Exam
Started by Vilash
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It's been a really long time so forgive me if this is a dumb question, but why do you have to do a CSE if the ABPN doesn't require it?
Anyway, does it have to be done at an academic program? I would think a local to you board certified psychiatrist would help you out for a lot less money. A friend might do it for free. Are you employed? I know my employer would get it done pretty darn quick if they knew I needed it to keep working.
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Why are you getting board certified now? Is that also about money?
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Don't know what this guy is talking about. They still require CSVs during residency to sit for board exams as far as I know.
Don't have much help, you're probably not finding much about this because this isn't a situation many people run into where they haven't become board certified within 7 years of completing residency/fellowship if they're planning on becoming board certified.
You have to go through specific training to be able to observe and grade a CSE. In residency, we had to do a CSE and an additional observed patient assessment interview every year. Any attending could do the observed interview, but only a couple were allowed to proctor the CSE. If this is the same requirement OP is referring to, I can't imagine why any non-academic psychiatrist would be able to administer these unless they're part of a community residency program.
Op you list that you are board certified on your website. Texas medical board is ok with that?
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OP, you need to hire a native English speaker to fix your website. Won’t cost much. Maybe $100 to a neighbor’s kid or something. Multiple potions of your site need grammatical fixes.
On the contrary, the poor English probably causes people to stay away, and it seems like that's well deserved! He seems to be lying about being board certified, and much else seems to be intentionally misleading for people who don't know better (e.g. that testimonial on the front page, interviewing at 13 different residency programs to "pick the best"... We all know how the match works buddy)
Man I thought you guys were being rough on him and then I saw the opening a Med Spa bit after being a CFO (?!) for 3 years after CAP fellowship with a resume stating that he is still looking for other telepsych work and 2 different jobs in a year that he choose to post on his own website...
Is this new? My recollection is we could basically ask any attending "hey do we have time to make this case a CSV?"
The only requirement I could find from ABPN was that the evaluator has to be BC by ABPN: https://www.abpn.org/wp-content/uploads/2015/01/CSE-Psychiatry-2017.pdf
The CSV documentation/recommendation after completion of three satisfactory CSV's does have to come from a residency program, however, so OP does need to be going through academic programs.
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CSVs are required, but easy to do during residency. Once you are graduated, this will cost you $1,500. Why would any program risk making you board certified if they didn't train you? Lots of risk in this.
What risk?
Medical license allows the practice of medicine, not BE or BC.
Academic programs mint ARNPs and PAs and now even mini "residencies" for them too.
I'm not seeing the risk.
BE and BC is just money.
Interesting, maybe it was just a requirement at the program I was at that the attendings had to undergo specific training. I just remember that anyone could do our annual observed interviews but only a handful of attendings were allowed to conduct the actual CSE. I thought maybe ACGME had different standards for who could evaluate the CSEs, but apparently it's the same policy as APBN.
So I certify someone as being competent in their ability to do a diagnostic interview that is up to community standards, and then that physician has a bad outcome. I could be viewed as the deep pocket. You can name anyone in any litigation. I wouldn't offer CSVs to anyone I didn't train.
As a PSA, everyone should know you can use an examiner twice, but the third has to be someone else and only board certified psychiatrists can certify CSVs.
You can, indeed, sue anyone for anything, but I sure would like to see any example of a lawsuit ever being filed against a CSV proctor...that seems stretching a bit. I mean you could also sue the person's high school principal because if they hadn't certified them as having graduated high school, they couldn't have gone onto college and then med school and then residency...
Our risk management told us not to provide CSVs for people we haven't trained without insurance. So we don't do it.
Our risk management person told us not to do doc to doc conversations with outside pain management doctor unaware our patient drinks massive amounts of alcohol and lies to the pain management doctor who prescribeds the patient high dose opiates about it. They also said that if a patient transfers to an outside psychiatrist I cannot share with the patients new psychiatrist that the patient has homicidal command hallucinations, because the patient refused to sign a release of information. So I don't necessarily believe whatever the risk management guy says anymore. Legal refused to opine. But I understand you have to pick your battles, lol
Wow, legal sure is going to have to opine when the patient's family and/or the victim's family sues the facility...that's some really bad risk management there. It's absolutely the reverse of both the standard of care and literal concrete legal requirements. Your facility is at a lot more risk than someone doing a CSV...
It's never a stretch.
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This is why I hang on to the emails ordering me not to say anything.
Hi,
My name is Vivian, i have similar situation as tours, its very difficult to find a program that allows you to do your CSVs. The problem with the one in Harvard is that is not guaranteed that you pass and spending this amount of money its not easy... If i find one i will let you know. I just e mailed ABPN to find out if they know about programs that recently helps with this. They sent me a kist before but none of them does it any more. Thanks and good luck!
Vivian
It would be inappropriate of anyone to guarantee that you pass. They're acting as an independent verification that you're a reasonably competent physician and should have some sort of standards.
Of course! totally agree, the thing here is the amount of money you have to spend.
Its not the only requirement, the psychiatrist has to be affiliated to a residency program certified by ACMFG.
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