The Orthopaedic Forum   |    
Spine Fellowship Education and Its Association with the Part-II Oral Certification Examination
Harry N. Herkowitz, MD1; James N. Weinstein, DO, MSc1; John J. Callaghan, MD1; G. Paul DeRosa, MD1
1 Department of Orthopaedic Surgery, William Beaumont Hospital, 3535 West Thirteen Mile Road, Suite 744, Royal Oak, MI 48073. E-mail address for H.N. Herkowitz: cmusich@beaumont.edu
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The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Mar 01;88(3):668-670. doi: 10.2106/JBJS.E.01199
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Candidates who are eligible for the Part-II oral examination of the American Board of Orthopaedic Surgery (ABOS) may select their specific subspecialty area for testing after fellowship training. Subspecialties are hand, spine, pediatrics, sports, adult reconstruction, trauma, oncology, and foot and ankle. Subspecialization means that the candidate commits at least 50% of his or her practice to that subspecialty. This would be declared and reflected in the list of cases managed during the collection period, defined as six consecutive months of operative cases, beginning July 1 of the year prior to the Part-II examination. Sixty-five to seventy orthopaedic surgeons who are part of the oral examination group review the case lists submitted by the applicant and select twelve cases for the oral examination of which two cases can be deleted by the candidate. For each case selected, the candidate must provide the following: (1) notes from the initial history and physical examination (the first visit), (2) notes on the operative procedure, (3) notes from an office visit made at a minimum of three months postoperatively, (4) the discharge summary as well as information on all relevant consultations obtained concerning the care of the patient, and (5) all relevant imaging studies made preoperatively, intraoperatively, and postoperatively. All records must be organized to allow examiners ready access to these materials.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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