New to POST?
To get started with ABNS POST you must first request access.
ABNS POST is an integrated IT platform that is designed to advance the ABNS’ mission of promoting safe, effective and appropriate neurosurgical care. POST allows for the submission, analysis and presentation of clinical data from practice, along with other information that is relevant to the ABNS’ evaluation and certification processes. Those processes include the ABNS oral examination, CC and focused practice.
The primary function of POST is to support the ABNS oral exam. ABNS candidates can use POST to collect case data for ABNS review in addition to preparing selected case presentations in PowerPoint format for the oral exam (evolving a previously multistep process to a consolidated procedure).
Past ABNS clinical data systems primarily utilized text fields which often led to variable data submission and occasionally missing data elements. POST’s design allows for the collection of discrete data elements describing patient variables, diagnoses, procedures, clinical decision-making and outcomes. This format allows for uniform and complete data submission, along with the development of true national benchmarks for performance and experience. These factors ensure objective and equitable reviews of presented information and mitigate the potential that candidates will have to resubmit data due to missing elements.
In addition to discrete data fields, the ABNS has retained several text field options, should ABNS candidates or other POST users wish to augment the required data with other information relevant to clinical decision-making. Some text fields are required and others are optional. Text fields also provide candidates and other POST users a forum to provide information they feel would be useful to the review process.
The addition of imaging data is perhaps the most significant enhancement to ABNS case review processes.
Analysis of imaging data are critical to understanding clinical outcomes and decision-making in neurological surgery. Review of imaging data is a key component of the oral exam format. When imaging is a standard part of the clinical decision-making process, candidates will be required to submit between 1-8 case images (pre-, intra or post-operative) in POST.
The data submission tool is broken down into four main sections:
Project overview, system updates and links to important supplementary information.
A listing of all your case logs in the system. If you have only one case log, it opens it.
Includes individual physician profile and practice details.
The POST clinical data entry system allows for adding new cases and edit existing ones.
Please make sure to complete practice details in the ‘My Practice’ section in ABNS POST before you begin entering your cases. Remember to save before proceeding. This section specifies the site of service list that must be completed before selecting a site of service in an individual case.
The outline below identifies the information needed to enter a complete case.
The amount of data input required will be variable between submitted cases—this feature is intentional.
In sections that allow for entry of variable amounts of information (e.g., medical history, imaging data), it is suggested to include the minimum (i.e. essential) information you would require to explain your clinical decision-making and justify the clinical outcome(s) to another clinical colleague regarding the specific case being described. See examples below.
Every candidate preparing to take the oral examination must prepare and submit a case log for review.
Effective April 24, 2019: Requirements for the case log submission are detailed below:
Please note: The total number of submitted surgical procedures may exceed 125 cases due to “takeback” surgeries
Once submitted, the data is reviewed by an ABNS director as part of the credentialing process for ABNS initial certification.
To request an account for ABNS initial certification, please fill out the following form:
Include your name, residency program and completion date of residency training. Candidate accounts will only be provisioned to individuals who meet the prerequisites for ABNS certification.
Diagnostic angiograms count as major cases and should be entered into POST. However, no more than 25 consecutive diagnostic angiograms can be counted as major cases. After 25 diagnostic angiograms have been entered into POST, no more should be added. The only exception is that any patients having major complications related to angiography must be included, even if they occur after the first 25 angiograms. Remember that, without exception, all other types of major cases must be entered consecutively.
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