolaryngology and Sleep Medicine;
  • Allergy, Rhinology, and Laryngology;
  • Head and Neck Surgery;
  • Otology/Audiology; and
  • Facial Plastic and Reconstructive Surgery

Because of this rescheduling, the time examinees have to complete each protocol will be increased slightly.

Another change in the exam process will take place in the Otology section. The examiners will present the visuals for the Otology protocols on a computer screen, eliminating the paper visuals that have been used in the past.

The ABOto directors believe this will improve the quality of the visuals, particularly the MRI and CT scans. If the digital presentation in Otology works well and is well received, the ABOto will likely expand it to all areas of the exam.

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Filed Under: Departments, Resident Focus Tagged With: MOC, residents

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