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INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR
THE 2010 RECERTIFICATION EXAMINATION
- Please read the
Rules and Procedures for 2010 document for Recertification
Examinations.
- Applications must be submitted online by May 1, 2009. Complete
information must be provided for all items, and each must bear an entry
where applicable. If any item in the application does not apply to you,
check NONE where available, otherwise leave it blank.
- Required documents to be mailed to the Board office by the May 1st
deadline include:
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Signature page with three (3) original signatures of the applicant.
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Current,
original, notarized hospital and surgery center letters including
appointment date (month, day, year all three must be included) and
type of appointment listed in item 7 of the application.
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Current,
original letters of prior hospital privileges since certification or last
recertification including appointment date listed in item 8 of the
application.
APPLICATION ITEMS:
- Your name as you want it to appear on your certificate.
- Please make certain that the social security number is correct. Be sure
to include dashes (e.g., 123-45-6789)
- Office address and telephone number. Only include the Country name if
different than USA.
- Date of birth give month, day and year
- Choose only one evaluation pathway for examination. This is your ONLY
OPPORTUNITY to choose an evaluation pathway. You will be UNABLE TO CHANGE
YOUR CHOICE after the application has been finalized.
- Do you have a subspecialty? Please list only one. Subspecialty is
defined as 50% or more of your time spent doing this type of orthopaedic
surgery (i.e., adult reconstruction, sports medicine, spine,
oncology,
pediatrics, foot and ankle, trauma, or upper extremity).
- For each hospital/surgery center where you are currently on staff, you
MUST SEND WITH YOUR APPLICATION, A CURRENT, ORIGINAL, NOTARIZED LETTER FROM
THE HOSPITAL/SURGERY CENTER ADMINISTRATOR (CEO, Medical Director or Medical
Director of the Surgery Center). These letters must be notarized by the
hospital/surgery center and must verify your appointment date and type of
appointment. If the hospital/surgery center does not have a notary, the
hospital seal will be acceptable. These letters must accompany your
signature page. Applications received without these letters are incomplete
and will be returned. Please list the name and current mailing address of
the chief of staff, chief of orthopaedics and chief of surgery for each
hospital. For surgery centers, list only the name of the medical director.
Peer review forms are mailed to them for the Credentials Committee
review through the US Postal Service. If the Committee does not receive
enough peer review forms from these physicians, you could be deferred for
one year for the Committee to obtain enough information to evaluate your
practice.
- Document prior practice location(s), associations or hospital/surgery
center staff appointments since your certification or last recertification.
You must send with your application an original letter from each
hospital/surgery center administrator (CEO, Medical Director or Director of
the Surgery Center) stating dates of service, type of appointment held,
reason for leaving, and that you left in good standing. This letter need
not be notarized. Applications received without these letters are
incomplete and will be returned.
- List current practice locations and previous practice locations since
certification or last recertification in order from current practice first
to oldest practice last. List individuals who you are/were associated with
if you are not a solo practitioner.
- List five certified orthopaedic surgeons NOT LISTED IN ITEMS 7 AND 9,
who are familiar with your work and are in your geographical practice area
(such as those physicians to whom you refer patients, but are not in your
practice. You may list emergency room physicians, internal medicine
physicians or any other type of physician that may refer patients to you.).
- List all current and not current state licenses held since certification
or last recertification.
12-21. Please answer yes or no. If any item is
marked yes, please explain in the area provided.
Once the application is complete, save the application, and hit the Finalize
Application key. If any items are left unanswered you will be prompted at
this time to complete those items. Once all the items are complete and the
application finalizes, then you should be prompted to enter your credit card
information to pay the application and credentialing fee of $975.00 online.
Once the payment has gone through successfully (you will be sent a receipt by
email), you will be prompted to print the signature page. Please sign the
signature page in three (3) places and send it along with the letters required
to the American Board of Orthopaedic Surgery, Recertification Examination, 400
Silver Cedar Court, Chapel Hill, North Carolina 27514.
- Letters of acceptance to the examination will be mailed to applicants in
October, after the Credentials Committee meeting. Once you have been
notified of your application acceptance, you should go online to
www.abos.org, type in your Username and
Password, hit Login, then the MOC tab, click on Pay Exam Fee icon and enter
your credit card information for the exam fee. You will be emailed a
receipt.
- It is your responsibility to notify the Board office of any change of
address, practice association, status of hospital privileges, or hospital
affiliation (including new affiliations you may acquire) after you have
filed an application.
- The Board office will not verbally confirm receipt of required
application material. Once the application has been received and processed,
an email will be sent to you letting you know the application has been
received.
- Please print a copy of your completed application form for your records.
AFTER ONLINE SUBMISSION OF YOUR COMPLETED APPLICATION,
SEND THE REQUIRED INFORMATION TO:
American Board of Orthopaedic Surgery
Recertification Department
400 Silver Cedar Court
Chapel Hill, North Carolina 27514
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