ABU: HISTORY AND ORGANIZATION

THE AMERICAN BOARD OF UROLOGY WAS ORGANIZED IN CHICAGO SEPT. 24, 1934

IT WAS INCORPORATED AS A NONPROFIT ORGANIZATION MAY 10, 1935

THERE ARE 12 TRUSTEES WHO SERVE 6 YEAR STAGGERED TERMS

THE TRUSTEES ARE NOT PAID THE TRUSTEES ARE NOMINATED BY THE AUA,

AAGUS, AACU, ACS, SSU, AND THE AAP SECTION ON UROLOGY

THE ABU & 23 OTHER MEDICAL SPECIALTY BOARDS ARE MEMBERS OF THE ABMS

American Board of UrologyTrustees 2008-2009

President: W. Bedford Waters, M.D. Vice-President: David A. Bloom, M.D. President-Elect: Michael O. Koch, M.D. Secretary-Treasurer: William D. Steers, M.D.

Robert R. Bahnson, M.D.Timothy B. Boone, M.D.Ralph V. Clayman, M.D.John B. Forrest, M.D.Gerald H. Jordan, M.D.Barry A. Kogan, M.D.Paul H. Lange, M.D.Margaret S. Pearle, M.D.

ABU PURPOSE OF CERTIFICATION

THE ABU IS ORGANIZED TO ENCOURAGE STUDY, IMPROVE STANDARDS, AND PROMOTE COMPETENCY IN THE PRACTICE OF UROLOGY

THE ABU IDENTIFIES FOR THE PUBLIC’S KNOWLEDGE THOSE PHYSICIANS WHO HAVE SATISFIED THE ABU’S CRITERIA FOR CERTIFICATION, RECERTIFICATION & MOC IN UROLOGY

CERTIFICATION BY THE ABU DOES NOT GUARANTEE COMPETENCE IN PRACTICE

FUNCTIONS OF THE ABU

Evaluates candidates who are duly licensed to practice medicine, & arranges & conducts examinations for the purpose of certification, subspecialty certification, recertification, and ongoing maintenance of certification.

Certificates are conferred to candidates who successfully complete all requirements for a given certificate.

All certificates are the property of the Board, and the Board holds the power to revoke such certificates.

ABU PURPOSE AND FUNCTIONS

Is not a part of the AUAIs not involved in the evaluation of urologic

training programs (RRC)Makes no attempt to control the practice of

urology by licensed or legal proceedingsDoes not interfere with or limit the practice of

professional activities by licensed physicians

RECERTIFICATION: HISTORY

SINCE 1985 ALL CERTIFICATES ISSUED BY THE ABU HAVE BEEN LIMITED TIME CERTIFICATES WHICH EXPIRE IN 10 YEARS

THE ABU HAD NO LEGITIMATE BASIS TO RETROACTIVELY LIMIT THE CERTIFICATES OF UROLOGISTS WHO HAD BEEN PREVIOUSLY CERTIFIED

RECERTIFICATION: HISTORY

THEREFORE ALL DIPLOMATES WHO HAD PASSED THE PROCESS PRIOR TO 1985 ARE “GRANDFATHERED”

THE 2003 RECERTIFICATION PROCESS INVOLVED THE FIRST GROUP OF UROLOGISTS TO UNDERGO A SECOND RECERTIFICATION EVALUATION

CURRENT STATUS OF GRANDFATHERED UROLOGISTS

THERE ARE 10,178 CERTIFIED UROLOGISTS THERE ARE 1857 (18% OF TOTAL) CERTIFIED

UROLOGISTS LESS THAN 66 YEARS OLD WITH TIME LIMITED CERTIFICATE. AN UNKNOWN NUMBER OF THESE DIPLOMATES ARE RETIRED OR DECEASED.

BY THE TIME MOC IS FULLY IMPLEMENTED 2017 THERE WILL BE 7 (.01% OF TOTAL) CERTIFIED UROLOGISTS WITHOUT TIME-LIMITED CERTIFICATE UNDER 66 YEARS OLD.

RECERTIFICATION: REQUIREMENTS

1. A VALID UNRESTRICTED MEDICAL LICENSE IN THE GEOGRAPHIC AREA OF CLINICAL ACTIVITY

2. STATEMENT REGARDING ADVERSE ACTIONS IN LICENSURE, MALPRACTICE EXPERIENCE , ADVERSE ACTIONS ON HOSPITAL PRIVILEGES, SUBSTANCE ABUSE/DEPENDENCY PROBLEMS

3. CONFIDENTIAL PEER REVIEW

RECERTIFICATION: REQUIREMENTS

A 6 MONTH ELECTRONIC LOG SIMILAR TO THE LOG FOR CERTIFICATION

90 HOURS OF CME IN THE PAST 3 YEARS TAKE AND PASS A COMPUTER-BASED MODULAR,

CLOSED BOOK EXAMINATION WITH CLINICAL QUESTIONS AT COMPUTER TEST CENTERS

THE EXAM CONSISTS OF 30 QUESTIONS FROM EACH OF 3 AREAS OF CLINICAL UROLOGY. THE CANDIDATE MAY CHOOSE THESE 3 AREAS FROM 5.

RECERTIFICATION:PROCESS THREE YEARS PRIOR TO THE EXPIRATION OF HIS

(HER) TIME LIMITED CERTIFICATE THE DIPLOMATE WILL BE NOTIFIED BY THE BOARD OFFICE THAT HE (SHE) MAY ENTER THE RECERTIFICATION PROCESS

THEREFORE HE (SHE) CAN HAVE 3 CHANCES TO BE RECERTIFIED

UPON SUCCESSFUL COMPLETION OF THE PROCESS THE DIPLOMATE IS ISSUED A CERTIFICATE VALID FOR 10 ADDITIONAL YEARS FROM THE DATE OF EXPIRATION OF THE ORIGINAL CERTIFICATE OR THEIR PRIOR RECERTIFICATION

RECERTIFICATION RESULTS

APPROXIMATELY 96% OF THE CANDIDATES COMPLETE THE PROCESS ON THEIR FIRST ATTEMPT

APPROXIMATELY 98 % OF THE CANDIDATES COMPLETE THE PROCESS IN THE ALLOTTED TIME

IN 2007, 426 (96%) OF 446 CANDIDATES PASSED THE WRITTEN COMPONENT OF THE RECERTIFICATION PROCESS

MAINTENANCE OF CERTIFICATION

THE AMERICAN BOARD OF MEDICAL SPECIALTIES (ABMS) VOTED IN MARCH 2002 TO COMMIT MEMBER BOARDS TO MAINTENANCE OF CERTIFICATION FOR DIPLOMATS WITH TIME LIMITED CERTIFICATES

THE ABU HAD NO CHOICE BUT TO COMPLY WITH THIS MANDATE

THIS WILL INVOLVE SIX GENERAL AREAS OF COMPETENCY

GENERAL COMPETENCIES

• MEDICAL KNOWLEDGE• PATIENT CARE• INTERPERSONAL AND

COMMUNICATIONS SKILLS• PROFESSIONALISM• PRACTICE BASED LEARNING AND

IMPROVEMENT• SYSTEM BASED MEDICINE

MAINTENANCE OF CERTIFICATION PROCESS

• THE INDIVIDUAL BOARDS WILL EVALUATE THEIR DIPLOMATES IN THE FOLLOWING AREAS

– PROFESSIONAL STANDING (LICENSE)– LIFELONG LEARNING AND SELF-ASSESSMENT (CME)– COGNITIVE EXPERTISE (EXAMINATIONS)– PRACTICE PERFORMANCE (OUTCOMES)

• THIS IS TO BE AN ON GOING PROCESS WITH COMPONENTS EVALUATED AT 2 YEAR INTERVALS

• Unfortunately there has been a fair amount of erroneous information disseminated about the MOC process

• All ABMS boards (which are the only legitimate boards generally recognized by hospitals and third parties) currently have or are developing an MOC process

• The Maintenance of Certification (MOC) plan which has been developed by the American Board of Urology is similar to many of the other specialty Boards, and is significantly less onerous than most.

MOC

• The Trustees have made the MOC process as simple as possible while conforming to the ABMS mandates

• The Trustees spent a significant amount of time over the last three years to insure that MOC process was meaningful, yet as inexpensive and unobtrusive as possible

• Ultimately the process will be completed almost entirely online

• The MOC process began with diplomates who were certified or recertified in 2007

MOC

COMPONENT Year 2(Level 1

Year 4(Level 2)

Year 6(Level 3)

Year 7-10(Level 4)

Full, unrestricted license to practice medicine in primary state or territory of residence

* * * *

Chief of Staff verification of unrestricted hospital privileges * *

Admitting privileges * *

Completion of urology-focused CME credits * *

6-month log of all surgical and office procedures and office visits * *

Completion of Practice Assessment Protocol * * * *

Satisfactory Peer Review * *

Successful completion of secure closed book computer based examination *

Current PAP’s

• Management of Stage Ta, T1, Tis Bladder Cancer• Prostate Specific Antigen Screening• Antibiotic Prophylaxis for Urological Procedures• Evaluation & Management of Ureteral Calculi• Evaluation & Management of Vesicoureteral Reflux• Evaluation & Management of Clinically Localized Prostate

Cancer• Deep Venous Thrombosis Prophylaxis• Evaluation & Management of Erectile Dysfunction• Evaluation & Management of Varicocele

CERTIFICATION PROCESS Certification Exam Year

Certificate Expires

Year for Level 1 (year 2)

Year for Level 2 (year 4)

Year for Level 3 (year 6)

Year for Level 4 (years 7-9)

2007 2017 2009 2011 2013 2014-2016

2008 2018 2010 2012 2014 2015-2017

2009 2019 2011 2013 2015 2016-2018

2010 2020 2012 2014 2016 2017-2019

2011 2021 2013 2015 2017 2018-2020

2012 2022 2014 2016 2018 2019-2021

2013 2023 2015 2017 2019 2020-2022

2014 2024 2016 2018 2020 2021-2023

2015 2025 2017 2019 2021 2022-2024

2016 2026 2018 2020 2022 2023-2025

2017 2027 2019 2021 2023 2024-2026

RECERTIFICATION PROCESSCurrent Certificate

ExpiresRecertification

Exam Years Year for Level 1

(year 2)Year for Level 2

(year 4)Year for Level 3

(year 6)Year for Level 4

(years 7-9)

2008 2007 2010 2012 2014 2015-2017

2009 2007-2008 2011 2013 2015 2016-2018

2010 2007-2009 2012 2014 2016 2017-2019

2011 2008-2010 2013 2015 2017 2018-2020

2012 2009-2011 2014 2016 2018 2019-2021

2013 2010-2012 2015 2017 2019 2020-2022

2014 2011-2013 2016 2018 2020 2021-2023

2015 2012-2014 2017 2019 2021 2022-2024

2016 2013-2015 2018 2020 2022 2023-2025

2017 2014-2016 2019 2021 2023 2024-2026

2018 2015-2017 2020 2022 2024 2025-2027

AMERICAN BOARD OF UROLOGY FINANCES

• THE TRUSTEES OF THE AMERICAN BOARD OF UROLOGY SPEND AN AVERAGE OF THREE WEEKS PER YEAR FOR 6 YEARS WORKING FOR THE BOARD WITH NO COMPENSATION.

• THE ABU HAD AN OPERATING BUDGET DEFICIT OF $119,000 IN 2005, $107,000 IN 2006, AND $49,979 IN 2007. DURING THE PREVIOUS 8 YEARS THE OPERATING BUDGET WAS CLOSE TO BREAKING EVEN. WITHOUT VOLUNTARY DUES THERE WOULD HAVE BEEN A DEFICIT ALMOST EVERY YEAR.

• THE ABU LIKE ANY OTHER INDIVIDUAL OR ORGANIZATION (EXCEPT THE U.S. GOVERNMENT) CANNOT PERMANENTLY HAVE AN OPERATING DEFICIT.

• THE ENDOWMENT OF THE ABU ON 12/31/07 WAS $2,535,691. IT NEEDS THE ENDOWMENT IN CASE OF EXPENSIVE LAW SUITS, UNEXPECTED EXPENSES, OR OPERATING DEFICITS AS IT HAS HAD FOR THE LAST THREE YEARS.

• THE CHARGE FOR RECERTIFICATION IS $1300 OR A TAX DEDUCTABLE $130 PER YEAR.

MOC Benefits

• Easy re-licensure by state medical boards

• Easy re-credentialing by hospitals

• malpractice premiums

• Benchmarks for improving patient care

• Dovetail with P4P

ABU WEB SITEwww.abu.org

REVIEW OF THE CERTIFICATION PROCESSREVIEW OF THE RECERTIFICATION PROCESSALL APPLICATION FORMS (CAN DOWNLOAD)HANDBOOKS FOR CERTIFICATION AND

RECERTIFICATION NEWSLETTERSLIST OF TRUSTEES AND OFFICERSCONTACT INFORMATIONLINKS TO THE ABMS