ACC Oregon Spring Newsletter - 2019

By: Ty J. Gluckman,  MD, FACC
ACC Oregon Governor


Dear Oregon ACC Members:

For most of us, spring is a wonderful time of year. Temperatures are on the rise, flowers are blooming, and we get the chance to declutter by cleaning out our cupboards, closets and garages. It also happens to be a great time for self reflection.

I am just about 1 week into my 3-year term as your Oregon ACC Governor, and have given a lot of thought as to how we (the Chapter) can best meet your needs. Beyond increasing the number of opportunities to connect with colleagues face-to-face, I feel it is my responsibility to keep you informed about local Chapter activities and national ACC initiatives. To this end, I plan to send out a monthly newsletter, with this being the very first! I've highlighted a few key items below.

Maintenance of Certification (MOC):

For many of you, these 3 words evoke a range of emotions, none of which are likely good. I'm proud to announce, however, that the ACC and ABIM have recently entered into an agreement to allow cardiologists a new pathway for MOC--the Collaborative Maintenance Pathway (CMP). To me, this is one of the greatest accomplishments by the ACC over the last decade. This new program takes effect this year. Information about the program is included here: https://www.acc.org/education-and-meetings/maintenance-of-certification-information-hub and at the bottom of this email. Here is a link to a detailed PDF that walks you through the different MOC options.

16th Annual Oregon Cardiovascular Symposium:

For the last 15 years, our Chapter has been recognized for hosting one of the best regional Cardiovascular CME meetings and this year is no different. Dr. Scott Chadderdon (OHSU) and his planning committee have put together another phenomenal meeting. The list of speakers and topics rivals many national programs and I would strongly encourage each of you to attend. The agenda and online registration link is here: http://www.cardiologyinoregon.org/. This is one of the most economical ways to obtain a significant number of both CME ( 16.75), MOC ( 13.75) and Nursing Contact Hours ( 18). Please bring a team with you--Physicians, Physician Assistants, Nurse Practitioners, Nurses, Pharmacists, Practice Administrators, Service Line Leaders, Quality Improvement Personnel, Students and all others are warmly welcome!!!

Member Engagement:

For those of you new to Oregon, new to the Chapter, or with new ideas, please make your voices heard. We are always looking for individuals interested in getting more involved with the Chapter and/or with feedback about how the Chapter can better meet your needs. Please do not hesitate to email me at tygluckman@gmail.com.

A Special Thanks:

I wanted to take this opportunity to acknowledge and thank Dr. Ed Toggart (Samaritan Health Services) for his years of service as our Immediate Past Governor. Ed set by example and served as an advocate for us when meeting with State and National legislators and helped to launch our quality improvement initiative aimed at improving blood pressure control in underserved communities. We are lucky to have him in the Chapter!!!

Finally,  As we grab our brooms and dust cloths and wipe away the cobwebs, I'd encourage each of you to reflect on how we can all make things better for the larger Oregon cardiovascular community. This is YOUR chapter. As such, your active participation is warmly welcomed!!!

I feel deeply honored to serve as your Governor and look forward to the next several years.

Ty J Gluckman, MD, FACC
Providence Heart Institute
Portland
Summary of MOC Options Related to 
Cardiovascular Disease in 2019*

For those who prefer it, the 10-year secure ABIM examination still exists.
* Diplomates who pass the exam and maintain 100 MOC II points per 5 years will remain certified for the next 10 years.
* Those preferring to switch to another pathway like CMP DO NOT need to enroll until the year their 10-year certificate expires, provided they maintain their MOC part II points in the interim.
* There is no obligation to obtain any of those MOC points through ACC.
* For many, preparing for the high-stake exam means lost time from work to attend a board review course, which attaches a significant "hidden cost"
* The exam must be taken at a secure site, taking time from work, and it includes the entire discipline
* The annualized cost of this option, excluding board review courses, and associated lost work time for review, is about $128 per year.

ABIM's two-year "knowledge check in" provides an alternative to the 10-year secure examination.
* These exams are NOT modular; the entire specialty curriculum is fair game for questions on each 2-year exam
* There is no formative component to the knowledge check-in; candidates prepare on their own
* While the exam does not require travel to a secure site, those taking it at home are subject to camera-based confirmation of the candidate's identity during the exam; ABIM will spot check those taking the exam by web cam
* There is no requirement to buy anything from ACC to participate in this pathway
* Subspecialists in EP or interventional cardiology whose certificates expire in 2019 will still need to take the 10-year secure exam in their disciplines, as this option will not be available for them until 2020
* The annualized cost of this option, excluding board review courses and associated lost work time for review, is about $128.00 per year

The Collaborative Maintenance Pathway provides an ongoing, formative assessment of competence administered by the ACC, with a summative option to maintain MOC from the ABIM
* The SAPs (ACCSAP, EPSAP, CathSAP, etc.) are the formative portion of the program, and are designed to identify and correct gaps in knowledge. The fee to ACC for the formative component of CMP is $300.00 per year. SAPs have never been offered to members for free, and the current price represents a 25% per year decrease in the in the yearly cost of the previous ACCSAP product.
* CMP is modular, with one rotating area of focus each year. Every five years, the complete curriculum of the specialty is reviewed.
* CMP provides enough CME to meet most states' yearly educational requirements, so no fees to other sources for CME, and gives a meaningful updated review every 5 years
* The CMP also offers enough Part-II MOC credits to easily meet the 100 points per 5 years requirement.
* To obtain MOC from the ABIM, participants in CMP need to show "meaningful" engagement with the formative component of each module (based upon clocked screen time - no camera), and then pass a summative exam on the material from the same module.
* Both the formative and summative components can be taken from home. There is a fee amounting to $128.00 per year to the ABIM to maintain MOC by this approach
* CMP keeps the physician in practice, rather than travelling to board reviews and secure test centers, all saving expense
* CMP arguably demonstrates engagement and competence more completely, because participants continually review up to date material, identify and correct gaps in knowledge, and demonstrate proficiency by frequent limited reexamination.
* Subspecialists in EP or interventional cardiology whose certificates expire in 2019 will still need to take the 10-year secure exam in their disciplines, as this option will not be available for them until 2020
* CMP cannot be used to recertify after a lapse in maintenance of certification; the knowledge check in or 10-year exam are the only options once a certificate has lapsed. 

This also applies to re-obtaining certification in Cardiovascular Diseases for a subspecialist in EP or interventions who has let his CV Disease certificate lapse
* The annualized cost for CMP without ABIM MOC certification for an ACC member is: $300.00 per year
* The annualized cost for CMP and ABIM MOC certification for an ACC member is: $428 per year
* The annualized cost for CMP without ABIM MOC certification for a non-ACC member is: $380 per year
* The annualized cost for CMP and ABIM MOC certification for a non- ACC member is: $508 per year

For those who do not wish to participate in MOC or in the ACC's educational programs, alternate certification with the National Board of Physicians and Surgeons (NBPAS) or other bodies remain an option
* NO ONE is obliged to participate in the ACCs educational offerings; they are a resource offered as an alternative
* Choices will likely depend upon local acceptance of alternate certifications by state medical boards, hospitals, and insurance carriers
* Because the ACGME recognizes only ABMS certification, academics cannot use this option, and will need to pursue one of options 1 through 3 listed above
* Candidates pursuing this alternative who also participate in one of ACC's SAP programs will be issued a certificate of participation by the College. ACC cannot warrant that its certificate will be accepted by licensing boards, hospital credentialing committees, or insurance panels in place of board certification.
*Changes to MOC related to Clinical Cardiac EP, Interventional Cardiology, and Advanced Heart Failure and Transplant Cardiology are due to take place in 2020

Oregon Chapter, American College of Cardiology | 503-345-9294 
alan@cardiologyinoregon.org | Oregon ACC
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