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Certifiable Behaviors: Preparing for EMS Subspecialty Board Certification

Certifiable Behaviors: Preparing for EMS Subspecialty Board Certification. Christopher B. Colwell, M.D. Denver. Emergency Medical Services (EMS). Approved by ABMS Sept. 23 rd , 2010 6 th subspecialty available to ABEM diplomats Toxicology Pediatric EM Sports medicine

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Certifiable Behaviors: Preparing for EMS Subspecialty Board Certification

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  1. Certifiable Behaviors: Preparing for EMS Subspecialty Board Certification Christopher B. Colwell, M.D. Denver

  2. Emergency Medical Services (EMS) • Approved by ABMS • Sept. 23rd, 2010 • 6th subspecialty available to ABEM diplomats • Toxicology • Pediatric EM • Sports medicine • Undersea and hyperbaric • Hospice and palliative medicine

  3. EMS • Certification program • ABEM • Designed to • Standardize physician training and qualifications • Improve patient safety • Enhance the quality of emergency medical care • Facilitate further integration of prehospital patient treatment into the continuum of patient care

  4. Eligibility • Current primary board certification issued by an ABMS member board • Does not have to be EM • Medical license • Application pathways • Practice • Practice plus training • Training

  5. Application Pathways • EMS practice pathway • Within the previous 6 years • 60 months (5 years) of EMS practice • 400 hours/year • Assistant, associate, or medical director of an EMS agency with patient care responsibility or a direct provider of prehospital emergency care

  6. Application Pathways • EMS practice-plus-training pathway • Successfully completed an acceptable, unaccredited fellowship and • 24 months of EMS practice within the past 6 years • Fellowship • At least 1 year in length • Curriculum based on the Core Content of EMS medicine

  7. Application Pathways • EMS fellowship training pathway • Successfully complete an ACGME-accredited EMS fellowship

  8. Examination • Anticipated first examination will be in the fall of 2013 • Multiple choice questions • Length • 4 hours • No oral boards planned

  9. Examination • Based on EMS Core Content • 4 volume NAEMSP textbook • Rosen’s • Tintinalli’s • Re-certification every 10 years • Assessment of practice performance

  10. Fellowships • Likely will be 1 or 2 years • Emphasis will be on supervision • RRC in EM will accredit fellowships on behalf of the ACGME • Program requirements • Curriculum • Faculty • Duty hours

  11. Fellowships • Draft curriculum will come out on the RRC web site • Subset of the ACGME web site • 45 day window for comments • Will be based on the EMS Core Content

  12. EMS Core Content • Emphasis will be on clinical aspects • This is how this sub-specialty was sold • Will be very similar to the Core Content in EM • Cardiac arrest • Respiratory failure • Trauma • Etc…. • Draft fellowship curriculum • http://www.naemsp.org/documents/EMSFellowshipDRAFTCurriculum.pdf

  13. Bottom line • This is a good thing • Focus will be on clinical aspects and supervision • Exam will feel most like the recertification exam for EM • The process will evolve

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