ABWM Handbook 2012 2
ABWM Handbook 2012 2
Board Certification
All questions and requests for information about any of All questions and requests for information about
the certification examinations should be directed to: examination scheduling should be directed to:
Rev. 1/11/2013
Candidate Handbook
Table of Contents
ABOUT THE CERTIFIED WOUND CARE ASSOCIATE® (CWCA®). . . . . . . 2 ABOUT THE CERTIFIED WOUND SPECIALIST PHYSICIAN® (CWSP®). . . 26
Objectives of Board Certification. . . . . . . . . . . . . . . . . . . . . . . . . . 2 Objectives of Board Certification. . . . . . . . . . . . . . . . . . . . . . . . . . 26
ABWM Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ABWM Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Certification Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Certification Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Eligibility Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Eligibility Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Attainment of Certification, Renewal, and Re-certification . . . . 3 Attainment of Certification, Renewal, and Re-certification . . . . 26
Revocation of Certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Revocation of Certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Grievance Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Grievance Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Review Material. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Review Material. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Time Allocation for the Examination. . . . . . . . . . . . . . . . . . . . . . . 4 Time Allocation for the Examination. . . . . . . . . . . . . . . . . . . . . . . 27
Admission to Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Admission to Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Re-testing Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Re-testing Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Report of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Report of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Confidentiality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Confidentiality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
CWCA Content Outline. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 CWSP Content Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Sample Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Sample Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Application Submission Checklist . . . . . . . . . . . . . . . . . . . . . . . . . 7 Application Submission Checklist . . . . . . . . . . . . . . . . . . . . . . . . . 32
CWCA Application. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 CWSP Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Request Letter of Reference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Payment of Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Payment of Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Testing Agency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
ABOUT THE CERTIFIED WOUND SPECIALIST® (CWS®). . . . . . . . . . . . . . 14 Nondiscrimination Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Objectives of Board Certification. . . . . . . . . . . . . . . . . . . . . . . . . . 14 Examination Administration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
ABWM Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Assessment Center Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Certification Status. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Scheduling an Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Eligibility Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Rescheduling an Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Attainment of Certification, Renewal, and Re-certification . . . . 15 Missed Appointment and Cancellations. . . . . . . . . . . . . . . . . . . . 39
Revocation of Certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Holidays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Special Arrangements for Candidates with Disabilities. . . . . . . . 39
Grievance Procedures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Telecommunication Devices for the Deaf. . . . . . . . . . . . . . . . . . . 39
Review Material. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Inclement Weather, Power Failure or Emergency. . . . . . . . . . . . 39
Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Taking the Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Time Allocation for the Examination. . . . . . . . . . . . . . . . . . . . . . . 16 Identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Admission to Testing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Re-testing Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Personal Belongings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Report of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Examination Restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Confidentiality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Misconduct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
CWS Content Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Copyrighted Examination Questions. . . . . . . . . . . . . . . . . . . . . . . 40
Sample Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Computer Login. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Application Submission Checklist . . . . . . . . . . . . . . . . . . . . . . . . . 19 Practice Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
CWS Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Timed Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Candidate Comments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Request Letter of Reference. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Following the Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Payment of Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Scores Cancelled by ABWM or AMP . . . . . . . . . . . . . . . . . . . . . . . 41
Failing to Report for an Examination. . . . . . . . . . . . . . . . . . . . . . . 41
Duplicate Score Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Request for Special Examination Accommodations. . . . . . . . . . . 42
Documentation of Disability-Related Needs . . . . . . . . . . . . . . . . 43
ABWM Administration
The board certification is sponsored by the American Board of Wound
Management. For questions concerning eligibility, please contact us
by:
Email: [email protected] or Phone: 202-457-8408.
Re-testing Policies
Candidates who do not pass the examination are eligible to re-take
it 90 days after the date of their last examination, and up to two
years after the date of their last examination. Candidates must file
an ABWM Re-test Application and pay a $150 re-application fee each
time they re-test. Those who do not re-test within two years of their
last examination must re-submit the application in full. Any candi-
date who does not achieve a passing score after three attempts must
submit documentation of 30 hours of continuing education in wound
management to the ABWM office prior to re-taking the examination
a fourth time.
Answer: B
2. The primary way for patients with diabetes to avoid Content Category: 3
development of a wound is to
A. inspect feet daily.
B. elevate extremities.
C. control blood glucose.
D. increase protein intake.
Answer: A
Content Category: 4
Answer: D
Content Category: 2
Completed and signed application with all fields filled in with biographical
1)
information including social security number.
Initials:
By initialing here, I acknowledge and accept that I have read and agree to abide
2)
by the ABWM Code of Ethics on page 11.
Initials:
Complete this checklist form by initialing next to each application item and
8)
including it with your application.
Initials:
Name
Submission Date
Name and Credentials as you would like them to appear on your certificate
Mail to:
Name:_________________________________________________
Please Print
I hereby apply to the American Board of Wound Management (the “ABWM”) for examination and issuance to me of
certification as a Certified Wound Care Associate (“CWCA”) in accordance with and subject to the procedures and
regulations of the ABWM. I have read and agree to the conditions set forth in the ABWM’s Handbook for Candidates
covering eligibility, the administration of the Certification Examination; the certification process; and ABWM’s rules and
policies. I agree to disqualification from examination; to denial, suspension, or revocation of certification; and to forfeiture
and redelivery of any certificate or other credential granted me by the ABWM in the event that any of the statements or
answers made by me in this application are false or in the event that I violate any of the rules or regulations governing
such examination.
I authorize the ABWM to make whatever inquiries and investigations it deems necessary to verify my credentials and my
professional standing. I understand that this application and any information or material received or generated by the
ABWM in connection with my examination and/or certification will be kept confidential and will not be released unless I
have authorized such release or such release is required by law. However, the fact that I am or am not, or have or have not
been, certified is a matter of public record and may be disclosed. Finally, I allow the ABWM to use information from my
application and subsequent examination for the purpose of statistical analysis, provided that my personal identification
with that information has been deleted.
I understand that the content of the Certification Examination is proprietary and strictly confidential information. I hereby
agree that I will not disclose, or assist in the disclosure of, either directly or indirectly, any question or any part of any
question from an examination to any person or entity. I understand that I may be disqualified from taking or continuing to
sit for an examination, or from receiving examination scores, if the ABWM determines through either proctor observation,
statistical analysis, or any other means that I was engaged in collaborative, disruptive, or other unacceptable behavior
before, during the administration of, or following the Certification Examination.
I further understand that the unauthorized receipt, retention, possession, copying or disclosure of any examination
materials, including but not limited to the content of any examination question, before, during, or after the examination
may subject me to legal action resulting in monetary damages and/or disciplinary action resulting in denial or revocation
of certification.
I hereby agree to hold the ABWM, its officers, directors, examiners, employees, and agents, harmless from any complaint,
claim, or damage arising out of any action or omission by any of them in connection with this application, the application
process, any examination given by the ABWM, any grade relating thereto, the failure to issue me any certificate, or any
demand for forfeiture or redelivery of such certificate.
I UNDERSTAND THAT THE INITIAL DECISION AS TO WHETHER I QUALIFY FOR CERTIFICATION, AND ALL FUTURE DECISIONS
REGARDING MY CONTINUED QUALIFICATION FOR CERTIFICATION, REST SOLELY AND EXCLUSIVELY WITH THE ABWM AND
THAT THE DECISIONS OF THE ABWM ARE FINAL.
I HAVE READ AND UNDERSTAND THESE STATEMENTS AND I INTEND TO BE LEGALLY BOUND BY THEM.
I HAVE READ AND AGREE TO ABIDE BY THE ABWM CODE OF ETHICS ON PAGE 11.
Signature Date
Code of Ethics represent and disclose their training education, and experience to
the public. Certified providers shall engage in continuing education.
The American Board of Wound Management acknowledges the Certified providers recognize that the field of wound management is
diversity of etiologies and associated problems that patients with developing rapidly and shall be open to evaluate and consider new
chronic non-healing wounds endure. The American Board of Wound products and approaches to wound management. Certified providers
Management therefore supports the interdisciplinary commitment, should refrain from any activity which may result in harm to a patient
which professionals from a variety of disciplines, can make to the without first considering alternatives to such an approach, seeking
field of wound management. The conduct of individuals certified by services which may achieve the same benefit without the associated
the American Board of Wound Management shall be consistent with risk, obtain consultations from other providers, and inform the patient
all applicable local, state, and federal regulations, and with codes of of any risk inherent to any procedure or approach.
conduct as established by the certified individual’s primary discipline.
Additionally, individuals who are certified by the American Board of d. Confidentiality
Wound Management shall be committed to increasing their knowl-
Certified providers are obligated to safeguard information obtained
edge of the mechanisms of wound healing, tissue repair, and modali-
in the course of their involvement with a patient. Information may be
ties to effectively treat indolent wounds. It is part of the mission of
released with a patient’s permission; and circumstances where there
The American Board of Wound Management to safeguard the health
is a clear and imminent danger to the patient, or others, and where
and welfare of patients who seek the services of Certified individuals.
required by court or subpoena. The patient has the privilege to the
a. Responsibility extent feasible and practical, and those cases where there would be
no legal or clinical contraindications, to see their chart when this can
All Certified practitioners must be responsible to determine that be arranged at a mutually convenient time.
standards are applied evenly and fairly to all individuals who receive
services. Certified individuals shall provide accurate documentation e. Business Procedures
and timely feedback to members of the team, and other interested
Certified providers will abide by all prevailing community standards.
parties in order to assure coordinated, managed care. All reports will
They will adhere to all federal, state and local laws regulating business
be objective and based upon an independent professional opinion
practice. Competitive advertising must be honest, actual and accurate.
within the Certified individual’s expertise. Certified individuals will
Such advertising shall avoid exaggerated claims. Certified providers
provide only those services for which the individual is competent and
will not enter into any arrangement where fees are exchanged that
qualified to perform. Certified individuals will refrain from providing
would be likely to create conflict of interest or influence their opinion
services, which are counter to the ethical standard of their discipline.
about service rendered. Certified providers shall engage in behavior
b. Professional Conduct by Specialty which conforms to high standards of moral, ethical and legal behavior.
Certified providers will not engage in sexual contact with patients.
Certified individuals are obligated to maintain their education and
competency such that it confirms to the standard of conduct both to f. Research
the individual’s community, practice and discipline. Wound manage-
Certified providers are encouraged to engage in research. In doing so,
ment is a coordinated multidisciplinary and interdisciplinary effort.
they shall have the safety of their subjects as a priority. Investigation
Certified individuals will conduct their professional behavior so that
shall be consistent with the traditions and practices of the certified
it facilitates the services of all team members for maximum benefit
individual’s discipline.
of the patient.
Instructions to Candidate
Please fill in your name and give a copy of this form to each of the three professionals whom you will ask to write letters of refer-
ence for you.
Name of Candidate:
Instructions to Reference
The person listed above requests that you provide a letter Please note that all letters of reference should:
of reference to the American Board of Wound Management • Be addressed to the ABWM Credentials Committee.
to support his or her application for the board certification
• Be written on official letterhead and include a current phone
examination to become a Certified Wound Care Associate
number (ABWM audits randomly and may need to call you
(CWCA).
to confirm your reference).
Should you have any questions, please contact the • Attest to the candidate’s wound care knowledge and skills.
candidate directly, or contact the ABWM office at
• Attest to the candidate’s required years of experience in
[email protected] or at 202-457-8408.
wound care: 3 years required.
Once the letter is complete, return it to the applicant in a • Be dated and signed.
sealed envelope.
Payment of Fees
Total: $_______
Payment
Check or money order enclosed, payable to:
American Board of Wound Management
Account Number
Cardholder Name
Signature
Mail to:
• Raising standards and elevating the importance of ethical behav- 8. Complete the checklist form by initialing next to each application
ior among practitioners and researchers, by requiring the Certified item.
Wound Specialist to adhere to a strict code of ethics and profes- All application materials must arrive at the ABWM at one time and in
sional standards. the same envelope. Candidates should allow a minimum of 15 busi-
ness days for processing their application. Packets that arrive with
ABWM Administration materials missing will be returned delaying the application. FedEx
and USPS certified mail are recommended. It is the sole responsibility
The board certification is sponsored by the American Board of Wound
of the candidate to ensure that all application materials arrive in the
Management. For questions concerning eligibility, please contact us
ABWM office.
by:
Email: [email protected] or Phone: 202/457-8408.
Re-testing Policies
Candidates who do not pass the examination are eligible to re-take
it 90 days after the date of their last examination, and up to two
years after the date of their last examination. Candidates must file
an ABWM Re-test Application and pay a $275 re-application fee each
time they re-test. Those who do not re-test within two years of their
last examination must re-submit the application in full. Any candi-
date who does not achieve a passing score after three attempts must
submit documentation of 30 hours of continuing education in wound
management to the ABWM office prior to re-taking the examination
a fourth time.
Answer: A
2. A patient presents with an ulceration at the site of an old Content Category: 3
burn scar. The wound is mildly tender and presents with
exuberant tissue. Which of the following is the MOST likely
diagnosis?
A. Marjolin’s ulcer
B. metastatic carcinoma
C. lymphangiosarcoma
D. malignant melanoma
Answer: A
Content Category: 2
Answer: D
Content Category: 5
Completed and signed application with all fields filled in with biographical
1)
information including social security number.
Initials:
By initialing here, I acknowledge and accept that I have read and agree to abide
2)
by the ABWM Code of Ethics on page 23.
Initials:
Complete this checklist form by initialing next to each application item and
8)
including it with your application.
Initials:
Name
Submission Date
Name and Credentials as you would like them to appear on your certificate
Mail to:
Name:_________________________________________________
Please Print
I hereby apply to the American Board of Wound Management (the “ABWM”) for examination and issuance to me of
certification as a Certified Wound Specialist (“CWS”) in accordance with and subject to the procedures and regulations of
the ABWM. I have read and agree to the conditions set forth in the ABWM’s Handbook for Candidates covering eligibility,
the administration of the Certification Examination; the certification process; and ABWM’s rules and policies. I agree to
disqualification from examination; to denial, suspension, or revocation of certification; and to forfeiture and redelivery of
any certificate or other credential granted me by the ABWM in the event that any of the statements or answers made by
me in this application are false or in the event that I violate any of the rules or regulations governing such examination.
I authorize the ABWM to make whatever inquiries and investigations it deems necessary to verify my credentials and my
professional standing. I understand that this application and any information or material received or generated by the
ABWM in connection with my examination and/or certification will be kept confidential and will not be released unless I
have authorized such release or such release is required by law. However, the fact that I am or am not, or have or have not
been, certified is a matter of public record and may be disclosed. Finally, I allow the ABWM to use information from my
application and subsequent examination for the purpose of statistical analysis, provided that my personal identification
with that information has been deleted.
I understand that the content of the Certification Examination is proprietary and strictly confidential information. I hereby
agree that I will not disclose, or assist in the disclosure of, either directly or indirectly, any question or any part of any
question from an examination to any person or entity. I understand that I may be disqualified from taking or continuing to
sit for an examination, or from receiving examination scores, if the ABWM determines through either proctor observation,
statistical analysis, or any other means that I was engaged in collaborative, disruptive, or other unacceptable behavior
before, during the administration of, or following the Certification Examination.
I further understand that the unauthorized receipt, retention, possession, copying or disclosure of any examination
materials, including but not limited to the content of any examination question, before, during, or after the examination
may subject me to legal action resulting in monetary damages and/or disciplinary action resulting in denial or revocation
of certification.
I hereby agree to hold the ABWM, its officers, directors, examiners, employees, and agents, harmless from any complaint,
claim, or damage arising out of any action or omission by any of them in connection with this application, the application
process, any examination given by the ABWM, any grade relating thereto, the failure to issue me any certificate, or any
demand for forfeiture or redelivery of such certificate.
I UNDERSTAND THAT THE INITIAL DECISION AS TO WHETHER I QUALIFY FOR CERTIFICATION, AND ALL FUTURE DECISIONS
REGARDING MY CONTINUED QUALIFICATION FOR CERTIFICATION, REST SOLELY AND EXCLUSIVELY WITH THE ABWM AND
THAT THE DECISIONS OF THE ABWM ARE FINAL.
I HAVE READ AND UNDERSTAND THESE STATEMENTS AND I INTEND TO BE LEGALLY BOUND BY THEM.
I HAVE READ AND AGREE TO ABIDE BY THE ABWM CODE OF ETHICS ON PAGE 23.
Signature Date
Code of Ethics represent and disclose their training education, and experience to
the public. Certified providers shall engage in continuing education.
The American Board of Wound Management acknowledges the Certified providers recognize that the field of wound management is
diversity of etiologies and associated problems that patients with developing rapidly and shall be open to evaluate and consider new
chronic non-healing wounds endure. The American Board of Wound products and approaches to wound management. Certified providers
Management therefore supports the interdisciplinary commitment, should refrain from any activity which may result in harm to a patient
which professionals from a variety of disciplines, can make to the without first considering alternatives to such an approach, seeking
field of wound management. The conduct of individuals certified by services which may achieve the same benefit without the associated
the American Board of Wound Management shall be consistent with risk, obtain consultations from other providers, and inform the patient
all applicable local, state, and federal regulations, and with codes of of any risk inherent to any procedure or approach.
conduct as established by the certified individual’s primary discipline.
Additionally, individuals who are certified by the American Board of d. Confidentiality
Wound Management shall be committed to increasing their knowl-
Certified providers are obligated to safeguard information obtained
edge of the mechanisms of wound healing, tissue repair, and modali-
in the course of their involvement with a patient. Information may be
ties to effectively treat indolent wounds. It is part of the mission of
released with a patient’s permission; and circumstances where there
The American Board of Wound Management to safeguard the health
is a clear and imminent danger to the patient, or others, and where
and welfare of patients who seek the services of Certified individuals.
required by court or subpoena. The patient has the privilege to the
a. Responsibility extent feasible and practical, and those cases where there would be
no legal or clinical contraindications, to see their chart when this can
All Certified practitioners must be responsible to determine that be arranged at a mutually convenient time.
standards are applied evenly and fairly to all individuals who receive
services. Certified individuals shall provide accurate documentation e. Business Procedures
and timely feedback to members of the team, and other interested
Certified providers will abide by all prevailing community standards.
parties in order to assure coordinated, managed care. All reports will
They will adhere to all federal, state and local laws regulating business
be objective and based upon an independent professional opinion
practice. Competitive advertising must be honest, actual and accurate.
within the Certified individual’s expertise. Certified individuals will
Such advertising shall avoid exaggerated claims. Certified providers
provide only those services for which the individual is competent and
will not enter into any arrangement where fees are exchanged that
qualified to perform. Certified individuals will refrain from providing
would be likely to create conflict of interest or influence their opinion
services, which are counter to the ethical standard of their discipline.
about service rendered. Certified providers shall engage in behavior
b. Professional Conduct by Specialty which conforms to high standards of moral, ethical and legal behavior.
Certified providers will not engage in sexual contact with patients.
Certified individuals are obligated to maintain their education and
competency such that it confirms to the standard of conduct both to f. Research
the individual’s community, practice and discipline. Wound manage-
Certified providers are encouraged to engage in research. In doing so,
ment is a coordinated multidisciplinary and interdisciplinary effort.
they shall have the safety of their subjects as a priority. Investigation
Certified individuals will conduct their professional behavior so that
shall be consistent with the traditions and practices of the certified
it facilitates the services of all team members for maximum benefit
individual’s discipline.
of the patient.
Instructions to Candidate
Please fill in your name and give a copy of this form to each of the three professionals whom you will ask to write letters of refer-
ence for you.
Name of Candidate:
Instructions to Reference
The person listed above requests that you provide a letter Please note that all letters of reference should:
of reference to the American Board of Wound Management • Be addressed to the ABWM Credentials Committee.
to support his or her application for the board certification
• Be written on official letterhead and include a current phone
examination to become a Certified Wound Specialist (CWS).
number (ABWM audits randomly and may need to call you
Should you have any questions, please contact the to confirm your reference).
candidate directly, or contact the ABWM office at • Attest to the candidate’s wound care knowledge and skills.
[email protected] or at 202-457-8408.
• Attest to the candidate’s required years of experience in
Once the letter is complete, return it to the applicant in a wound care: 3 years required, or 1-year fellowship.
sealed envelope. • Be dated and signed.
Payment of Fees
Total: $_______
Payment
Check or money order enclosed, payable to:
American Board of Wound Management
Account Number
Cardholder Name
Signature
Mail to:
MasterCard, Visa, and American Express accepted • IF ELIGIBLE: You will receive a notice from AMP within 15 business
days of the receipt of your completed application.
• IF NOT ELIGIBLE: Your certification fee, less a $100 processing fee,
will be returned to you with a notice of ineligibility.
Re-testing Policies
Candidates who do not pass the examination are eligible to re-take
it 90 days after the date of their last examination, and up to two
years after the date of their last examination. Candidates must file
an ABWM Re-test Application and pay a $995 re-application fee each
time they re-test. Those who do not re-test within two years of their
last examination must re-submit the application in full. Any candi-
date who does not achieve a passing score after three attempts must
submit documentation of 30 hours of continuing education in wound
management to the ABWM office prior to re-taking the examination
a fourth time.
Report of Results
Candidates will receive notification of their results from AMP immedi-
ately upon completion of the examination. Note: Examination results
will NOT be provided over the telephone or by facsimile by AMP or
ABWM under any circumstances.
Confidentiality
It is up to each candidate to notify an employer or others as to whether
you have passed or failed the examination. Upon written inquiry, the
ABWM will release information regarding the status of an individual’s
certification only, withholding information regarding scores or if an
individual took the examination.
The American Board of Wound Management National Board A. The entire dermis is destroyed.
Certification Examination for Certified Wound Specialist Physician B. These burnsy are extremely painful.
consists of five subject areas with a sample question from each of C. The extent of injury is readily apparent.
the areas listed below. D. The wound may heal spontaneously without skin grafting.
In consideration of the scope of the wound specialist physician’s role Answer: A
encompasses the role of the wound specialists, many of the CWS Content Category: 4
exam items could also be applicable to the CWSP examination.
Some items might be linked to a scenario. 5. Which of the following is the correct priority listing of health
care proxies?
1. Which of the following BEST explains the reason atheromas and A. spouse, adult child, parent, sibling, court-appointed
fibrous plaques form at major arterial bifurcations? guardian
B. spouse, court-appointed guardian, adult child, parent,
A. Laplace’s law sibling
B. disrupted laminar flow C. adult child, spouse, court-appointed guardian, parent,
C. an elevated apoprotein A level sibling
D. elevated microcirculatory HDL levels D. court-appointed guardian, spouse, adult child, parent,
sibling
Answer: B
Content Category: 1 Answer: D
Content Category: 5
2. A patient presents with the following physiologic data: BMI 37
kg/m2, hemoglobin A1c 10%, BUN 27 mg/dL, serum creatinine
0.4 mg/dL, serum albumin 1.5 g/dL, ABI 0.4, and TcPO2 20 mm
Hg bilaterally. Without intervention, what is the probability of
foot ulcer healing in this patient?
A. less than 10%
B. 40%
C. 60%
D. more than 90%
Answer: A
Content Category: 2
Answer: C
Content Category: 3
Completed and signed application with all fields filled in with biographical
1)
information including social security number.
Initials:
By initialing here, I acknowledge and accept that I have read and agree to abide
2)
by the ABWM Code of Ethics on page 36.
Initials:
Complete this checklist form by initialing next to each application item and
8)
including it with your application.
Initials:
*If you are a current CWS, items 2-5 may be substituted with a copy of your current CWS Identification Card.
Name
Submission Date
Name and Credentials as you would like them to appear on your certificate
Mail to:
Application for National Board Certification Examination for Certified Wound Specialist Physician
1. Name _______________________________________________________________________ Maiden Name_______________________________________
2. Organization or employer/affiliation _________________________________________________________________________________________________
3. Permanent mailing address ________________________________________________________________________________________________________
City____________________________________________State__________________________ Zip________________________________________________
4. Phone/Office__________________________________________________ Phone/Home_______________________________________________________
5. Fax__________________________________________________________ E-mail____________________________________________________________
6. Professional title of position________________________________________________________________________________________________________
7. Discipline or specialty_____________________________________________________________________________________________________________
8. Education:
Highest Degree__________________Year Awarded______________ Institution_______________________________________________________________
Highest Degree__________________Year Awarded______________ Institution_______________________________________________________________
Highest Degree__________________Year Awarded______________ Institution_______________________________________________________________
9. Professional work experience beginning with the most recent (please attach a copy of your resume/curriculum vitae):
Dates: From__________________ to__________________ Employer______________________________________________________________________
Address_________________________________________________________________________________________________________________________
Dates: From__________________ to__________________ Employer______________________________________________________________________
Address_________________________________________________________________________________________________________________________
Dates: From__________________ to__________________ Employer______________________________________________________________________
Address_________________________________________________________________________________________________________________________
10. Current License (attach a copy of each):
License Type_______________________ License #_______________________ State_______________ Expiration Date______________________________
License Type_______________________ License #_______________________ State_______________ Expiration Date______________________________
License Type_______________________ License #_______________________ State_______________ Expiration Date______________________________
11. Are you Board certified by another organization? Yes No
If yes, list certifications below and attach a copy of each certificate.
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
12. Please answer the following:
a. Have you ever had a professional license suspended, revoked, or voluntarily relinquished? Yes No
If yes, please send an explanation.
b. Have you ever been convicted, or are you now under charges for any felony or ethical violation? Yes No
If yes, please send an explanation and, if appropriate, send final decree.
13. Professional memberships:
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
14. Please include three professional references, sealed in original envelopes with you application.The letters should discuss your wound care knowledge,
skills, and expertise, and must document the required years of experience. Please list your references in the space below:
Name___________________________________________________________________ Telephone______________________________________________
Name___________________________________________________________________ Telephone______________________________________________
Name___________________________________________________________________ Telephone______________________________________________
Name:_________________________________________________
Please Print
I hereby apply to the American Board of Wound Management (the “ABWM”) for examination and issuance to me of
certification as a Certified Wound Specialist Physician (“CWSP”) in accordance with and subject to the procedures and
regulations of the ABWM. I have read and agree to the conditions set forth in the ABWM’s Handbook for Candidates
covering eligibility, the administration of the Certification Examination; the certification process; and ABWM’s rules and
policies. I agree to disqualification from examination; to denial, suspension, or revocation of certification; and to forfeiture
and redelivery of any certificate or other credential granted me by the ABWM in the event that any of the statements or
answers made by me in this application are false or in the event that I violate any of the rules or regulations governing
such examination.
I authorize the ABWM to make whatever inquiries and investigations it deems necessary to verify my credentials and my
professional standing. I understand that this application and any information or material received or generated by the
ABWM in connection with my examination and/or certification will be kept confidential and will not be released unless I
have authorized such release or such release is required by law. However, the fact that I am or am not, or have or have not
been, certified is a matter of public record and may be disclosed. Finally, I allow the ABWM to use information from my
application and subsequent examination for the purpose of statistical analysis, provided that my personal identification
with that information has been deleted.
I understand that the content of the Certification Examination is proprietary and strictly confidential information. I hereby
agree that I will not disclose, or assist in the disclosure of, either directly or indirectly, any question or any part of any
question from an examination to any person or entity. I understand that I may be disqualified from taking or continuing to
sit for an examination, or from receiving examination scores, if the ABWM determines through either proctor observation,
statistical analysis, or any other means that I was engaged in collaborative, disruptive, or other unacceptable behavior
before, during the administration of, or following the Certification Examination.
I further understand that the unauthorized receipt, retention, possession, copying or disclosure of any examination
materials, including but not limited to the content of any examination question, before, during, or after the examination
may subject me to legal action resulting in monetary damages and/or disciplinary action resulting in denial or revocation
of certification.
I hereby agree to hold the ABWM, its officers, directors, examiners, employees, and agents, harmless from any complaint,
claim, or damage arising out of any action or omission by any of them in connection with this application, the application
process, any examination given by the ABWM, any grade relating thereto, the failure to issue me any certificate, or any
demand for forfeiture or redelivery of such certificate.
I UNDERSTAND THAT THE INITIAL DECISION AS TO WHETHER I QUALIFY FOR CERTIFICATION, AND ALL FUTURE DECISIONS
REGARDING MY CONTINUED QUALIFICATION FOR CERTIFICATION, REST SOLELY AND EXCLUSIVELY WITH THE ABWM AND
THAT THE DECISIONS OF THE ABWM ARE FINAL.
I HAVE READ AND UNDERSTAND THESE STATEMENTS AND I INTEND TO BE LEGALLY BOUND BY THEM.
I HAVE READ AND AGREE TO ABIDE BY THE ABWM CODE OF ETHICS ON PAGE 36.
Signature Date
Code of Ethics represent and disclose their training education, and experience to
the public. Certified providers shall engage in continuing education.
The American Board of Wound Management acknowledges the Certified providers recognize that the field of wound management is
diversity of etiologies and associated problems that patients with developing rapidly and shall be open to evaluate and consider new
chronic non-healing wounds endure. The American Board of Wound products and approaches to wound management. Certified providers
Management therefore supports the interdisciplinary commitment, should refrain from any activity which may result in harm to a patient
which professionals from a variety of disciplines, can make to the without first considering alternatives to such an approach, seeking
field of wound management. The conduct of individuals certified by services which may achieve the same benefit without the associated
the American Board of Wound Management shall be consistent with risk, obtain consultations from other providers, and inform the patient
all applicable local, state, and federal regulations, and with codes of of any risk inherent to any procedure or approach.
conduct as established by the certified individual’s primary discipline.
Additionally, individuals who are certified by the American Board of d. Confidentiality
Wound Management shall be committed to increasing their knowl-
Certified providers are obligated to safeguard information obtained
edge of the mechanisms of wound healing, tissue repair, and modali-
in the course of their involvement with a patient. Information may be
ties to effectively treat indolent wounds. It is part of the mission of
released with a patient’s permission; and circumstances where there
The American Board of Wound Management to safeguard the health
is a clear and imminent danger to the patient, or others, and where
and welfare of patients who seek the services of Certified individuals.
required by court or subpoena. The patient has the privilege to the
a. Responsibility extent feasible and practical, and those cases where there would be
no legal or clinical contraindications, to see their chart when this can
All Certified practitioners must be responsible to determine that be arranged at a mutually convenient time.
standards are applied evenly and fairly to all individuals who receive
services. Certified individuals shall provide accurate documentation e. Business Procedures
and timely feedback to members of the team, and other interested
Certified providers will abide by all prevailing community standards.
parties in order to assure coordinated, managed care. All reports will
They will adhere to all federal, state and local laws regulating business
be objective and based upon an independent professional opinion
practice. Competitive advertising must be honest, actual and accurate.
within the Certified individual’s expertise. Certified individuals will
Such advertising shall avoid exaggerated claims. Certified providers
provide only those services for which the individual is competent and
will not enter into any arrangement where fees are exchanged that
qualified to perform. Certified individuals will refrain from providing
would be likely to create conflict of interest or influence their opinion
services, which are counter to the ethical standard of their discipline.
about service rendered. Certified providers shall engage in behavior
b. Professional Conduct by Specialty which conforms to high standards of moral, ethical and legal behavior.
Certified providers will not engage in sexual contact with patients.
Certified individuals are obligated to maintain their education and
competency such that it confirms to the standard of conduct both to f. Research
the individual’s community, practice and discipline. Wound manage-
Certified providers are encouraged to engage in research. In doing so,
ment is a coordinated multidisciplinary and interdisciplinary effort.
they shall have the safety of their subjects as a priority. Investigation
Certified individuals will conduct their professional behavior so that
shall be consistent with the traditions and practices of the certified
it facilitates the services of all team members for maximum benefit
individual’s discipline.
of the patient.
Payment of Fees
Total: $_______
Payment
Check or money order enclosed, payable to:
American Board of Wound Management
Account Number
Cardholder Name
Signature
Mail to:
Testing Agency Once you have received instructions from AMP, there are two (2) ways
to schedule your examination.
Applied Measurement Professionals, Inc. (AMP) is engaged in edu-
cational and occupational measurement and provides examination 1. Online Scheduling: Go to www.goAMP.com at any time and
development and administration to a variety of client organizations. select “Candidates.”
AMP assists ABWM in the development, administration, scoring and Follow the simple, step-by-step instructions to choose your exam-
analysis of the Certified Wound Care Associate (CWCA), Certified ination and register for the examination.
Wound Specialist (CWS) and Certified Wound Specialist Physician
(CWSP) examinations. AMP, located in the greater Kansas City area, is OR
a leading provider of licensing and certification examinations for pro- 2. Telephone Scheduling: Call AMP at 888/519-9901 to schedule an
fessional organizations. examination appointment. This toll-free number is answered from
7:00 a.m. to 9:00 p.m. (Central Time) Monday through Thursday,
Nondiscrimination Policy 7:00 a.m. to 7:00 p.m. on Friday, and 8:30 a.m. to 5:00 p.m. on
Saturday.
AMP does not discriminate among candidates on the basis of age, gen-
der, race, color, religion, national origin, disability, marital status or
any other protected characteristic. Depending on availability,
If you contact AMP by your examination may be
3:00 p.m. Central Time on... scheduled beginning...
Examination Administration
Monday Wednesday
Examinations are delivered by computer at over 170 AMP Assess-
ment Centers located throughout the United States. The examination Tuesday Thursday
is administered by appointment only Monday through Friday at 9:00 Wednesday Friday/Saturday
a.m. and 1:30 p.m. Saturday appointments may be scheduled based Thursday Monday
on availability. Available dates will be indicated when scheduling your
examination. Candidates are scheduled on a first-come, first-served Friday Tuesday
basis.
When you schedule your examination appointment, be prepared to
confirm a ___location and a preferred date and time for testing. You will
Assessment Center Locations be asked to provide your Social Security number. When you call or go
AMP Assessment Centers have been selected to provide accessibility online to schedule your examination appointment, you will be noti-
to the most candidates in all states and major metropolitan areas. A fied of the time to report to the Assessment Center and if an e-mail
current listing of AMP Assessment Centers, including addresses and address is provided you will be sent an e-mail confirmation notice.
driving directions, may be viewed at AMP’s website located at www.
If special accommodations are being requested, complete the Request
goAMP.com. Specific address information will be provided when you
for Special Examination Accommodations form included in this hand-
schedule an examination appointment.
book and submit it to AMP at least 45 days prior to the desired exami-
nation date.
Scheduling an Examination
You will receive a postcard and e-mail with instructions on how to Rescheduling an Examination
schedule your examination. Make sure that your name and address
You may reschedule your appointment ONCE at no charge by calling
are listed correctly and that you’ve been registered for the correct
AMP at 888/519-9901 at least 2 two (2) business days prior to your
examination. If not, please call ABWM at 202/457-8408. You will have
scheduled appointment. The following schedule applies.
up to six (6) months to schedule and attempt your examination.
You must contact AMP by
Sample AMP Postcard 3:00 p.m. Central Time to
If your Examination reschedule the examination
is scheduled on... by the previous...
Monday Wednesday
Tuesday Thursday
Wednesday Friday
Thursday Monday
Friday/Saturday Tuesday
Once you have received instructions from AMP, there are two ways to schedule your
examination.
Security Misconduct
AMP administration and security standards are designed to ensure all If you engage in any of the following conduct during the examination
candidates are provided the same opportunity to demonstrate their you may be dismissed, your scores will not be reported and examina-
abilities. The Assessment Center is continuously monitored by audio tion fees will not be refunded. Examples of misconduct are when you:
and video surveillance equipment for security purposes.
• create a disturbance, are abusive, or otherwise uncooperative;
The following security procedures apply during the examination: • display and/or use electronic communications equipment such as
• Examinations are proprietary. No cameras, notes, tape recorders, pagers, cellular phones, PDAs;
Personal Digital Assistants (PDAs), pagers or cellular phones are • talk or participate in conversation with other examination
allowed in the testing room. Possession of a cellular phone or other candidates;
electronic devices is strictly prohibited and will result in dismissal • give or receive help or are suspected of doing so;
from the examination.
• leave the Assessment Center during the administration;
• Only silent, non-programmable calculators without alpha keys or
• attempt to record examination questions or make notes;
printing capabilities are allowed in the testing room.
• attempt to take the examination for someone else;
• No guests, visitors or family members are allowed in the testing
room or reception areas. • are observed with personal belongings, or
• are observed with notes, books or other aids without it being noted
Personal Belongings on the roster.
No personal items, valuables, or weapons should be brought to the
Assessment Center. Only wallets and keys are permitted. Coats must Copyrighted Examination Questions
be left outside the testing room. You will be provided a soft locker All examination questions are the copyrighted property of ABWM. It
to store your wallet and/or keys with you in the testing room. You is forbidden under federal copyright law to copy, reproduce, record,
will not have access to these items until after the examination is com- distribute or display these examination questions by any means, in
pleted. Please note the following items will not be allowed in the test- whole or in part. Doing so may subject you to severe civil and criminal
ing room except securely locked in the soft locker. penalties.
• watches
• hats Computer Login
Once you have placed everything into the soft locker, you will be asked After your identification has been confirmed, you will be directed to
to pull out your pockets to ensure they are empty. If all personal items a testing carrel. You will be instructed on-screen to enter your Social
will not fit in the soft locker you will not be able to test. The site will Security number. You will take your photograph which will remain on
not store any personal belongings. screen throughout your examination session. This photograph will
also print on your score report.
If any personal items are observed in the testing room after the exam-
ination is started, you will be dismissed the administration will be
forfeited.
Practice Examination
Prior to attempting the examination, you will be given the opportunity
Examination Restrictions to practice taking an examination on the computer. The time you use
for this practice examination is NOT counted as part of your examina-
• Pencils will be provided during check-in. tion time or score.
• You will be provided with one piece of scratch paper at a time to
When you are comfortable with the computer testing process, you
use during the examination, unless noted on the sign-in roster for
may quit the practice session and begin the timed examination.
a particular candidate. You must return the scratch paper to the
supervisor at the completion of testing, or you will not receive your If you wish to see and practice navigating within the computer-based
score report. testing environment before your examination date, a free online com-
• No documents or notes of any kind may be removed from the puter-based testing tutorial is available. Go to the LXR Store at http://
Assessment Center. store.lxr.com and follow the instructions to access a Sample Web Test.
• No questions concerning the content of the examination may be
asked during the examination.
Eating, drinking or smoking will not be permitted in the Assessment
Center.
You may take a break whenever you wish, but you will not be allowed
additional time to make up for time lost during breaks.
Candidate Information
Candidate ID # ______________________ Requested Assessment Center:______________________
Name (Last, First, Middle Initial, Former Name)
Mailing Address
City State Zip Code
Daytime Telephone Number
Special Accommodations
I request special accommodations for the _____________________________________________________________ examination.
Comments:_____________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Signature:________________________________________________________________ Date:__________________________________
Professional Documentation
I have known ________________________________________________________ since _____ / _____ / _____ in my capacity as a
Candidate Name Date
_______________________________________________________________________.
My Professional Title
The candidate discussed with me the nature of the test to be administered. It is my opinion that, because of this candidate’s disability
described below, he/she should be accommodated by providing the special arrangements listed on the reverse side.
Description of Disability:____________________________________________________________________________________________
Signed:___________________________________________________________ Title:________________________________________
Printed Name:___________________________________________________________________________________________________
Address:_______________________________________________________________________________________________________
______________________________________________________________________________________________________________