Hand Surgery Certifying Exam
To be eligible to apply for this exam, applicants must:
- Accredited Program: Have satisfactorily completed a one-year training program in hand surgery accredited by the ACGME.
- Training Time: Have acquired no fewer than 48 weeks of full-time clinical activity in the training year. See Leave Policy for further details.
- Certification/MOC: Be currently certified in general surgery by the American Board of Surgery and in compliance with the ABS MOC Program.
- Professional Activity: Have been in the active practice of hand surgery for at least 2 years following completion of training and be currently engaged in the practice of hand surgery.
- Medical License: Have a currently registered full and unrestricted license to practice medicine in the U.S. or Canada. Applicants are required to immediately inform the ABS of any conditions or restrictions in force on any active medical license they hold.
- Adhere to the ABS Ethics and Professionalism Policy.
Operative Log: Submit for the ABS' review a list of at least 125 cases managed during a consecutive 15-month period within the 2 years preceding application. Hand surgery includes only those procedures performed on the upper extremity distal to the elbow.
The 125 cases must be separated by category (see list below) and meet the following minimums in at least 5 of the following 9 categories:
Category - Minimum Number of Cases
- Bone and Joint - 20
- Nerve - 20
- Tendon and Muscle - 20
- Skin and Wound Problems - 14
- Contracture and Joint Stiffness - 10
- Tumor - 10
- Congenital - 3
- Microvascular - 3
- Nonoperative - 6
- Nonoperative cases are those which require significant evaluation, such as pain problems, and must be documented with consultation reports. No more than 6 nonoperative cases will be accepted.
- In the category of Bone and Joint, no fractures proximal to the wrist joint may be included. In the category of Nerve, no more than 5 cases of carpal tunnel syndrome may be included. In the category of Tendon and Muscle, no more than 5 cases of trigger finger may be included. In the category of Tumor, no more than 5 cases of ganglion may be included.
- Complex cases can satisfy up to 3 categories. For example, the management of a complex mutilating injury involving repair of muscle, tendon, nerve, vascular injury, and skin would count for muscle and tendon, nerve, and vascular repair, but not for the skin. This example clearly indicates a more complex operative experience than a simple, single-task surgery. Those cases in which the involvement of 2 categories is part of a single-focus surgery, such as the use of a tendon in ligament reconstruction and tendon interposition of the basal joint, would count as only one case.
- Once an application is approved, the applicant has a maximum of 3 opportunities within a 5-year period to pass the examination.
- During the five-year period, examinees who postponed or were unsuccessful will be contacted regarding the next exam; a new application is not necessary.
- Applicants who exceed the above restrictions lose admissibility to the examination and should contact the exam coordinator regarding the readmissibility requirements in effect at that time.
Maintenance of Certification (MOC)
- If successful on the exam, you will be deemed certified in surgery of the hand and will receive your official certificate in 3 to 6 months. You must thereafter participate in the ABS MOC Program to maintain your certificate. The ABS will waive 60 credits of CME with self-assessment toward MOC for this certification; the waiver will appear automatically in your CME Repository.
- Surgeons who achieve ABS certification may also apply to the AMA to receive 60 AMA PRA Category 1 Credits. Please see the AMA website and the direct CME application (pdf) for details.
For application forms and additional information, please send an email to the exam coordinator.