Transcript ABR 2011 Update

ABR DX RADIOLOGY CERTIFICATE
NRC RECOGNITIONS
• §35.290 Imaging and Localization Studies
• Diagnostic Nuclear Medicine Imaging
• §35.392 “Low-Dose” I-131 Therapy
• ≤ 33 mCi (1.22 GBq)
• §35.394 “High Dose” I-131 Therapy
• > 33 mCi (1.22 GBq)
NRC TRAINING REQUIREMENTS
ABR DR CERTIFICATES
• STILL 700 Hours of Supervised Work Experience
• STILL 80 hours of Classroom and Laboratory Training
• Part of the 700 Hours
WHAT DOES 80 HOURS OF “CLASSROOM
AND LABORATORY TRAINING” MEAN?”
• The 80 hours must contain content applicable
• To the subject areas described in the regulations
• To the use of Sodium I-131
• Low Dose Therapy
• High Dose Therapy
• The "classroom and laboratory training" can be fulfilled in
settings other than the traditional classroom setting • Hands-on experience using by-product material
• Performance of Radiation Safety Tasks
• Quality Control Procedures
ABR I-131 THERAPY REQUIREMENTS
WHAT DOES WORK EXPERIENCE MEAN?
• Patient Experience – 6 Cases (minimum)
• “High Dose” Therapy
• Experience with 3 cases (> 33 mCi)
• “Low Dose” Therapy
• Experience with 3 cases (≤ 33 mCi)
• These cases must be for Therapy
• NOT for whole body imaging
• Must be supervised by an AU preceptor under 35.392 &/or
35.394
NM EDUCATION REQUIREMENTS
I-131 THERAPY
• NRC: Radiation Safety & Safe Handling
• Does not address the Practice of Medicine
• ABR: Medical Aspects of I-131 Therapy
• Provide Meaningful Experience for Trainees
I-131 THERAPY: WHAT CONSTITUTES
“MEANINGFUL EXPERIENCE” ?
• 1. Familiarity with Patient History and Laboratory Findings
• 2. Determination of any contraindications
• 3. Review of appropriate Imaging Studies
• 4. Full Explanation of the Therapeutic Procedure to Patient
• Radiation Safety Precautions to be followed
• 5. Determination of the administered dose
• 6. Supervision of administration of the dose to the patient
• 7. Arrangement for appropriate follow-up
ABR I-131 THERAPY REQUIREMENTS
PROGRAM DIRECTOR INFORMATION
• ABR Form A (PD Attestation)
• Attestation to NRC T&E (§35. 290, 35.392 & 35.394)
• ABR Form B (Preceptor Attestations)
• 3 cases of Low-dose Therapy (AU Supervised)
• 3 cases of High-dose Therapy (AU Supervised)
• 2011 Written and Oral ABR DR Exams will include
• Low-dose Therapy I-131 (≤ 33 mCi) (§35.392 )
• High-dose Therapy I-131 (> 33 mCi) (§ 35.394)
• NRC AU-Eligibility on Certificates (Issued in 2011 and beyond)
• ALL or NONE Designation
DIAGNOSTIC RADIOLOGY/
NUCLEAR RADIOLOGY
OPPORTUNITY IN TRAINING CHANGES
• Nuclear Medicine Training in DR Residency
• Decreased from 6 months to 4 months
• ABR Core (comprehensive) exam at 36 months
• Possibility for More focused 4 th year
• DR-RRC
• Allows16 months of in single subspecialty
DIAGNOSTIC RADIOLOGY/
NUCLEAR RADIOLOGY
16-MONTH PATHWAY - REQUIREMENTS
• Diagnostic Radiology Residency Program
• Institution with either:
• ACGME-Nuclear Radiology Fellowship, or
• ACGME-Nuclear Medicine Residency
• 16-months in Nuclear Medicine
• 10-months consecutive
DIAGNOSTIC RADIOLOGY/
NUCLEAR RADIOLOGY
16-MONTH PATHWAY - CERTIFICATIONS
• ABR Certified in Diagnostic Radiology
• 15 months Post-Residency
• ABR Certified in Nuclear Radiology
• After obtaining DR Certification
• Year of Clinical NM Practice Not Required
• ABR Subspecialty Certification Requirements
• ACGME-Approved Fellowship (12-months or more)
• Pass SS Examination within 10-years of Training Completion
• Cohort of SS -Trained Diagnostic Radiologists
•
Chose NOT to seek SS-Certification
• 10-year post-training period has lapsed
• Unlikely to Complete a Second SubSpecialty Training Year
• Growing Awareness of Value of SS Certification
• Credentialing and Privileging
• Career Enhancement
• Leadership Opportunities
• Growing Importance of Quality
• Perception of Accountability
• Payor Pressures and Incentives
• Requests from these DR Diplomates to obtain SS-Certification
• LifeTime DR Certificate Holders
• Most Not DR MOC Participants
• Addressing Genuine Needs for these Radiologists
• Obtain SS Certification
• Participate in Maintenance of Certification
• Curing this need is in the Public’s Best Interest
• ABR Should Develop a Time-Limited Opportunity for
Subspecialty Certification for Affected Radiologists
• Completed an ACGME Fellowship more than 10 years
• Or, Completed a Fellowship before Accreditation
• 60% SS Practice in prior 2 years
• Active unrestricted license
• Must Apply
• Applications accepted for a 3-year period
• Begins July 1, 2011 – Ends June 30, 2014
• 2-year Program of required CME/SAMs, PQI
• VIR Participants: Maintain 2-year case log during program
• SS Examination in November of Year 2
• Must Complete Program Requirements by
December 31 of year 2 to achieve Certification