IP Board Certification Practice Pathway

AABIP IP Board Certification - Practice Pathway
Deadline to apply: Monday, September 2, 2024
2024 Exam Dates: December 7-14, 2024
Click HERE to view Frequently Asked Questions regarding IP Board Eligibility and Certification. 

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INTERVENTIONAL PULMONOLOGY BOARD PRACTICE PATHWAY

The AABIP has re-opened a Practice Pathway for Board Certification for a select group of physicians who were eligible prior to closure of the previous practice pathway on December 31, 2016 (see below criteria). Based on concerns from AABIP members who missed the original Practice Pathway window which closed after 2016, this pathway has been re-opened for only 2 years (2023 and 2024). To maintain consistency in certification processes, the same certification criteria will be used from the original Practice Pathway with minor modification to reflect new date requirements. 

Eligibility for Clinical Practice Pathway
  • Only individuals with an MD/DO or equivalent degree are eligible for the Interventional Pulmonology Board Certification examinations.
  • Applicants should have completed training in Pulmonary Medicine, Pulmonary and Critical Care Medicine, or Thoracic Surgery from an accredited program in the United States or Canada and should have completed fellowship by the end of 2016. This includes Interventional Pulmonology Fellowship graduates who completed training by the end of 2016 who chose not to take the Interventional Pulmonology Board Examination.
  • 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  • Licenses that have been revoked, suspended, surrendered, or not renewed in order to terminate or settle disciplinary proceedings do not qualify as meeting the requirements for medical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.
  • All Applicants must have an attestation signed by themselves AND another individual that can attest to their clinical competence, procedural competence, professionalism, moral and ethical practices.  The verifying individual needs to be an MD/DO or equivalent, but does not have to be practicing interventional pulmonology (it could be a colleague, mentor, section chief, division chief, or department chair).  The attestation should also confirm that a substantial component (33% or more) of the applicant’s professional activity both now and prior to 2016, whether clinical, educational, research, or administrative, takes place within the field of IP. For the attestation of IP practice prior to 2016, a separate letter of attestation from a prior verifying individual is required if the applicant’s practice setting has changed since 2016.
  • A procedure log must be submitted by all clinical practice pathway applicants.  The minimum procedure requirements are listed in Table 1These procedures must have occurred within the two years prior to the date of the Attestation.
  • Applicants must submit descriptions, including pictures if available, of at least 10 therapeutic rigid or flexible bronchoscopy cases to relieve central airway obstruction (e.g., stent, cryotherapy, cryocanalization, balloon dilatation, laser, argon plasma coagulation, electrocautery, photodynamic therapy, or brachytherapy)  from the past 2 years prior to the date of the attestation.
  • Applicants will be required to meet procedural requirements in at least 2 of the 3 core procedure groups (Table 1): Core procedure groups are: Complex large airway disease; Advanced diagnostic bronchoscopy; and Pleural disease management). 

TABLE 1:
Procedural Requirements for Interventional Pulmonology Board Exam Eligibility (attestation that the following occurred within the two years prior to the Attestation date)
Initial Certification1

Complex Airway Diseases
Initial Certification: 100                     
Rigid or Flexible 2
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.

Advanced Diagnostic Bronchoscopy
Initial Certification: 100
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

Pleural disease management
Initial Certification: 75
With or without thoracoscopy3
Any combination of minimally invasive diagnostic and therapeutic procedures including thoracic ultrasound, thoracentesis, tube thoracostomy, indwelling pleural catheter, closed pleural biopsies and thoracoscopy.

Miscellaneous procedures 4
Initial Certification: See Note 4
Percutaneous  tracheostomy and others not listed

Consultation Experience5
Initial Certification: 200
Any combination of inpatient and outpatient encounters.

Multidisciplinary patient management conferences or other didactic conferences
Initial Certification: 25
Any combination of tumor board, multidisciplinary clinics, transplant selection committee meetings, etc.
Table 1 Notes:
  1. The numbers of procedures listed are considered a threshold number for 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. Fellowship directors have the primary responsibility of ensuring competency sufficient to sit for the boards.
  2. If the trainee is seeking rigid bronchoscopy training, 50 procedures of the 100 must be done with a rigid bronchoscope.
  3. Thoracoscopy is optional, however if training is desired it is recommended that at least 20 procedures be performed.
  4. Miscellaneous procedures such as percutaneous tracheostomy, PEG, and others are optional for fellowship training. If taught, each program director has the responsibility of ensuring that the trainee is competent.
  5. Evaluation and management of patients is as important as procedures. Therefore, the AABIP requires a minimum number of outpatient or inpatient encounters dedicated to some aspect of interventional pulmonology.

How to apply:
  1. Complete the online 2024 IP Board application form:
    1. Required Documents
      1. Medical School Diploma
      2. General Pulmonary or Thoracic Surgery Board Certification
      3. State Medical License
      4. Fellowship Certificates of Training (IP Fellowship Certificate of Training, only when applicable). 
      5. Curriculum Vitae
      6. Attestation signed by applicant AND another individual that can attest to their clinical competence, procedural competence, professionalism, moral and ethical practices. The verifying individual needs to be an MD/DO or equivalent, but does not have to be practicing interventional pulmonology (it could be a colleague, mentor, section chief, division chief, or department chair). The attestation should also confirm that a substantial component (33% or more) of the applicant’s professional activity both now and prior to 2016, whether clinical, educational, research, or administrative, takes place within the field of IP. For the attestation of IP practice prior to 2016, a separate letter of attestation from a prior verifying individual is required if the applicant’s practice setting has changed since 2016.
      7. A procedure log must be submitted by all clinical practice pathway applicants. The minimum procedure requirements are listed in Table 1. These procedures must have occurred within the two years prior to the date of the Attestation.
      8. Applicants must submit separate descriptions, including pictures if available, of at least 10 therapeutic bronchoscopy cases from the past 2 years prior to the date of the attestation
      9. Applicants will be required to meet procedural requirements in at least 2 of the 3 core procedure groups (see Table 1): Core procedure groups are: Complex large airway disease; Advanced diagnostic bronchoscopy; and Pleural disease management).
      10. Proof of Consultation Experience in the field of interventional pulmonology (at least 200) in the past 2 years: any combination of inpatient and outpatient encounters.
      11. Proof of attendance (at least 25) of multidisciplinary patient management conferences or other didactic conferences in the past 2 years: any combination of tumor board, multidisciplinary clinics, transplant selection committee meetings, etc.
    2. Application and Exam Fee: $1900
Apply Now for Practice Pathway

Applicants needing to submit for their 2nd attempt, please email [email protected] for special instructions. 

All documentation must be received prior to the date of the deadline 9/2/2024 @ 11:59 EST.  Failure to provide all documentation will lead to forfeiture of the application fee.  (See refund policy below)

Study materials 

  1. IP Board Blue Print
  2. 2023 Update in IP and CAQ / IP Board Review Course (click here for more information)

REFUND POLICIES

All documentation must be received prior to the application submission deadline of 9/2/2024 @ 11:59 pm EST.  Failure to provide all documentation will lead to forfeiture of the application fee.  If the applicant chooses to withdraw from consideration he/she will have 1 week from the date of initial application for a full refund (This is the CANCELLATION DEADLINE), after which a penalty of $150 will be kept for administrative costs. If the withdrawal is requested before the application is marked as complete, the penalty of $150 will apply.  If the withdrawal is requested after the application is marked as complete, refunds will be processed as per the policy outlined below or the applicant may choose to apply the full amount towards the next year’s application plus any additional costs if applicable. (See refund policy below.)

  • 85% of the exam fee will be refunded if cancellation is received on or before 11:59 p.m. Eastern Time on the application completion deadline, i.e. 9/2/2024 @ 11:59pm.
  • 50% of the exam fee will be refunded when cancellation is received between 12:00 midnight Eastern Time on the day after the application completion deadline and 11:59 p.m. Eastern Time on the day prior to the exam.

NOTIFICATION OF ELIGIBILITY

Once all of the credentialing material has been submitted, an individual account and packet will be put together by the AABIP administrative staff and will then be forwarded to the Chair of the BEARC; the packet will then be distributed to one of the Board Eligibility Application Review Committee (BEARC) members. The individual members of the BEARC will then have 1 week to review the information and either accept or reject a member’s application. Rejections must be accompanied by appropriate comments by the BEARC member.

If accepted, the applicant will be notified by e-mail regarding eligibility to sit for the examination. This eligibility will be valid for two years. The applicant must sit for the AABIP Board Certification Examination during this time-frame, if they are unable to do so, the applicant will be required to completely repeat the application process, including application fee.

Once the application process has been completed and approved, the BEARC will compile a list of individuals accepted to sit for the examination and forward this on to the testing organization, who will provide the registrant with all of the necessary information regarding exam registration, location and logistics.


REJECTION AND APPEAL

If the application is rejected the notification will come by e-mail and standard certified mail, signed by the current Chair of the BEARC. If the application is rejected, the individual will have the opportunity for an appeal. The appeal must be initiated within 2 weeks of the official rejection notification.  Appeals should be submitted to the AABIP via email to [email protected] in the form of a formal letter stating the reasons for appeal. Chair of the BEARC will then review the appeal request, eligibility of the appeal and entire application. If the application is rejected again, the Chair of the BEARC will present this application to the entire Board of Directors. The AABIP Board of Directors then votes anonymously and majority opinion determines the final status regarding the appeal. If the BOD decision is to confirm rejection of the application, the final notification will be sent to the applicant by e-mail as well as a formal letter from the AABIP, signed by the current President. The applicant will, however, have the opportunity to reapply for future examinations based on the applicable criteria at that time.

Non-appealable circumstances:
  1. Graduates of fellowship in Pulmonary Medicine, Pulmonary and Critical Care Medicine, or Thoracic Surgery after December 31, 2016.
  2. Applicants who are not board certified or board eligible in Pulmonary Medicine or Thoracic Surgery.
  3. Three prior failures on the AABIP board examination

 Updated: 3/11/2024