How does the case submission part work? They just choose “random” cases and deduct points for whatever they don’t like? Seems so weird since really every case has its own set of circumstances that the reviewers couldn’t possibly know about. Seems very subjective.Lol wasn't sarcasm. I failed 2/3 parts I took. Failed both forefoot and passed rearfoot computer which some think is the hardest section. I walked out of there thinking it's a joke, super easy. All my friends that failed sections said the same thing. I have never meat anyone who comes out of it saying oh man that was tough. But It's all a scam. I have many fellowship trained friends who failed too. And they all thought it was easy. Don't get me started on this. I lost points on a case for incomplete healing of dorsal shelf of an Austin. 12 weeks out, lady was in shoes and running and super happy. I lost points after a lapidus because they thought there was some elvatus of first met that the patient didn't have a problem with. I lost a bunch of points in 5 categories for the same reason ( which made no sense) when doing a lapidus on a 13 year old girl. The reviewer said there was an open growth plate. So I lost points in medical decision making, case outcome etc all for "incorrect procedure selection.". Patient had great outcome and I swear I have shown x-ray to 50 people and not 1 person has ever said they say a growth plate. It's all a scam to make money for ABFAS. And of course I had no recourse to appeal and say look at this g**damn xray there is no f****** open growth plate if you don't dock me 5 categories I pass. Instead I owe them another 500 bucks to retake ff case. Plus another 250 but ks for an "admin" fee so they can go out to fancy dinners in San Francisco.
I Passed ABFAS. I wasnt sure I would as they managed to chose two of my worst outcomes for case review.
One was a midfoot non-union which she refused more surgery. I guess that isnt a terrible outcome if she had no pain and was happy but I was nervous they chose that case. It's clearly a nonunion and didnt look good on final x-ray at all but she is happy as can be. Still on the bone stimulator to this day.
Another was a lapidus that was fairly elevated at final x-ray. Intraop C arm images I saved showing simulated weightbearing without evidence of elevatus. Looked and felt great intraop. Not sure if the intraop simulated weightbearing I uploaded saved me. They chose some really straight forward cases like an Akin and a Weil type osteotomy as a case to review me on. I also did lapidus bunions with those two cases with no elevatus or complications so maybe they saw that and let the elevatus slide? The other's they chose went fine and I didnt expect to have any problems with. Maybe I did fail the two and the remainder saved me. I'll never know.
I also overdocumented 100% of my surgical cases pre and post op. Straight up books for notes without a consideration or potential complication left out of the documentation.
I thought CBPS part II was reasonably difficult. I passed but I didnt think it was that easy. Everyone is different though. I always felt I had to work a little more than most in my class to get the grades I wanted. Never felt great walking out of exams in pod school but usually did pretty well on them. I think I have some degree of test anxiety.
Thanks for sharing. I think it's fascinating how our radiographs don't always correlate to pain and patient satisfaction, but I'm glad to know that the reviewers won't fail you for that stuff
Lol wasn't sarcasm. I failed 2/3 parts I took. Failed both forefoot and passed rearfoot computer which some think is the hardest section. I walked out of there thinking it's a joke, super easy. All my friends that failed sections said the same thing. I have never meat anyone who comes out of it saying oh man that was tough.
Read my post - the exact opposite can happen. It all depends on the reviewer. I lost tons of points for stuff on xray that patient was fine with.Thanks for sharing. I think it's fascinating how our radiographs don't always correlate to pain and patient satisfaction, but I'm glad to know that the reviewers won't fail you for that stuff
There is no questioner. You just have to hope they read your notes and look at your xray and don't decide to be a dick about petty stuff. Don't get me wrong, I had 2 bad cases on thre and deserved to fail those 2.So whats the trick? You just have to guess what the questioner it thinking? Seems like BS, because it is.
Yes random. For forefoot case review they selected 6 rearfoot cases. 6/13.How does the case submission part work? They just choose “random” cases and deduct points for whatever they don’t like? Seems so weird since really every case has its own set of circumstances that the reviewers couldn’t possibly know about. Seems very subjective.
Did they change the requirements recently? I though I had like 8 elective osseous rearfoot cases left and I logged in recently to add a case and it said I had all my required cases.Ortho boards only has one didactic exam to take (no "part II"), they only log cases for a 6 month period, they only select 12 cases for review, and they do the review in person with the examiners...and when you count all of our exams (part I and part II) we pay more than our orthopedic colleagues to certify...
The ABFAS is a complete and utter clown show. I work with a "board certified" podiatrist and some of the techniques and outcomes are laughable. It is unfortunate that our profession cannibalizes itself, this is just another example.
I should have enough cases to submit this fall and try to certify next spring, though I still may be short on rearfoot cases...
Also to give some people some solace in failing boards - who gives a ****. Your friends? They don't care, hell 1 or 2 probably failed too. You have time to pass. They just want your money, but come 3rd time they will make sure you pass. I have 5 more years to try. I have a great job, make good money and not passing has had absolutely zero impact on my job. Nobody gives a crap about faacfas vs aacfas in the real world (vast majority of situations). Unless you want to be a podium douchebag to use a term from a SDN friend.
There has to be more to the story than that. I had worse complications than swelling documented and passed.
Also I tell all patients to expect swelling 6 months to a year.
One of these days I’ll post my collection of post-op xrays from a “board certified” podiatrist...it’ll piss you off even more if you’re one who was failed recently...
The longer I'm around, the more I feel this is the case. Money first, actual patient outcomes is secondary. Friggin boards.I personally believe the boards have gotten harder on the purpose to scam people out of money. Passing boards 10 years ago was not as challenging. The computerized version has left no room for argument or contesting unfair criticisms. It’s just a way for ABFAS to extract as much money as possible.
hey guys for part 2 cbps when picking treatments i.e. talus fracture are you choosing talus orif only or also nwb, cast etc?
No one really knows the answer or what they are looking for.
They do have those practice CBPS scenarios with answer key
I was told not to shotgun options.
I shot gunned options regardless because the answer key was looking for X Y or Z as treatment options.
I passed last years foot and RRA part 2 exams with the shotgun method.