2024 CAQ EXAMINATION APPLICATION

Application Number: KL9ML-SZNEJ-MV4ZC-2A7ZR-XNZRH

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Application deadline is 11:59 PM (PST) on Wednesday, January 31, 2024

NOTE: Online applications must be submitted by the dates indicated. No exceptions will be made for late applications. The address listed below will be the address to which you would like information sent. Please visit your member dashboard on the ABPM website to update your private mailing address and your office address which may be made available to the public.
NOTE: The CAQs detailed below are issued solely by the ABPM to its diplomates. The Joint Committee on Recognition of Specialty Board (JCRSB) of the Council on Podiatric Medical Education recognizes the certification process of the ABPM but has not developed a recognition process for Certificates of Added Qualification. Therefore, at this time the ABPM's recognition by the JCRSB does not extend specifically to the CAQ.

1. Exam Selection

A $350 Annual Certificate Fee will be charged to ABFAS members who pass the CAQ exam.

CAQ Examination - Amputation Prevention & Wound Care
$100 application fee is non-refundable upon receipt.
Balance is non-refundable after February 10, 2024.

$295.00

CAQ Examination - Sports Medicine
$100 application fee is non-refundable upon receipt.
Balance is non-refundable after February 10, 2024.

$295.00

CAQ Examination - Podiatric Surgery
$100 application fee is non-refundable upon receipt.
Balance is non-refundable after February 10, 2024.

$295.00

Case Submission, if applicable
This fee is non-refundable after January 31, 2024.

$200.00

2. Documentation

OR
OR
Manage Case Documentation

You will be emailed login credentials to access the ABPM Case Archive to submit your required cases as soon as possible.

Please upload documents relevant to your selection.  
1. Board Certification1. Add New Document
2. Delineation of Privileges2. Add New Document
3. Case Log3. Add New Document
4. Colleague Attestation4. Add New Document

3. Contact Information

All applicable fields are required.

4. Mailing Address

The address you enter must be a daytime address at which you can receive mail requesting a signature. You may change your address at any time by informing us in writing. If you are in residency, remember to advise ABPM of address and phone number changes after you complete your residency.

5. Public Address

If you do not provide a second address, your mailing address will be used as your public address. When you achieve either board qualified or board certified classification with ABPM, this address will be made available to the public.

6. Test Accommodations

ABPM is committed to providing access for all individuals with disabilities. At the request of ABPM, Pearson VUE provides reasonable test accommodations for candidates with specific needs who provide timely and adequate documentation on a case-by-case basis. It is essential for applicants requesting special accommodations to submit supporting documentation at the time of application submission. That will assist, but not guarantee, the candidate obtaining accommodation at a test center proximate to their point of origin.

Special Accommodations Request Document Add a Supporting Document
ABPM will notify candidate via e-mail once accommodation is approved and advise them on how to schedule their appointment.

7. Ethics

Have any diciplinary actions been initiated and/or are any pending against you by any state licensure board?
Has your license to practice medicine in any state been denied, limited, suspended, revoked, placed on probation or involuntarily relinquished?
Have you been suspended, sanctioned or otherwise restricted from participating in any private, federal or state health insurance program (e.g. Medicare/Medicaid)?
Have you been the subject of any investigation by any private, federal or state agency including Professional Review Organizations, concerning you participation in any private, federal or state health insurance program?
Has your Federal DEA State Control Substance Certificate been denied, limited, suspended, revoked or involuntarily relinquished?
Have you ever been convicted of a felony or misdemeanor other than minor traffic violations?
If you answered Yes to any of the above questions, please explain.

8. Solicitation by Other Organizations

The ABPM will refer candidate information to organizations delivering educational content, or soliciting professional membership in areas relevant to the specialty unless specifically declined by the candidate.

9. Disclosure

10. Ongoing Obligations