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NRC AU-Eligible: ABR Update Mickey Guiberteau, MD, FACR, FACNM Trustee, American Board of Radiology. . ABR Certificates “AU-Eligible”. AU-E Status is a value to Diplomates Certification Pathway to NRC AU Status AU Enduring – Can Last an Entire Career
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NRC AU-Eligible: ABR Update Mickey Guiberteau, MD, FACR, FACNM Trustee, American Board of Radiology
ABR Certificates“AU-Eligible” • AU-E Status is a value to Diplomates • Certification Pathway to NRC AU Status • AU Enduring – Can Last an Entire Career • But, Process to AU-Eligibility Can Change
ABR AU-Eligible ProcessFactors Necessitating Change • Changes by the NRC • Enhanced Recognition of ABR Process • Changes by ABR in Certification Process • Format of the Examinations • Timing of Process
Change by the NRC:Enhanced Recognition of ABR Certificates §35.290 Imaging and Localization Studies §35.392 Low-Dose I-131 Therapy ( ≤ 33 mCi - 1.22 GBq) NEW! §35.394 High Dose I-131 Therapy ( > 33 mCi)– Effective June 2011
ABR Certificate Recognition by NRC “High Dose” I-131 Tx Survey Prior Survey of DxRad Programs (187) 183 Responses 90% Can Provide Training 4 Programs Cannot Arrange Training Majority Already Providing Training Prior to 2005 NRC Recognized ABR
ABR I-131 Therapy Requirements “AU-E” Elevation to High-Dose Tx ABR Form A Attestation to NRC T&E (§35.392 &35.394) ABR Form B 3 cases of Low-dose Therapy 3 cases of High-dose Therapy 2011 Exams will include Low-dose Therapy (≤ 33 mCi) (§35.392 ) High-dose Therapy (> 33 mCi) (§ 35.394) NRC AU-Eligibility on Certificates (June 2011) Low Dose I-131 Therapy High Dose I-131Therapy
Change by the ABR:Future ABR Examination Format Examination of the Future Oral Examination Certifying Examination AU-E Content must be re-positioned “AU-E” Computer-Based Exam(2013) Administered at Time of Core Exam (R-Yr-3) Separate from the Core Examination ~50 Questions related to Radiation Safety, Safe Handling, NRC Curriculum
ABR AU-Eligible Process Computer-Based AU-E Exam • Purpose of the Examination • Demonstrate Mastery of Radioisotope Safety • Must Pass for AU-Eligible Certificate • There Will Be ”Make-up” Examinations • No “AU-E “ Questions on Certifying Exam
Change by the ABR:Future ABR Examination Timing EnterCore End Certifying Residency Exam Residency Exam __________3 yrs ____1 yr ___________15 mo AU-E ExamNoAU-E
ABR AU-Eligible Process 15-Month Gap - Residency/Au Eligibility NRC Advisory Committee (ACMUI) Considered the Issue in 2009 Recommendation: “AU-E” feasible, if - 1. Successful Core Exam Completion 2. Pass Radioisotope Safety Examination 3. Completion of Residency NRC Awaits Specific Proposal From ABR
ABR AU-Eligible ProcessAlternate Pathway Candidates • Lack of ACGME - Accredited Residency Program • No AU-E Certificates will be awarded • But, Exemption may be requested, case-by case • Depends on willingness of department to train & attest • Forms A & B required • May Receive a Certificate with AU-E
ABR AU-Eligible ProcessABNM Certified Candidates • Dx Rad Residents • Prior ABNM Certification • Achieved AU-Eligible status by ABNM • May be granted exemption • Forms A & B not Required • Will Receive Certificate without AU-E • But, Exemption is not Required • Can Received Certificate with AU-E • Forms A & B required
Thank You.