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Focused Practice Designation in Pediatric and Adolescent Gynecology - FAQs

Why is the American Board of Obstetrics and Gynecology (ABOG) offering a Focused Practice Designation for Pediatric and Adolescent Gynecology (PAG)?


The PAG designation allows ABOG to provide obstetricians and gynecologists who have a special interest in the care of pediatric and adolescent gynecological patients more focused, relevant, and pertinent continuous professional development. Additionally, a Focused Practice Designation in PAG provides recognition by patients, credentialers, peers and other stakeholders of those obstetric and gynecology specialists who are adequately acquiring and maintaining these proficiencies.


Is this designation considered a “certification”?


No. The American Board of Medical Specialties (ABMS) utilizes the Focused Practice Designation as a way to recognize areas of practice that either evolve as specialists progress through their professional careers or emerge as medicine changes due to advances in medical practice. Focused Practice is not intended to be a form of certification, since it recognizes areas of focus within recognized specialties or subspecialties. Use of the designation will recognize an evolution of practice relevant to continuing certification rather than certification.


How and when can physicians apply for the Focused Practice Designation in PAG?


Between April 2 and May 31, 2018, ABOG Diplomates who are interested and meet the eligibility criteria can go to their personal page in the ABOG physician portal at abog.org. They can then click on the button asking if they’re interested in PAG and proceed to answer two questions. If both questions are answered affirmatively, the link to the application for the PAG computer-based exam will be made available. Applications will not be accepted after May 31, 2018.


What is the criteria that Diplomates must meet to qualify to take the PAG exam?


Applicants for the Focused Practice Designation in PAG must have primary certification in Obstetrics and Gynecology from ABOG and must be meeting the ABOG MOC program requirements if they hold a time-limited certificate. Additional eligibility criteria includes:

  • A candidate is a physician who is applying for the computer-based examination for focused practice on the basis of training, experience and clinical practice.
  • Candidates must have completed a minimum of three years of clinical practice with a focus in PAG. Completion of a one or two year PAG fellowship may count toward the minimum three-year requirement of focused practice.
  • Candidates must have completed a minimum of 20 AMA-PRA Category 1 CME credits in PAG or relevant pediatric surgery CME in the last 3 years.
  • Candidates must submit a 12-month case log documenting a minimum of 100 gynecological patients under the age of 21 as well as an adequate breadth of practice minimums.
  • Candidates must also document on the 12-month case log that they provide care for patients under the age of 12 for gynecological care.
  • Candidates must document on the 12-month case log the number of surgical cases performed on patients under the age of 21.
  • Candidates must pass a secure, computer-based examination of focused knowledge, judgment, and skills in PAG.


When is the PAG exam, and how much is the exam fee?


The computer-based exam is scheduled for October 15, 2018, and the exam fee is $175, payable by credit card at the time of online application.


Is there an oral exam?


No oral exam is required.


What happens if I fail the exam or have to postpone?


A candidate who postpones or fails the PAG exam must complete a new online application to be considered for the next scheduled examination in PAG and pay a new application fee.


Are there time limitations for this designation?


Yes, Focused Practice Designation in PAG is time-limited. Each PAG Diplomate must enter the PAG Focused Practice Maintenance of Certification (MOC) program in the year following successful attainment of focused practice designation and must successfully complete all assignments to maintain focused practice designation. Physicians who hold non-time-limited certificates in the Specialty of Obstetrics and Gynecology must enter the PAG MOC process to maintain Focused Practice Designation.


How do my MOC requirements change once I’ve received the PAG designation?


Diplomates who hold a time-limited certificate must meet MOC requirements annually for their specialty or subspecialty as well as complete additional reading assignments focused in PAG.

The Lifelong Learning and Self-Assessment articles requirements for specialists and subspecialists holding a PAG Focused Practice Designation cover the following article categories:


For Specialists

  1. General obstetrics, gynecology, office practice, and four subspecialties
  2. Pediatric and adolescent gynecology
  3. Patient safety and communication


For Subspecialists

  1. General obstetrics, gynecology, office practice, and the other three subspecialties
  2. Pediatric and adolescent gynecology
  3. Articles in the Diplomate’s subspecialty
  4. Patient safety and communication


I am certified, but my certification is not time-limited. I am not participating in MOC. Am I able to sign up for PAG?


Yes, however, you must call ABOG at 214-871-1619 and ask for the MOC department to have the button added to your personal page. Once you have achieved the focused practice designation in PAG, you must complete MOC yearly to keep your designation.


Do I list patients under the age of 21 that are seen in clinic, but do not have a procedure?


Yes, patients under the age of 21 who are seen in clinic without a procedure should be listed under the other/patient encounter without procedure line on the case log.


For complete details about ABOG’s Focused Practice Designation in PAG, review the Bulletin found at abog.org.


If you have questions about PAG eligibility exam requirements or the application process, call 214.871.1619 and ask to speak to an Exam Department specialist. Or you may email inquiries to generalcert@abog.org


If you have questions about Maintenance of Certification (MOC) and the ongoing role of MOC program requirements as relates to PAG, call 214.871.1619 and ask to speak to an MOC specialist. Or, email moc@abog.org