Update on “Everything 2012/2014” - AAPM...

Update on Update on “Everything 2012/2014”“Everything 2012/2014”

Mary K Martel, Ph.D.Mary K Martel, Ph.D.AAPM President 2007AAPM President 2007

Professor, Radiation PhysicsProfessor, Radiation PhysicsMD AndersonMD Anderson

Slides/Information fromSlides/Information from

Mike Herman, AAPM President 2010Mike Herman, AAPM President 2010Mike Herman, AAPM President 2010Mike Herman, AAPM President 2010John Bayouth, AAPM chair ResidencyJohn Bayouth, AAPM chair ResidencyEd J k J h H l CAMPEPEd J k J h H l CAMPEPEd Jackson, John Hazle, CAMPEPEd Jackson, John Hazle, CAMPEPGeorge Starkschall, AAPM ETC chairGeorge Starkschall, AAPM ETC chairggAAPM summit meeting Feb 2009AAPM summit meeting Feb 2009Geoff Ibbott ABR physics trustee also inGeoff Ibbott ABR physics trustee also inGeoff Ibbott, ABR physics trustee, also in Geoff Ibbott, ABR physics trustee, also in the audiencethe audience

Changes in ABR boards eligibilityChanges in ABR boards eligibilityChanges in ABR boards eligibilityChanges in ABR boards eligibilityDeadlines and other informationDeadlines and other informationMotivation behind changesMotivation behind changesResponse to the eligibility changes fromResponse to the eligibility changes fromResponse to the eligibility changes from Response to the eligibility changes from AAPM, CAMPEP, othersAAPM, CAMPEP, others

Change inChange inChange in Change in ABR ABR

Boards Boards Eli ibiliEli ibiliEligibilityEligibility

Deadline DatesDeadline DatesDeadline DatesDeadline Dates

September 30, 2010September 30, 2010, is the , is the deadline to apply for the ABR Part 1examdeadline to apply for the ABR Part 1examdeadline to apply for the ABR Part 1exam deadline to apply for the ABR Part 1exam to be offered in 2011. That is the last to be offered in 2011. That is the last opportunity to take the exam opportunity to take the exam without without having to go through a CAMPEP having to go through a CAMPEP g g gg g gaccredited education programaccredited education program (graduate (graduate school or residency)school or residency)school or residency).school or residency).

Deadline DatesDeadline DatesDeadline DatesDeadline Dates

September 30 2012September 30 2012 is the lastis the lastSeptember 30, 2012September 30, 2012, is the last , is the last date to apply for ABR Part 1 to be offered date to apply for ABR Part 1 to be offered i 2013 hi h i h l ii 2013 hi h i h l iin 2013, which is the last opportunity to in 2013, which is the last opportunity to take the exam without going through a take the exam without going through a g g gg g gCAMPEPCAMPEP--accredited accredited RESIDENCYRESIDENCY..

If you have already been accepted by theIf you have already been accepted by theIf you have already been accepted by the If you have already been accepted by the ABR and are in the process of taking the ABR and are in the process of taking the exam you don’t have to worry about theexam you don’t have to worry about theexam, you don t have to worry about the exam, you don t have to worry about the change in requirements for 2012/2014.change in requirements for 2012/2014.Current requirements………Current requirements………

Requirements for Part IRequirements for Part IRequirements for Part IRequirements for Part I

Anatomy, Radiobiology

PART IIPART II

Deadline DatesDeadline DatesDeadline DatesDeadline Dates

September 30, 2010September 30, 2010, is the deadline , is the deadline to apply for the ABR Part 1exam to be offered into apply for the ABR Part 1exam to be offered into apply for the ABR Part 1exam to be offered in to apply for the ABR Part 1exam to be offered in 2011. That is the last opportunity to take the 2011. That is the last opportunity to take the examexam without having to go through a CAMPEPwithout having to go through a CAMPEPexam exam without having to go through a CAMPEP without having to go through a CAMPEP accredited education programaccredited education program (graduate school (graduate school or residency)or residency)or residency).or residency).

NN di d d h d ldi d d h d lNonNon--accredited med phys program, postdoctoral accredited med phys program, postdoctoral fellow, staff member already workingfellow, staff member already working

Deadline DatesDeadline DatesDeadline DatesDeadline Dates

September 30, 2012September 30, 2012, is the last date, is the last dateSeptember 30, 2012September 30, 2012, is the last date , is the last date to apply for ABR Part 1 to be offered in 2013, to apply for ABR Part 1 to be offered in 2013, which is the last opportunity to take the exam which is the last opportunity to take the exam pp ypp ywithout going through a CAMPEPwithout going through a CAMPEP--accredited accredited RESIDENCYRESIDENCY..

CAMPEP grad school candidate preferred; for CAMPEP grad school candidate preferred; for g p ;g p ;others, must fulfill didactic requirements (more others, must fulfill didactic requirements (more on this later)on this later)

MotivationMotivationMotivationMotivation

All American Board of Medical Specialties boards have Consistent Quality

premise of all certification boards: “…. certification…requires between 3 and 6 years of t i i i dit d t i i ”training in an accredited training program …..”Except Medical Physics, Medical Genetics

CAccredited Clinical Training MattersCAMPEP accredited residency program grads pass h ABR 93%the ABR at a 93% rate, (96 takers – 5/09)

Overall ABR average is 53%

AAPM Board PolicyAAPM Board PolicyAAPM Board PolicyAAPM Board Policy

P liP li M h 31 2007 B dM h 31 2007 B dPolicy source: Policy source: March 31, 2007 Board March 31, 2007 Board Minutes Minutes Policy text: Policy text: It is the policy of the AAPM It is the policy of the AAPM that graduation from an accredited clinical that graduation from an accredited clinical ggresidency program should be a residency program should be a requirement for qualifying for board requirement for qualifying for board equ e e t o qua y g o boa dequ e e t o qua y g o boa dcertification, with an implementation date certification, with an implementation date to be negotiated with the certificationto be negotiated with the certificationto be negotiated with the certification to be negotiated with the certification boards.boards.

AAPM 2012/2014 InitiativeAAPM 2012/2014 InitiativeAAPM 2012/2014 InitiativeAAPM 2012/2014 Initiative

2008, 2009 Feb Summit2008, 2009 Feb Summit3030--40 AAPM members40 AAPM members3030 40 AAPM members 40 AAPM members

EXCOM, ABR, CAMPEP, Key AAPM EXCOM, ABR, CAMPEP, Key AAPM Committee Chairs Education program repsCommittee Chairs Education program repsCommittee Chairs, Education program reps,Committee Chairs, Education program reps,

Talks, brainstorming sessionsTalks, brainstorming sessionsMaster task list >60 items with designated Master task list >60 items with designated time frame and responsible entitytime frame and responsible entitytime frame and responsible entity.time frame and responsible entity.Budget for workshopsBudget for workshops

CAMPEP Grad ProgramsCAMPEP Grad ProgramsCAMPEP Grad ProgramsCAMPEP Grad ProgramsAAPM R t 79 ( ti l f t i i )AAPM Report 79 (essentials for training)21 programs accredited1 additional program is expected to be accredited by end of 20092 programs are in the preliminary self-study review phase4 programs are in the site visit phase1 DMP program is in the site visit phase 6 additional programs have made inquiries or are in the early phases of application

CAMPEP ResidenciesCAMPEP ResidenciesCAMPEP ResidenciesCAMPEP Residencies

AAPM Report 90 (essentials for training)AAPM Report 90 (essentials for training)

29292929

32323232

Total Possible Residencies and Total Possible Residencies and Resident Positions Resident Positions Gerbi, ~7/2009Gerbi, ~7/2009

TherapyTherapy ImagingImagingpypy g gg g

CAMPEP accreditedCAMPEP accredited 2929 33

Programs in reviewPrograms in review 1111 114040 44

gg

Programs represented at Feb. 2009 Programs represented at Feb. 2009 MPR writing workshop (Dallas, TX)MPR writing workshop (Dallas, TX)

2222 33

3838Other programsOther programs 1616 --

TOTALTOTAL >75>75 77Potential residents per year (at Potential residents per year (at >1.2 residents/prog>1.2 residents/prog--yr)yr)

>100>100 88

DMP programsDMP programs 22 11DMP programsDMP programs 22 11

Residents per DMP Program per yrResidents per DMP Program per yr ~3 x 5 = 15~3 x 5 = 15 --

Next Step may require creativityNext Step may require creativityNext Step may require creativityNext Step may require creativity

Affiliate (hub and spoke) model residencyAffiliate (hub and spoke) model residencyDoctorate in Medical Physics Doctorate in Medical Physics yyGreat concern over low number diagnostic Great concern over low number diagnostic training slotstraining slotstraining slotstraining slots

Changing culture in Radiology departments -- Giger article to appear shortly in RSNA Newspp yAAPM funding for the development of a distributed residency program among imaging physics practice groups – Bob PizzutielloCombined DI and Rad residencies

Professional Degree (PDMP) not a Research Degree (PhD)Professional Degree (PDMP) not a Research Degree (PhD)Combines Didactic and Clinical TrainingCombines Didactic and Clinical TrainingCombines Didactic and Clinical TrainingCombines Didactic and Clinical TrainingFour Four –– Five Year ProgramFive Year ProgramMore than a MS Degree + Clinical Physics ResidencyMore than a MS Degree + Clinical Physics ResidencyPDMP May Allow Completion of Clinical Training Off CampusPDMP May Allow Completion of Clinical Training Off CampusPDMP May Allow Completion of Clinical Training Off CampusPDMP May Allow Completion of Clinical Training Off Campus

at a CAMPEPat a CAMPEP--Accredited Residency Program Accredited Residency Program Students Pay Tuition throughout Program (perhaps stipend)Students Pay Tuition throughout Program (perhaps stipend)M Li it th N b f G d t Y ( d t MS)M Li it th N b f G d t Y ( d t MS)May Limit the Number of Graduates per Year (compared to MS)May Limit the Number of Graduates per Year (compared to MS)Meets ABR Eligibility Requirements for Parts I and II ExamMeets ABR Eligibility Requirements for Parts I and II Exam

Coffey RecommendationsCoffey RecommendationsName: PDMPName: PDMPCurriculum: > MS + ResidencyCurriculum: > MS + Residencyyy

Requirements to Enter a ResidencyRequirements to Enter a ResidencyRequirements to Enter a ResidencyRequirements to Enter a Residency

F ll i di i ith AAPM d ABR l d hiFollowing discussion with AAPM and ABR leadership, CAMPEP is formally relaxing the graduate requirements for entering residents.gWhile completion of AAPM TG #79 content in a CAMPEP accredited graduate program prior to entering

id i hi hl d i bl ida residency program is highly desirable, residency program directors will be given significant latitude in how residents who don't meet these expectations remediate es de ts o do t eet t ese e pectat o s e ed atethem until July 2012.Substantial graduate deficiencies in TG #79 material

lt i t i f th id i d tmay result in an extension of the residency in order to accommodate remediation of this class work.

Postdoctoral FellowsPostdoctoral FellowsPostdoctoral FellowsPostdoctoral Fellows

PhD in physics, physical science, engineering + PhD in physics, physical science, engineering + accredited residencyaccredited residencyBUT BUT –– CAMPEP requires degree in medical CAMPEP requires degree in medical physics from accredited graduate program as physics from accredited graduate program as y g gy g gdidactic prerequisite for admission into didactic prerequisite for admission into accredited residencyaccredited residencyyyEstablish a 1Establish a 1--year certificate program that would year certificate program that would provide PhD scientists and engineers didacticprovide PhD scientists and engineers didacticprovide PhD scientists and engineers didactic provide PhD scientists and engineers didactic course preparation in medical physicscourse preparation in medical physics

QUESTIONS?QUESTIONS?