American Board of Orthodontics Report

 

AAO Council On Orthodontic Education
St. Louis, Missouri
October 25, 2010
Report of the American Board of Orthodontics


Barry Briss 2006This has been an extremely busy year for the Board. Here are some interesting statistics. Presently, there are 5192 practicing orthodontists who are Diplomates of the ABO. 5012 of these Diplomates practice in either the USA or Canada.  53 % of the active AAO members in the USA and Canada are Certified Diplomates. 38% of the practicing orthodontists are age 46 or younger.

The ABO believes that the future health of the specialty resides in Initial (early) Certification of the newly graduating residents. The newly graduated resident is eligible to take this examination within two years of the date of graduation. If the doctor does not take the examination within that time frame, he/she must take the Beginning Certification Examination. The following summarizes the components of the Initial Certification Process.
Prerequisite for completion of the Initial Certification Examination (ICE)

  1. The examinee must have graduated from an ADA approved program
  2. He/she must have passed the ABO written examination
  3. Must pass the ABO clinical (oral) examination

These are the components of the Clinical Examination:

  1. Board Case Oral Examination (BCOE)
    1. An assessment of the examinee’s explanation of treatment decisions for two (2) cases provided by the ABO.
  2. Case Report Examination (CRE)
    1. A comprehensive evaluation of cases reports for patients solely treated by the examinee.         
  3. Case Report Oral Examination (CROE)
    1. An assessment of the examinee’s knowledge about the case reports which he/she has presented.

Case requirements for the clinical examination portion of the Initial Certification Examination (ICE).
Six case display must contain:

  1. One (1) non-surgical case treated with four (4) quadrant extractions that demonstrates effective space closure, (identified as “extraction case”).
  2. One (1) non-surgical case with a bilateral end-to-end or greater Class II molar relationship present at the time of appliance placement. 
  3. A unilateral full-step Class II molar relationship is also acceptable.  The final treatment result should be molars and canines in a Class I relationship."
  4. No more that one (1) case treated with orthognathic surgery (identified as “surgical case”). Surgical case requires interim (pre-surgical) records.                                                                    

Patient Source for the new resident.

  1. The patient must have received ALL active treatment by the examinee.
  2. Treated under direct faculty supervision as certified by the Chairman/ Program Director.
  3. It is acceptable for the new graduate to present a case for whom records were taken by a prior resident,
  4. As long as the resident examinee is the one who has both placed and removed the full (active) appliances.
  5. In the case of two phase treatments, where a prior resident has completed the early phase, The new graduate may present that case as long as he/she has placed and removed the full (active) appliances.

Additional Considerations:

  1. Residents who are successful will receive a ten year time-limited certificate. 
  2. If any of the six cases presented do not meet the ABO standards, the new graduate will have the option to return 3 times within 10 years with cases from residency (within 2 years), otherwise cases from private practice.
  3. The replacement cases must be similar in character and requirements as those which did not meet the standard.
  4. If successful, upon re-examination, the examinee be granted Diplomate status. 

Non-Completion (ICE):

  1. Replacement case(s) from graduate program treated under the same requirements as those of the  Initial Certification Exam (ICE).

or

  1. Case(s) treated solely by the examinee in his/her private practice.
  2. The examinee has 10 years on three (3) separate occasions to present case(s) to complete ICE.

Timing and Limitations:                                                     
The newly graduated orthodontist who chooses to take ICE

  1. Must take exam within two (2) years of the date of graduation. 
  2. After successful completion of ICE, the orthodontist will be required to take the First Recertification  Examination within the next ten  (10) years .

If the examinee does not pass ICE and elects not to return within the ten (10) year time limitation for re-examination

  1. The examinee will be required to submit a new application
  2. Will take the “Beginning Certification Examination” after satisfying current fees and case requirements.
  3. In this circumstance, the full step Class II requirement will change.

Clinical requirements for the 2009 examination:
For treatment initiated on or after March 1, 2007:

  1. For periodontally-involved  adolescents and  adults 18 years and older radiographic documentation is required.
  2. Maxillary and mandibular occlusal intra-oral views are recommended in each composite series.

Clinical requirements for the 2010 examination:
For treatment initiated on or after March 1, 2008.
Maxillary and mandibular occlusal intra-oral views are mandatory in each composite series.
In 2010 the ABO developed what is referred to as the Banking Policy to encourage the newly graduating residents to begin the certification process. The following summarizes the plan.

  1. Of the 6 cases required, a minimum of 3 cases  must be presented via personal appearance at the ABO Clinical Exam.
  2. Residency cases that are Complete will be “banked”, or documented, at the ABO central office.
  3. If at least 3 cases are Complete and include at least  1 case with a Discrepancy Index (DI) of 20 or above, and BCOE is Complete, the remaining cases may be mailed to the ABO.

Examinee must return in-person to a future clinical examination IF:

  1. Less than 3 cases are Complete
  2. 3 cases are Complete, but one is not a case with DI ≥ 20
  3. BCOE is Incomplete

The ICE Banking Policy is retroactive for previously incomplete ICE examinees.

  1. Examinees are encouraged to present more than 3 cases.
  2. Residents who present 6 successful cases will receive a 10-year ABO certificate.
  3. Examinee must present resident cases to the ABO within 24 months of graduation and we encourage showing cases within 12 months.
  4. The remaining cases must be collected either from residency if within 24 months of graduation or from post-residency private practice.
  5. The ICE examinee has 3 attempts within 10 years to complete certification. 
  6. Unsuccessful examinees can start anew by taking the Beginning Certification Examination (BCE).

ICE examinees, regardless of their involvement in the banking process, must satisfy all requirements of the ICE Examination.

Future ABO Examinations:
The ABO has begun scheduling multiple clinical examination sessions each year beginning in November 2010. This new schedule coincides with the opening of a new, state of the art, testing center in the AAO headquarters building in St. Louis.

  1. Ribbon-Cutting Ceremony November 17, 2010
  2. First St. Louis Exam – November 18-21, 2010

70 Examinations

  1. February 18-24, 2011 – Dallas, TX

250 Examinations

  1. June 15-19, 2011 – St. Louis

90 Examinations

  1. November 16-20, 2011 – St. Louis

90 Examinations
(Registration for all exams now available on-line)
The New Exam Center will have:

  1. State-of-the-Art with Latest Technology
  2. Ten Exam Rooms
  3. Audio/Visual
  4. Digital Record Viewing
  5. Individual BCOE Viewing
  6. Examiner Area
  7. Computer Center
  8. Locker Storage
  9. Meal/Meeting Conference Rooms

2010 ABO Clinical Examination Results
Total 288        229 complete 54 incomplete   80%
2010 ABO Written Examination Results (test reliability 0.86)
            Total 368        364 passed      99%
  

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