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FP become EM board certified.

Discussion in 'Family Medicine' started by George85, Mar 7, 2007.

  1. George85

    George85 Member
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    Does anyone know anything about AAPS/BCEM? This is listed as a way for FP's to become EM board certified by some of the fellowships in TN

    http://www.aafp.org/fellowships/tn.html

    I have seen web articles that state this was recognized in Florida. Does anyone know about this?
     
  2. Jack Daniel

    Jack Daniel In Memory of Riley Jane
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    Maybe this is the web article you referenced above, but it seems to be talking about AAPS/BCEM. Regardless, it doesn't seem as rigorous as the usual ABEM certification.

    http://www.aaem.org/commonsense/president0604.php

    In a nutshell, in 2002, the Florida Medical Board took the unprecedented step of approving BCEM as an emergency medicine certification Board comparable to ABEM and AOBEM by granting its parent corporation AAPS (the American Association of Physician Specialists) equal status to ABMS in Florida. As many of you know, BCEM (Board Certification in EM) provides a certificate that claims to be a "Board Certification" in Emergency Medicine to physicians who complete residency training in a number of specialties other than EM and an exam BCEM/AAPS administer. Prior to 2000, AAPS/BCEM did not even require the completion of any residency or training besides the acquisition of merit badges. This strikes to one of the core issues that necessitated the founding of AAEM, the devaluation of ABEM/AOBEM certification.
     
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  3. OP
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    George85

    George85 Member
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    But is AAPS/BCEM good enough to practice (in Florida)? What about other issues such as recognition by insurance companies and hospital priviledges? In other words, does it have any real value?
     
  4. Faebinder

    Faebinder Slow Wave Smurf
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    Yah yah yah... 20 years ago, EM didn't exist much. Now they wanna protect their turf, even in areas where they dont want to work... like rural areas.

    But have no fear... once the government attacks medicare reimburisement for ER procedures... we'll see a drop in excitment level for EM.
     
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  5. Blue Dog

    Blue Dog Fides et ratio.
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    The only certifications that really carry any weight are those that are recognized by the ABMS.
     
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  6. OP
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    George85

    George85 Member
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    Along the same lines - how does certification work for an ob fellowship in Fam Med? At the end of the fellowship you can't be board certified - or do you get a certificate of qualification under the ABFM? How do you then get privileges at a hosp ? Do they all have different criteria? How do insurance co's view /pay FP's who perform c-sections/tubals?
     
  7. Blue Dog

    Blue Dog Fides et ratio.
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    The only fellowships that are accredited by the RRC/ACGME and lead to certification (CAQ) by ABFP are in geriatrics and sports medicine. Completion of an OB fellowship simply provides additional experience, which can improve your skills and help you obtain hospital privileges.

    Yes.

    Generally, procedural reimbursement is uniform, regardless of specialty. However, there's plenty of room for variability. I wouldn't assume anything.
     
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  8. Apollyon

    Apollyon Screw the GST
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    Is it a requirement, or just a bonus, that everyone MF's EM any chance they get?
     
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  9. Blue Dog

    Blue Dog Fides et ratio.
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    Give Faebinder a little time...he'll get around to the other specialties again. ;)
     
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  10. Faebinder

    Faebinder Slow Wave Smurf
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    hahahah... whose next? Man we used to hit Radiologists and Dermatologists so much in the past... it's almost too easy... EM is a better target... lotsa people shoot back at me. :D

    *You know I love you EM guys, after all, I would never want to deal with the drunks on a christmas day... it's all yours.*
     
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  11. iatrosB

    iatrosB trying not to kill anyone
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    Faebinder...

    "equal opportunity offender"

    :laugh:
     
  12. Faebinder

    Faebinder Slow Wave Smurf
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    Close... I like to think of myself as Equal Opportunity Hater. I hate everyone equally. :D
     
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  13. Blue Dog

    Blue Dog Fides et ratio.
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    At least not outside of our families, that is. ;)
     
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  14. The Last Word

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    We must not condemn ABEM simply because that test is only for fresh residents who have nothing but supervised and sheltered training, and who don't require ATLS, ACLS or PALS.

    BCEM on the other hand, requires a pre-existing board certification in either Family Practice or Internal Medicine PLUS 5 years fulltime unsupervised and fully responsible on-the-job training and experience (as well as their previous residency with deeper study of issues such as OBGYN or cardiogenic shock/critical care) PLUS ATLS, ACLS, PALS PLUS references from boarded docs (ABEM or BCEM), PLUS 10 case reports with discussions.

    There is no superior board certification, just as there is no superior Cola or Baseball team or Religion. People with preferences will occasionally try to imply (or even bluntly state) that one or other board is inferior, but that is merely an attempt at restraining trade to their particular preference, and hence hope their pay will go up. It is also highly irresponsible to declare that one board is superior, since that creates an artificial shortage of emergency physicians, and hence wounds the public, by limiting their access to recognized physicians.

    The Institute of Medicine (IOM) has declared in its 2006 reports on emergency care that board certification should never be a requirement for designation as an emergency physician. It is merely a merit badge, something to put on your CV to impress. The only requirements should be proof of competency in core knowledge and skills. Such core competency testing (already present in a minor format as ACLS, ATLS and PALS) will one day become the mainstay of emergency physician designation and employment requirements, and board certifications will still be respected, but not required, like winning an essay prize or academic competition or publishing a paper, but nothing more than that.

    Being board certified does NOT prove you can intubate, place a thoracostomy tube or treat cardiogenic shock.

    Please refer to the IOM website or that of the United States Alliance of Emergency Medicine for more information (www.usaem.org).

    TLW :idea:
     
  15. Blue Dog

    Blue Dog Fides et ratio.
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    I'd like to see you post that in the EM forum. ;)
     
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  16. iatrosB

    iatrosB trying not to kill anyone
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    :laugh: :smuggrin:
     
  17. Seaglass

    Seaglass Quantum Member
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    Actually, it does.

    Actually it used to be that way, but these merit badges are no longer sufficient. There are many patient who present with emergent medical condtions that aren't covered by these resuscitation algorithms.

    If it's unsupervised then it's not training - it's just experience. The techs in my ED have more than 5 years of experience but that doesn't make them good emergency doctors.

    Until recently ABMS didn't even require completion of a residency program to qualify for the exam. The association is disproportionally made up of persons claiming EM qualification (>80%) and is clearly trying to make an end-around normal board certification. Just like any other specialty - if you want to be board certified, you need to do a residency.

    WE ARE WATCHING YOU!! ;)
     

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