Board Eligibility Criteria

//Board Eligibility Criteria

ELIGIBILITY

  • Only individuals with an MD/DO or equivalent degree are eligible for the Interventional Pulmonology Board Certification examination.
  • Applicants should have completed training in Pulmonary Medicine, Pulmonary and Critical Care Medicine or Thoracic Surgery from an ACGME accredited program in the United States or the Royal College of Physicians and Surgeons in Canada. Applicants who completed their training in a foreign equivalent accredited program should submit evidence of such training to the AABIP board for consideration.
  • Applicants must hold a current, active, license to practice medicine in at least one jurisdiction in the United States, its territories, or Canada.
  • Licenses that have been revoked, suspended, surrendered, or not renewed in order to terminate or settle disciplinary proceedings do not qualify as meeting the requirements for medical licensure, and all such licenses must be reported for review and consideration.
  • Verification of Training and Experience:
    • All applicants must submit evidence of training and competence in the field of Interventional Pulmonology.
    • AABIP listed Interventional Pulmonology fellowship graduates will be eligible to sit for the Interventional Pulmonology (IP) Board certification exam. Details on future AABIP accreditation for Interventional Pulmonology Fellowship programs will be published in a future document.

NOTES:

Interventional Pulmonology Fellowship Programs should meet the procedural requirements outlined below in order to be listed by the AABIP. Fellowship Program Directors are responsible for affirming that their programs meet the requirements as outlined.

  • Must be a graduate of an AABIP/NRMP-listed IP Fellowship from the graduating class of 2013 until the end of the grace period, which is defined as the period from 2013 until the Joint AABIP/AIPPD IP Fellowship Accreditation Committee issues the final rules and deadlines for accreditation. Subsequently, only applicants from AABIP accredited fellowship programs will be permitted to apply for the Examination. Must submit a letter with the IP Fellowship Director’s signature and endorsement for eligibility.
  • AABIP requires verification of fellows’ clinical competence, procedural competence, and professionalism, moral and ethical practices from the training program director.
  • Until the Joint AABIP/AIPPD IP Fellowship Accreditation Committee issues its final rules, the minimum number of procedures to be completed in all 3 core groups (Complex Airway Diseases, Advanced Diagnostic Bronchoscopy, and Pleural Disease Management) during the Interventional Pulmonology Fellowship are outlined in the Table 1 below.
  • Fellows are expected to take the board certification examination within 7 years of completing their AABIP listed Interventional Pulmonology Fellowship Program.
  • No credit will be granted toward certification for training that is not recognized by the AABIP.
  • Graduating Fellows will not be required to submit procedure logs. The Program Director will attest to competency independent of procedure volume until formal accreditation procedures are in place.

CORE PROCEDURAL GROUP
DETAILS FOR PROCEDURE
MINIMUM NUMBER OF PROCEDURES
Complex Airway Diseases
  • Rigid or Flexible 3
  • Airway interventions-benign and malignant
    • Any combination of mechanical debulking, laser, APC, electrocautery, cryotherapy, stents (hybrid/silicone) or other endoscopic modality, brachytherapy,PDT or emerging technologies
    • Other flexible or rigid interventions not easily classified elsewhere, e.g., valves, blockers, thermoplasty, etc.
      • Bronchial thermoplasty, valves and blockers, and/or whole lung lavage must not exceed more than 10% (9 of the 90) complex airway procedures
      • Therapeutic aspiration is no longer a recordable procedure
90
Advanced Diagnostic Bronchoscopy
  • Peripheral lung lesions and mediastinal assessment
  • Any combination of navigation, radial probe EBUS or virtual bronchoscopy guided transbronchial sampling, convex probe EBUS and other emerging technologies
90
Pleural disease management
  • Thoracoscopy [optional]
  • Any combination of minimally invasive diagnostic and therapeutic procedures including thoracic ultrasound guided thoracentesis, tube thoracostomy, indwelling pleural catheter, closed pleural biopsies and thoracoscopy.
90
Miscellaneous procedures 3
  • Percutaneous tracheostomy and others not listed
See note 3
Multidisciplinary patient management conferences or other didactic conferences
  • Any combination of tumor board, multidisciplinary clinics, transplant selection committee meetings, etc.
Yes

NOTES:

  1. The numbers of procedures listed are considered a threshold number for minimal competency. The AABIP recognizes that some trainees will be proficient after relatively few procedures, but that the average trainee just out of pulmonary or thoracic fellowship will likely become proficient only after a threshold is met. Additionally, the trainee should not consider their training complete simply by accruing a certain number of procedures. IP Fellowship directors have the primary responsibility of ensuring competency sufficient to sit for the boards.
  2. Maintaining procedural competence is a complex process that requires ongoing practice. The AABIP recognizes that some IP fellow graduates may choose a career in industry, hospital administration, research, government, or public health. As such, procedural volumes are variable and some individuals will do no procedures. Certification therefore should not be construed as indicating that the individual remains competent in procedures. The AABIP makes no statement on the competency of individuals once they have left training, but does require maintenance of certification to remain a Diplomat of the AABIP. This policy will be set forth in a future document.
  3. Miscellaneous procedures such as percutaneous tracheostomy, PEG, and others are optional for IP fellowship training and board eligibility. If taught, each program director has the responsibility of ensuring that the trainee is competent.

SPECIAL CONSIDERATIONS

A process will be available for candidates of unusual circumstances. It is expected that these will be exceptions to policy and will be decided on a case-by-case basis without the implied establishment of precedent. The AABIP has created a Board Eligibility Committee that will review all board applications as well as review all appeals.

  • Individuals who have made substantial contributions to scholarship in Bronchology and Interventional Pulmonology based upon research, publications, and presentations/chairmanships at National/International meetings may be eligible to sit for the IP Board Certification Examination at the sole discretion of the AABIP Board of Directors.
  • The AABIP recognizes that there is a substantial group of advanced diagnostic pulmonologists who are currently providing valuable, high-quality and highly sought after patient care services. These Advanced Diagnostic Pulmonologists are also contributing immensely to the scientific advances in this field. While the eligibility requirements for the Interventional Pulmonology Board Certification outlined in this document may exclude several of these talented individuals, the AABIP Board of Directors is taking steps to create a separate certification process for Advanced Diagnostic Pulmonology. Details of this process will be published in a future document.

NOTES:

  • The AABIP reserves the right to audit any applications. The AABIP expressly reserves the right to amend the eligibility criteria
  • The AABIP specifically reserve the right to revoke or suspend any certificate obtained by fraud, any material misrepresentation in the application, for failure to maintain an active and unrestricted license to practice medicine, etc.

Date of amended version: June 15, 2017

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