Official Actions 2013 Annual Report of the American Board of Psychiatry and Neurology, Inc _ The following is an edited version of the 2013 Report of the American Board of Psychiatry and Neurology, Inc. The full report can be obtained from the American Board of Psychiatry and Neurology (www.abpn.com). The American Board of Psychiatry and Neurology (ABPN) is a nonprofit corporation that was founded in 1934. The mission of the ABPN is to develop and provide valid and reliable procedures for certification and maintenance of certification in psychiatry and neurology by: • Developing the best testing methods to evaluate candidate and diplomate competencies; • Applying the best technologies and information available to collect and analyze pertinent data; • Communicating and collaborating effectively with training programs, residents, candidates, diplomates, professional and health care organizations, and the public; and • Operating programs and services effectively and efficiently. The Board consists of neurologists, who are nominated by the American Academy of Neurology (AAN), the American Neurological Association (ANA), and Neurology Directors; and psychiatrists, who are nominated by the American College of Psychiatrists (ACP), the American Medical Association (AMA), the American Psychiatric Association (APA), and Psychiatry Directors. In 2013, Patricia K. Crumrine, M.D., was Chair of the Board and Christopher C. Colenda, M.D., was Vice Chair. Larry R. Faulkner, M.D., is the President and Chief Executive Officer of the Board.

2013 Board of Directors Board Chair Patricia K. Crumrine, M.D. Board Vice Chair Christopher C. Colenda, M.D., M.P.H. Board Secretary Barbara S. Schneidman, M.D., M.P.H. Board Treasurer Terrence L. Cascino, M.D. Board Member-at-Large Robert W. Guynn, M.D. Board Member-at-Large Ralph F. Józefowicz, M.D.

Pittsburgh, Pa. Morgantown, W.Va. Seattle, Wash. Rochester, Minn. Houston, Tex. Rochester, N.Y.

The ABMS is a not-for-profit organization comprising 24 medical specialty Member Boards. The mission of the ABMS is to maintain and improve the quality of medical care by assisting the Member Boards in their efforts to develop and utilize professional and educational standards for the certification of physician specialists in the U.S. and internationally. The intent of both initial certification of physicians and maintenance of certification is to provide assurance to the public that a physician specialist certified by a Member Board of the ABMS has successfully completed an approved educational program and evaluation process that includes components designed to assess the medical knowledge, judgment, professionalism, and clinical and communication skills required to provide quality patient care in that specialty. The ABMS coordinates the activities of its Member Boards and provides information to the public, the governments of the U.S. and other countries, the profession, and its Members concerning issues involving certification of physicians in the U.S. and internationally.

ABPN Statement on Professionalism Professionalism forms the basis of medicine’s contract with society. The ABPN is concerned with those aspects of professionalism that are demonstrated through a physician’s clinical competence, commitment to lifelong learning and professional improvement, interpersonal skills, and ethical understanding and behavior. In its credentialing, certification, and MOC programs, the ABPN seeks to assess and document that its candidates and diplomates possess and maintain these essential aspects of professionalism.

The mission of the ABPN is to develop and provide valid and reliable procedures for certification and maintenance of certification in psychiatry and neurology by: • Developing the best testing methods to evaluate candidate and diplomate competencies; • Applying the best technologies and information available to collect and analyze pertinent data; • Communicating and collaborating effectively with training programs, residents, candidates, diplomates, professional and health care organizations, and the public; and • Operating programs and services effectively and efficiently. Methods for achieving that goal include (but are not limited to) efforts to:

2013 Neurology Directors

Terrence L. Cascino, M.D. J. Clay Goodman, M.D. Laurie Gutmann, M.D. Ralph F. Józefowicz, M.D. Kerry H. Levin, M.D. Noor A. Pirzada, M.D. Ann Tilton, M.D.

ABPN is a Member Board of the American Board of Medical Specialties (ABMS)

ABPN Mission Statement

2013 Executive Committee

Patricia K. Crumrine, M.D.

ABPN Statement on Professionalism and Mission Statement

Chair, Neurology Council Pittsburgh, Pa. Rochester, Md. Houston, Tex. Iowa City, Iowa Rochester, N.Y. Pepper Pike, Ohio Monclava, Ohio New Orleans, La.

2013 Psychiatry Directors Christopher C. Colenda, M.D., M.P.H. Chair, Psychiatry Council Morgantown, W.Va. Robert N. Golden, M.D. Madison, Wisc. Robert W. Guynn, M.D. Houston, Tex. Paramjit Joshi, M.D. Lutherville, Md. George A. Keepers, M.D. Portland, Oreg. Robert J. Ronis, M.D., M.P.H. Shaker Heights, Ohio Barbara S. Schneidman, M.D., M.P.H. Seattle, Wash. Kailie Shaw, M.D. Tampa, Fla.

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1. Describe, in terms of knowledge and skills, a physician with special expertise in evaluation, diagnosis, and treatment of patients with psychiatric and/or neurologic disorders or who require psychiatric and/or neurologic assessment. 2. Set the standards for knowledge and skills required for certification. 3. Construct and administer examinations designed to evaluate required knowledge and skills. 4. Monitor, evaluate, and improve the standards and procedures of the certification process. 5. Participate in the appropriate Residency Review Committees of the Accreditation Council for Graduate Medical Education (ACGME) to set standards for the quality and scope of residency training programs to ensure that their graduates will obtain necessary training credit toward certification. 6. Issue certificates and other forms of recognition to successful candidates. 7. Make lists available of diplomates who have fulfilled the requirements for certification. 8. Inform the public, other professions, and other medical organizations of the purposes, activities, and responsibilities of the Corporation.

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TABLE 1. Certification Statistics Through December 31, 2013 Specialty/Subspecialty

Year Certification Began

Certification Issued in 2013

Total Certificates

1935 1935 1968 1935 1993 1959 1992 2013 1994 1991 2008 2001 2008 2000 2005 2007 2005

1,589 602 104 Last certificate awarded in 1969 Exam offered in 2014 536 239 477 174 Exam offered in 2014 Exam offered in 2014 4 Exam offered in 2014 16 115 180 Exam offered in 2014

55,426 17,327 2,268 827 2,206 8,628 2,556 477 2,125 3,198 104 77 622 305 1,286 1,399 1,169

Psychiatry Neurology Neurology with special qualification in child neurology Neuropsychiatry Addiction psychiatry Child and adolescent psychiatry Clinical neurophysiology Epilepsy Forensic psychiatry Geriatric psychiatry Hospice and palliative medicine Neurodevelopmental disabilities Neuromuscular medicine Pain medicine Psychosomatic medicine Sleep medicine Vascular neurology

TABLE 2. Maintenance of Certification (MOC) Statistics Through December 31, 2013

Specialty/Subspecialty

Year Recertification Began

Exam Pass Rate

Total Number Recertified

2002 2002 2003 2002

99% 99% 98% 94%

8,425 3,374 442 1,024

2004

99%

1,494

2001

96%

940

2003 2000 2010

96% 95% 100%

904 1,693 18

2008

92%

68

Psychiatry MOC Neurology MOC Child neurology MOC Addiction psychiatry MOC Child and adolescent psychiatry MOC Clinical neurophysiology MOC Forensic psychiatry MOC Geriatric psychiatry MOC Neurodevelopmental disabilities MOC Pain medicine MOC

9. Participate in the activities of the American Board of Medical Specialties (ABMS) and its member Boards.

Certification Statistics

TABLE 3. Number of ABPN Diplomates Who Have Maintained Certification as of December 31, 2013 Diplomates Diplomates With With Lifetime Time-Limited MOC Total Specialty/Subspecialty Certificates Certificates Count Psychiatry Neurology Child neurology Child and adolescent psychiatry Addiction psychiatry Clinical neurophysiology Forensic psychiatry Geriatric psychiatry Neurodevelopmental disabilities Pain medicine Total

103 53 24 27

8,223 3,246 412 1,446

8,326 3,299 436 1,473

n.a. n.a.

908 858

908 858

n.a. n.a. n.a.

841 1,434 18

841 1,434 18

n.a. 207

68 17,454

68 17,661

16 ABPN diplomates sat for certification and 18 sat for MOC. The American Board of Internal Medicine administered the certification examination in Sleep Medicine to 259 ABPN diplomates. The ABPN administered Psychiatry oral examinations in Miami, FL, and Chicago, IL. The Child and Adolescent Psychiatry oral examination was held in San Antonio, TX. A total of 808 candidates took the oral examinations.

Examination Results The ABPN administered 22 computer-based specialty and subspecialty certification and maintenance of certification (MOC) examinations in 2013 (for certification statistics and examination results, see Tables 1–4; to view a list of individuals who received certification and MOC in 2013, see the data supplement accompanying the online version of this report). Nineteen combined MOC examinations were administered to 164 ABPN diplomates. About 7,000 examinees took ABPN computer-based examinations at Pearson VUE testing centers. The certification examination in Neurodevelopmental Disabilities was administered to four ABPN diplomates and four American Board of Pediatrics diplomates. The maintenance of certification examination in Neurodevelopmental Disabilities was administered to one ABPN diplomate and five American Board of Pediatrics diplomates. Two additional subspecialty examinations were administered by other ABMS boards. The American Board of Anesthesiology administered certification and MOC Pain Medicine examinations;

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Awards, Honors, Publications, and Presentations Awards and Honors John B. Bodensteiner, M.D., incoming director, received the Hower Award from the Child Neurology Society (CNS). The award honors a child neurologist who is highly regarded as an outstanding teacher and scholar and has given a high level of service to the CNS. Terrence L. Cascino, M.D., gave the Raymond D. Pruitt lecture at the Mayo Clinic Alumni Association meeting, September 2013. The lecture was titled “Medical Education: Past and Future.” Christopher Colenda, M.D., received the Edithe J. Levit Distinguished Service Award from the National Board of Medical Examiners. Christopher Colenda, M.D., served as chair of the Liaison Committee for Medical Education.

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OFFICIAL ACTIONS

TABLE 4. 2013 Examination Results Examinations Psychiatry Part I Psychiatry Part II Psychiatry certification Neurology certification Child neurology certification Child and adolescent psychiatry (computer) Child and adolescent psychiatry (oral) Child and adolescent psychiatry certification Clinical neurophysiology Epilepsy Forensic psychiatry Neurodevelopmental disabilitiesa Pain medicinea Psychosomatic medicine Sleep medicinea MOC Psychiatry MOC Neurology MOC Child neurology MOC Addiction psychiatry MOC Child and adolescent psychiatry MOC Clinical neurophysiology (general, EEG, EMG) MOC Forensic psychiatry MOC Geriatric psychiatry MOC Neurodevelopmental disabilitiesa MOC Pain medicinea a

Number Passing

Total Candidates

Percent Passing

149 326 1,263 602 104 244 265 271 239 477 174 4 16 115 180 1,029 455 54 105 217 119 107 60 2 14

441 470 1,516 769 138 302 338 279 307 515 180 4 16 142 259 1,049 458 56 109 220 126 113 63 2 18

34% 69% 83% 78% 75% 81% 78% 97% 78% 93% 97% 100% 100% 81% 69% 98% 99% 96% 96% 99% 94% 95% 95% 100% 78%

ABPN only. Larry R. Faulkner, M.D., was the Roy Brophy Visiting Professor in the Department of Psychiatry and Behavioral Sciences, University of California Davis School of Medicine, April 2013. Robert N. Golden, M.D., received the 2013 Distinguished Alumnus Award from the Boston University School of Medicine. Robert N. Golden, M.D., and Shannon Kenney, M.D., presented the Landes-Merrimon lecture and served as visiting professors at the University of North Carolina School of Medicine in January 2013. The lecture was titled “EBV, 5-HT, and UNC: Reflections on Virology, Psychobiology, and Tar Heels.” Ludwig Gutmann, M.D., former ABPN director, received the 2013 Lifetime Achievement Award from the American Association of Neuromuscular and Electrodiagnostic Medicine. Paramjit Joshi, M.D., assumed the two-year presidency of the American Academy of Child and Adolescent Psychiatry, in October 2013. Paramjit Joshi, M.D., received a Special Presidential Commendation Award from the American Psychiatric Association in recognition of quality clinical care, training and research in child and adolescent psychiatry, April 2013. Paramjit Joshi, M.D., delivered the 22nd annual William R. DeLoache Lecture at the Department of Pediatrics, University of South Carolina School of Medicine Greenville, Greenville Health System Children’s Hospital, November 2013. George Keepers, M.D., served as Chair of The American College of Psychiatrists’ Committee on Scientific Programs and has been elected chair of the Psychiatry RRC. Janice Massey, M.D., former ABPN director, received the 2013 Distinguished Physician Award from the American Association of Neuromuscular and Electrodiagnostic Medicine. Barbara Schneidman, M.D., served as President of The American College of Psychiatrists.

Publications and Presentations In 2013, ABPN directors, staff, and MOC ambassadors produced several publications (1–6). They also made presentations at annual meetings and other gatherings (7–45).

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References 1. Faulkner LR: Promoting competence and lifelong learning in psychiatry: implications for residency training programs, the ABPN, and the American College of Psychiatrists, in the American College of Psychiatrists 50th Anniversary: Past, Present, and Future. Edited by Shore JH. Chicago, American College of Psychiatrists, 2013, pp 150–153 2. Faulkner LR: ABPN MOC update. Psychiatry News, Sept 4, 2013; 48:1–1 3. Faulkner LR: ABPN MOC update. Newsletter of the American Academy of Addiction Psychiatry, Dec 1, 2013 4. Juul D, Sexson SB, Brooks BA, Beresin EV, Bechtold DW, Lang JA, Faulkner LR, Tanguay P, Dingle AD: Relationship between performance on child and adolescent psychiatry in-training and certification examinations. J Grad Med Educ 2013; 5: 262–266 5. Juul D, Flynn FG, Gutmann L, Pascuzzi RM, Webb L, Massey JM, DeKosky ST, Foertsch M, Faulkner LR: Association between performance on neurology in-training and certification examinations. Neurology 2013; 80:206–209 6. Vondrak P: The ABPN Continuous MOC (C-MOC) Program helps keep you up-to-date on maintenance of certification requirements. Connections 2013; 21:4–5 7. Anzia J: Lifelong learning: the ABPN MOC Program, presented at the Department of Psychiatry and Behavioral Sciences Meeting, Northwestern University Feinberg School of Medicine, Chicago, April 2013 8. Baker M: Strength in letters: harnessing the power of publishing associations, presented at Chicago Book Expo, St Augustine College, Chicago, Nov 2013 9. Bernstein C: Lifelong learning: the ABPN MOC Program, presented at the Meeting of New York Early Career Psychiatrists and Residents. New York, Dec 2013 10. Crumrine P: Update on epilepsy examination and fellowship, presented at epilepsy grand rounds, Cleveland Clinic. Cleveland, March 2013

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11. Faulkner LR: Promoting physician competence through lifelong learning and deliberate practice: implications for academia, presented at the Annual Meeting of the Benjamin Rush Society. La Jolla, Calif, Jan 2013 12. Faulkner LR: Credentialing for psychiatrists, presented at the Annual Meeting of the American Association of Directors of Psychiatric Residency Training, Ft Lauderdale, Fla, March 2013 13. Faulkner LR: The ABPN perspective on the Milestones Project: strengthening the credentialing process for board certification, presented at the Annual Meeting of the American Association of Directors of Psychiatric Residency Training, Ft Lauderdale, Fla, March 2013 14. Faulkner LR: A brief overview of MOC, presented at the Annual Meeting of the Association of University Professors of Neurology, San Diego, March 2013 15. Faulkner LR: An overview of MOC, presented at the Annual Meeting of the American Academy of Neurology, San Diego, March 2013 16. Faulkner LR: Resident information session, presented at the Annual Meeting of the American Academy of Neurology, San Diego, March 2013 17. Faulkner LR: ABPN Update: preparing for future challenges, presented at the Annual Meeting of the American Academy of Neurology, San Diego, March 2013 18. Faulkner LR: Promoting physician competence through lifelong learning and deliberate practice: implications for academia, presented at the Department of Psychiatry Grand Rounds, SUNY Buffalo School of Medicine, Buffalo, NY, April 2013 19. Faulkner LR: The ABPN perspective on the Milestones Project: strengthening the credentialing process for Board certification, presented at the Department of Psychiatry and Behavioral Sciences Grand Rounds, UC Davis School of Medicine, Davis, Calif, April 2013 20. Faulkner LR: ABPN Update: certification in psychiatry and its subspecialties, presented at the Annual Meeting of the American Psychiatric Association, San Francisco, May 2013 21. Faulkner LR: ABPN and APA perspectives on MOC, presented at the Annual Meeting of the American Psychiatric Association, San Francisco, May 2013 22. Faulkner LR: ABPN Update: preparing for future challenges, presented at the Annual Meeting of the American Psychiatric Association, San Francisco, May 2013 23. Faulkner LR: ABPN Update: an overview of the ABPN MOC Program, presented at the Annual Meeting of the American Neurological Association, New Orleans, October 2013 24. Faulkner LR: MOC and lifelong learning in child neurology, presented at the Annual Meeting of the Child Neurology Society, Austin, Tex, Oct 2013 25. Flippen C: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Washington State Neurological Society, Seattle, Oct 2013 26. Guynn R: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Texas Society of Psychiatric Physicians, Houston, Nov 2013 27. Hargrave R: Lifelong learning: the ABPN MOC Program, presented at the Annual Meeting of the American Association for Geriatric Psychiatry

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28. Józefowicz R: Lifelong learning: the ABPN MOC Program, presented at the Department of Neurology Grand Rounds, University of Rochester School of Medicine and Dentistry, Rochester, NY, Jan 2013 29. Józefowicz R: Lifelong learning: the ABPN MOC Program, presented at the Fall Conference of the American Academy of Neurology, Las Vegas, Oct 2013 30. Józefowicz R: Lifelong learning: the ABPN MOC Program, presented at the Subspecialty Summit of the American Academy of Neurology, Las Vegas, Oct 2013 31. Levin K: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the New York State Neurological Society, Cooperstown, NY, May 2013 32. Levin K: Lifelong learning: the ABPN MOC Program, presented at the Department of Neurology Grand Rounds, University of Michigan Medical School, Ann Arbor, Mich, Sept 2013 33. Levin K: Lifelong learning: the ABPN MOC Program, podcast posted on the American Academy of Neurology website, Dec 2013 34. Mihajlovic A: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Department of Neurology, University of Illinois College of Medicine, Chicago, May 2013 35. Morris J: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Psychiatrists of Guam, Hagatna, Guam, March 2013 36. Morris J: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Maine Association of Psychiatric Physicians, Portland, ME, April 2013 37. Ronis R: Lifelong learning: the ABPN MOC Program, video broadcast to Ohio State Hospital System, Sagamore Hills, Ohio, Aug 2013 38. Ronis R: Lifelong learning: the ABPN MOC Program, presented at the Department of Psychiatry and Behavioral Science Grand Rounds, Nassau University Medical Center, East Meadow, NY, Oct 2013 39. Ronis R: Lifelong learning: the ABPN MOC Program, presented at the Department of Psychiatry Grand Rounds, MetroHealth in Cleveland, Cleveland, Oct 2013 40. Ross M: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Idaho State Neurological Society, Boise, Idaho, Nov 2013 41. Schneidman B: Lifelong learning: the ABPN MOC Program, presented at the Meeting of the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine. Seattle, June 2013 42. Schneidman B: Lifelong learning: the ABPN MOC Program, presented at the Annual Meeting of the Academy of Psychosomatic Medicine, Tucson, Ariz, Nov 2013 43. Shaw K: Lifelong learning: the ABPN MOC Program, presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, Orlando, Fla, Oct 2013 44. Walaszek A: Lifelong learning: the ABPN MOC Program, presented at the Department of Psychiatry Grand Rounds, University of Wisconsin School of Medicine and Public Health, Madison, Wisc, April 2013 45. Whittington P: Managing data and business processes, presented at the ABMS Board Staff Conference, Lexington, Ky, Oct 2013

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2013 annual report of the American Board of Psychiatry and Neurology, Inc.

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