Component 3

Introduction

Through participation in Osteopathic Continuous Certification, AOA board-certified physicians maintain necessary skills, explore advancements in medicine and demonstrate expertise in their specialty. OCC Component 3 requires physicians certified by the American Osteopathic Board of Orthopedic Surgery to pass one or more psychometrically valid and proctored examinations focused on assessing medical knowledge and core competencies.

In 2021, the AOBOS announced the replacement of the traditional high-stakes recertification exam previously required every 10 years with a longitudinal assessment model designed to enhance flexibility and streamline the certification process. Longitudinal assessment leverages technology to facilitate continuous learning through shorter assessments , delivered over time via a convenient remote online learning platform.

The AOBOS longitudinal assessment is administered through the CATALYST platform hosted by the National Board of Osteopathic Medical Examiners (NBOME). The platform is easily accessible from your computer, tablet or smartphone.

Longitudinal Assessment Registration

If you hold primary certification in Orthopedic Surgery, and not subspecialty certification in Hand Surgery or Orthopedic Sports Medicine, please follow the guidelines below to determine when you should register for longitudinal assessment

• If your initial primary certification was issued before June 1, 2022:
  You are required to participate in longitudinal assessment each year, beginning in the expiration year of your current 10-year certificate. Registration opens in Oct. and closes Dec. 5 prior to the following year’s assessment.
• If your initial primary certification was issued on June 1, 2022, or later:
  You are not required to begin participation in longitudinal assessment for one full calendar year after becoming board certified. One year from the issue date of your initial primary certification, you will be required to register during the next available registration cycle and begin participation in longitudinal assessment the following year. Example: If you received initial certification in Spring 2022, you would register for longitudinal assessment in Fall 2023 and begin participation in 2024.

Longitudinal Assessment Schedule

Longitudinal Assessment Process

Each longitudinal assessment cycle will coincide with the OCC cycle, lasting three years.

During each calendar year of the three-year cycle, you will be required to:

Answer the questions delivered.  Questions will be available via the Catalyst platform during May and June to answer at your own pace.  Questions will not be timed and can be answered in an open book testing format. 15 questions will be delivered in the year 2023 with the annual number increasing to 30 in future years.

Number of reattempts:

You will receive immediate feedback upon answering a question, the platform will display the rationale for the correct answer and the reference for that answer. If you do not attain the minimum passing score on your first attempt, you will have access to the same questions for a second attempt during July.

Longitudinal Assessment Scoring

You must achieve a grade of 80% annually to successfully pass the longitudinal assessment

If you do not achieve 80% or fail to participate in a required longitudinal assessment, your certification may be placed in inactive status. In that case, you may contact the AOBOS to explore options for remediation.

2024 Longitudinal Assessment References

The following references are provided as a preparation tool for the 2024 Longitudinal Assessment.

Longitudinal Assessment FAQs

General information:

• What is longitudinal assessment?
  Longitudinal assessment is a process that leverages technology to facilitate continuous learning by providing shorter assessments, delivered over time and accessible via a convenient remote online learning platform.
• When can I begin longitudinal assessment?
  You will register for longitudinal assessment by Dec. 5 of the year preceding your expiration and begin answering questions in May of your expiration year.
• How do I know when my certification was issued or expires?
  Visit the AOA Physician Portal to view your certification details and check the status of your OCC.
• I have a non-time limited certificate. Do I need to participate in longitudinal assessment?
  No, participation in longitudinal assessment is voluntary if you hold a non-time-limited certificate.
• Do I need to complete longitudinal assessment if I received certification through the AOA’s ABMS reciprocity campaign?
  Yes, you must fulfill all requirements for Osteopathic Continuous Certification in order to maintain AOA Board Certification.

Exam platform:

• How is longitudinal assessment administered?
  The AOBOS longitudinal assessment is administered through the CATALYST platform, hosted by the National Board of Osteopathic Medical Examiners (NBOME).
• How do I access the CATALYST platform?
  The CATALYST platform can be accessed anytime via computer, tablet or smartphone.

Longitudinal assessment registration:

• How do I register for longitudinal assessment?
  If you are eligible to participate in longitudinal assessment, you can register on the AOBOS website.
• How much does longitudinal assessment cost?
  The annual fee is $230 and is required at the time of registration.

Longitudinal assessment process:

• Are the assessments timed?
  Questions are not timed but are only available for a specific window of time annually. The availability window for the first attempt is May and June. The availability window for a second attempt, if needed, is July.
• Can I begin questions and them resume my exam?
  Yes, you can stop and resume your exam at any time during the availability window.
• What is the passing score?
  80%.
• What happens if I am unsuccessful in meeting the passing score?
  Because you are given immediate feedback regarding the correct answer and reference for that answer and allowed two attempts with the same set of questions, the opportunity for a successful outcome is very high. If you are unsuccessful, you will be required to participate in a Clinical Pathway chart review examination.

OCC for Subspecialty Certification in Orthopedic Sports Medicine

A longitudinal assessment model is in place for the cognitive assessment component of continuous certification in Orthopedic Sports Medicine.

Longitudinal assessment leverages technology to facilitate continuous learning through shorter assessments, delivered over time via a convenient remote online learning platform.

The AOBOS longitudinal assessment is administered through the CATALYST platform hosted by the National Board of Osteopathic Medical Examiners (NBOME). The platform is easily accessible from your computer, tablet or smartphone.

Orthopedic Sports Medicine Longitudinal Assessment Registration

Those Diplomates currently holding a subspecialty certification in Orthopedic Sports Medicine through the AOBOS will begin longitudinal assessment (LA) in the year of their current certificate expiration. Registration begins in the fall of the year preceding participation.

For Diplomates subspecialty certified in Orthopedic Sports Medicine after Jan. 1, 2024: You are not required to participate in LA for one full calendar year after gaining certification. For example, if you are certified in November of 2024, you would register for LA in the Fall of 2025 and begin participation in 2026.

Diplomates subspecialty certified in Orthopedic Sports Medicine will only participate in longitudinal assessment for Orthopedic Sports Medicine, they will not be required to participate in longitudinal assessment for Primary Orthopedic Surgery.

Orthopedic Sports Medicine Longitudinal Assessment Schedule

• Registration opens each year on Oct. 1.
• Registration closes Jan. 5.
• The assessment fee is $270 annually.
• The assessment is available for the first attempt in May and June.
• The window to re-attempt missed questions is in July.

Orthopedic Sports Medicine Longitudinal Assessment Process

• The application can be found on the application page and is titled “AOBOS Orthopedic Sports Subspecialty Longitudinal Assessment.”
• The assessment is administered annually.
• Participation is required each year for as long as you wish to maintain continuous certification.
• There will be 20 questions annually from four content areas, consisting of three content areas covering Orthopedic Sports Medicine and one covering General Orthopedic Surgery.
• Assessment questions are not timed, and the assessment is in an open-book format. Questions can be answered at your convenience during the assessment window.
• The questions are article based. References for the articles used for that year’s assessment will be posted on the website in January.
• The passing score is 80%.
• You will receive immediate feedback upon answering a question, the platform will display the rationale for the correct answer and the reference for that answer. If you do not attain the minimum passing score on your first attempt, you will have access to your missed questions for a second attempt during July. Answering them correctly during the second attempt will raise your score.

2024 Orthopedic Sports Medicine Longitudinal Assessment References

The following references are provided as a preparation tool for the 2024 Orthopedic Sports Medicine Longitudinal Assessment.

OCC for Subspecialty Certification in Hand Surgery

A long-form exam is still required for the cognitive assessment component of OCC in Hand Surgery. Passing the subspecialty exam also extends certification in primary orthopedic surgery. The certification period is ten years.

Hand Surgery Exam Content Outline

The written exam consists of 100 “type A” (one best answer) multiple-choice questions. It is given in one part, and candidates have two hours to complete the exam.

Hand Surgery Exam Scoring

Scoring Criteria

AOA reports candidates’ certification results using standardized scaled scores. Scaled scores are more valid and reliable compared to raw scores and make scores comparable across different forms of the exam. The AOA reports scores on a 200 to 800-point scale with a scaled score of 500 or higher required to pass.

• A scaled score of 500 represents the minimum level of knowledge and skill necessary to pass the exam as established by AOA Certifying Boards.
• The highest possible scaled score is 800.
• The lowest possible scaled score is 200.
• Overall scores are based on the total number of items answered correctly, regardless of content area.

Results by Content Area

• When possible, a breakdown of exam scores by content area is provided to help you identify your areas of strength and areas that may need more development.
• The number of items for each content area indicates the relative amount of test questions on the exam for that content area.
• Content area scores are not weighted to calculate your overall score; each content area is scored separately after the overall analysis is complete.

Exam Policies

Right to Appeal

If a candidate feels that the actions of the AOBOS with regard to any part of the examination constitute unequal application of the regulations and requirements or standards, unwarranted discrimination, prejudice, unfairness or improper conduct of the examination, they have the right to appeal to this Board.

Appeals must be made on an appeal request form and submitted via email within three days of the exam administration. Appeal request forms will be provided to all candidates prior to the start of the exam. All appeals submitted after the three-day deadline will be denied for all exams except the Clinical Examination. Late appeals to this exam will be considered on a case-by-case basis.

A majority vote by the committee will determine whether AOBOS accepts or denies the appeal.

Candidates will be advised of the Board’s decision by email. If the Appeal Committee accepts an appeal, the candidate’s examination will not be scored or recorded, and the candidate has the right to take a new exam at the next scheduled exam date with no additional fee. If applicable, the candidate’s original case log will be utilized and the next clinical exam will be conducted by different examiners.

If an appeal is denied by AOBOS, the candidate retains the right to appeal to the AOA Bureau of Osteopathic Specialists (BOS) and AOA Board of Trustees.

The AOBOS will not consider appeals based on examination content, sufficiency or accuracy of answers given to examination questions, scoring of the examination, scoring of answers to individual questions and/or the determination of the minimum passing score.

Compliance With Federal Regulations

The AOBOS complies with all applicable federal and state regulations, including:

• Americans with Disabilities Act (ADA): The AOBOS complies with requirements prohibiting discrimination and ensuring equal opportunity for persons with disabilities in employment, state and local government services, public accommodations, commercial facilities, and transportation, as well as regulations for Title II and Title III (and all subsequent regulations) as printed in the federal register.
• Health Insurance Portability and Accountability Act (HIPAA): In compliance with the HIPAA Act of 1996 and any subsequent modifications, the AOBOS ensures that individuals’ health information is properly protected, while allowing the flow of health information to provide and promote high quality health care. All medical records submitted for review by candidates for AOBOS certification will be de-identified by the candidate prior to submission, such that the remaining information cannot be used to identify an individual patient.