|Hospice and Palliative Medicine|
|Candidates in the subspecialty of hospice and palliative medicine are those in the field of psychiatry, neurology or child neurology who are seeking ABPN Board Certification. Hospice and palliative medicine is a subspecialty that involves knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
All candidates will need to complete and submit an application in order to qualify and apply for an examination. Each application will be reviewed by the credentials department. Candidates become diplomates after passing their examination. Diplomates will then begin the process of maintenance of certification.
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Initial Certification in Hospice and Palliative Medicine
History and Statement of Principles
The Hospice and Palliative Medicine Program, developed by the American Board of Internal Medicine (ABIM), the American Board of Anesthesiology (ABA), the American Board of Emergency Medicine (ABEM), the American Board of Family Medicine (ABFM), the American Board of Obstetrics and Gynecology (ABOG), the American Board of Pediatrics (ABP), the American Board of Physical Medicine and Rehabilitation (ABPMR), the American Board of Psychiatry and Neurology (ABPN), the American Board of Radiology (ABR), and the American Board of Surgery (ABS), is designed to recognize excellence among physicians who are specialists in the care of seriously ill and dying patients with life-limiting illness. The field of hospice and palliative medicine is based on expanding scientific knowledge about symptom control when cure is not possible and appropriate care during the last months of life. The major competencies of subspecialist-level hospice and palliative medicine fall under the broad, patient-centered goals of:
• relieving suffering and improving the quality of life for patients and families living with life-threatening illness,
• helping patients and families cope well with loss and engage in effective grieving,
• managing and coordinating the array of challenging problems associated with end-of-life care, including the management of the immediately dying patient, and
• promoting closure and the possibility of growth at the end of life.
The examination will be administered to candidates from the ABIM, ABA, ABFM, ABOG, ABP, ABPMR, ABPN, ABR, and ABS at the same time in the same testing centers. Participation in the certification program is voluntary. Certification is not required of practitioners in this field, and the certificate does not confer privileges to practice. [more]
Maintenance of Certification in Hospice and Palliative Medicine
The Maintenance of Certification Program (MOC) of the American Board of Psychiatry and Neurology reflects the Board's commitment to lifelong learning throughout one's profession. The mission of MOC is to ensure that diplomates adhere to the highest standards in medicine and pursue excellence in all areas of care and practice improvement. The MOC program requires diplomates to participate in sanctioned self-assessment performance measures, identify perceived weaknesses in their knowledge, pursue learning activities tailored to areas that need to be strengthened, and develop quality improvement programs based on their clinical practice. The goal is for diplomates to reflect on their personal knowledge and performance and commit to a process of improvement and reevaluation of performance measures over a specified time frame that will ultimately lead to improved care for their patients. [more]