Abstract

The American Board of Family Medicine (ABFM) is joining forces with the American Board of Internal Medicine (ABIM) in establishing a pilot program for Recognition of Focused Practice (RFP) in hospital medicine. This pilot was approved by the American Board of Medical Specialties (ABMS) Board of Directors on September 23, 2009. Recognition of Focused Practice (RFP) in hospital medicine will utilize the current maintenance of certification framework and would be the first customized maintenance of certification (MOC) pathway that draws heavily on practice-based learning as its foundation. The pilot would engage hospitalists in uniquely designed Part II, Part III, and Part IV tools that will be developed by the ABFM and ABIM. Recent statistics indicate rapid growth and development in the field of hospital medicine, with about 20,000 hospitalists in the United States. “Given the significant number of family physicians working exclusively in the hospital setting, our board of directors felt it important to participate fully in this pilot with the ABIM,” said James C. Puffer, MD, President and CEO of the ABFM. “We envision working together closely to develop the special tools used by our diplomates in this customized MOC pathway.” In order to attain hospital medicine recognition, ABFM Diplomates must complete residency training in family medicine, be certified in family medicine, and participate in a practice that focuses primarily on hospital medicine for a minimum of 3 years. Diplomates interested in pursuing RFP may apply to the program in 2010. Approval for the program requires an attestation by the Diplomate and a senior hospital officer that the Diplomate meets thresholds for family medicine practice in the hospital setting and professional commitment to hospital medicine. Program requirements for ABFM Recognition of Focused Practice in Hospital Medicine will include the following: Certification by the American Board of Family Medicine (ABFM)—Diplomates must be in good standing and must maintain their primary certification in family medicine by the ABFM Currently valid, full, and unrestricted license to practice medicine in the United States or Canada ACLS certification Minimum of 3 years of hospital medicine experience Attestation by the Diplomate and a senior hospital officer that the Diplomate meets thresholds for family medicine practice in the hospital setting and professional commitment to hospital medicine Maintenance of certification activity comprised of self-assessment of medical knowledge and practice performance relevant to hospital medicine Passing an ABFM MOC examination in hospital medicine Completion of the program would identify Diplomates as certified in family medicine with focused practice in hospital medicine. The pilot program will begin in the fall of 2010.

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