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Subspecialty Clinical Training & Certification Initiative

A.P.P.D. 2012. Subspecialty Clinical Training & Certification Initiative Association of Pediatric Program Directors March, 2012 Rob Spicer Cardiology Fellowship P.D. Cincinnati, 2002-2012 Chief of Cardiology, Children’s Omaha, 3/1/12 SPCTPD Board Member 2006-2011

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Subspecialty Clinical Training & Certification Initiative

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  1. A.P.P.D. 2012 • Subspecialty Clinical Training • & Certification Initiative • Association of Pediatric Program Directors • March, 2012 • Rob Spicer • Cardiology Fellowship P.D. Cincinnati, 2002-2012 • Chief of Cardiology, Children’s Omaha, 3/1/12 • SPCTPD Board Member 2006-2011 • CoPS Cardiology Representative 2007-current • CoPS Executive Committee Member 2010-current

  2. MISSIONThe Council of Pediatric Subspecialties advances child health through communication and collaboration within its network of pediatric subspecialties and liaison organizations. • VISIONAll pediatric subspecialties working together for optimal child health. • VALUES • As an organization, we embrace: • Collaboration • Responsiveness • Diversity • Transparency • Strategic plan 2011-15 www.pedsubs.org

  3. A.P.P.D. 2012 Subspecialty Clinical Training and Certification History • July 2010; Invitational conference sponsored by the ABP Foundation(80 attendees, • 14 specialties, ABP, ACGME, and others • May 2011; CoPS to assist ABP with Initiative • Chicago, July 2011; Spicer to lead CoPS involvement with L. Van Marter, M. Punaro, & CoPS Ex. Com.

  4. A.P.P.D. 2012 SCTC Initiative • Announcement by ABP of SCTC initiative on 7/1/11 • Task Force conference calls monthly since 9/16/11 • ABP presentations to AAP, ABP sub-boards, AMSPDC

  5. A.P.P.D. 2012 Timeline for the Subspecialty Clinical Training and Certification Initiative

  6. A.P.P.D. 2012 Timeline of SCTC Initiative Spring 2012 Meeting with Stakeholders FOPO, AMSPDC, AAP, APPD, ACGME, PAS May 2012 Task Force meets to review survey results and feedback from stakeholders Fall 2012 Task Force begins to formulate specific recommendations Spring/Summer 2013 Finalize recommendations

  7. A.P.P.D. 2012 SCTC Initiative Charge to the Task Force: The Task Force will: a) examine the current model of pediatric subspecialty fellowship training and certification with emphasis on competency-based clinical training b) recommend changes in the current requirements if warranted.

  8. A.P.P.D. 2102 SCTC Initiative CHEAR • ABP has contacted Child Health Evaluation and Research Unit @ U of M • Gary Freed, MD, MPH is “collecting information regarding perceptions of optimal fellowship training in 14 subspecialties.”

  9. A.P.P.D. 2012 SCTC Initiative Today • Determine the ideal communication vehicles for optimal dialogue • Begin evaluation and discussion of The Initiative • Gain support throughout the subspecialty community to insure grassroots involvement

  10. A.P.P.D. 2012 SCTC Initiative Building the Network • Communications • Creating an effective 2-way informational network • Who?-What?-How? lists • CoPS web site/ABP web site • Social Networking

  11. A.P.P.D. 2012 SCTC Initiative Issues Under Consideration • What is good about the current requirements for fellowship training and what should be preserved?

  12. A.P.P.D. 2012 SCTC Initiative Issues Under Consideration • How closely should training align with the diversity of professional practice in a subspecialty? • Should the requirements be flexible? • If more flexibility is desirable, what specifically is meant by this notion?

  13. SCTC InitiativeIssues Under Consideration A.P.P.D. 2012 • How should each discipline determine its core competencies (clinical, procedural, scholarly)?

  14. SCTC InitiativeIssues Under ConsiderationAlignment with Professional Practice A.P.P.D. 2012 • Is the expectation for a scholarly experience with a Scholarship Oversight Committee (SOC) important to retain? • Does a trainee need to create new knowledge to understand the principles of evaluating new knowledge? • Could there be a purely clinical track?

  15. A.P.P.D. 2012 SCTC Initiative Issues Under Consideration Flexibility & Career Orientation • Should training in different subspecialties vary in length with a shorter minimum requirement (e.g., two years?) • Should tracking in fellowship be explored (e.g., extended research training, clinical educator tracks, advanced clinical tracks, etc)? • Should non-core clinical time be more flexible? For example: incorporating advanced clinical training or third-tier competencies

  16. A.P.P.D. 2012 SCTC Initiative Issues Under Consideration Core Competencies • Are entrustable professional activities (EPAs) a better way to understand and evaluate competence in subspecialty training? • Is a Clinical Oversight Committee (CLOC) a desirable addition to the requirements for subspecialty training?

  17. A.P.P.D. 2012 SCTC Initiative Issues Under Consideration Certification Issues: • What is the purpose of certification? • Should the ABP require specific documentation of clinical competence in subspecialties performing high-risk procedures (as with surgical boards?) • Should the length of training and requirement for scholarship be based on the nature of discipline?

  18. A.P.P.D. 2012 • SCTC Initiative • Issues Under Consideration • Certification Issues: • Should third-tier competenciesincorporated into core training be recognized with a credential or a certificate that reflects differences in training? • How would “niching” in advanced clinical training in subspecialties change the cognitive examination and the certificate awarded? • Are there subspecialties in which maintenance of certificationin general pediatrics is essential?

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