NRC AU-Eligible: ABR Update Mickey Guiberteau, MD, FACR, FACNM
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NRC AU-Eligible: ABR Update
Mickey Guiberteau, MD, FACR, FACNM
Trustee, American Board of Radiology
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ABR CertificatesABR Certificates“AU-Eligible”“AU-Eligible”
AU-E Status is a value to DiplomatesAU-E Status is a value to Diplomates
Certification Pathway to NRC AU StatusCertification Pathway to NRC AU Status
AU Enduring – Can Last an Entire CareerAU Enduring – Can Last an Entire Career
But, Process to AU-Eligibility Can ChangeBut, Process to AU-Eligibility Can Change
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ABR AU-Eligible ProcessABR AU-Eligible ProcessFactors Necessitating ChangeFactors Necessitating Change
Changes by the NRCChanges by the NRC– Enhanced Recognition of ABR ProcessEnhanced Recognition of ABR Process
Changes by ABR in Certification Changes by ABR in Certification ProcessProcess– Format of the ExaminationsFormat of the Examinations– Timing of ProcessTiming of Process
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I. Changes by the I. Changes by the NRCNRC
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Change by the NRC:Change by the NRC:Enhanced Recognition of ABR Enhanced Recognition of ABR
CertificatesCertificates §35.290 §35.290 Imaging and Localization Imaging and Localization
StudiesStudies
§35.392 §35.392 Low-Dose I-131 TherapyLow-Dose I-131 Therapy
( ( ≤ 33 mCi - 1.22 GBq)≤ 33 mCi - 1.22 GBq)
NEW!NEW! §35.394 §35.394 High Dose I-131 TherapyHigh Dose I-131 Therapy
( ( > 33 mCi)> 33 mCi) – – Effective June 2011Effective June 2011
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ABR Certificate Recognition by ABR Certificate Recognition by NRC NRC “High Dose” I-131 Tx “High Dose” I-131 Tx
SurveySurvey Prior Survey of Dx Rad Programs Prior Survey of Dx Rad Programs
(187)(187) 183 Responses183 Responses
– 90% Can Provide Training 90% Can Provide Training – 4 Programs Cannot Arrange Training 4 Programs Cannot Arrange Training
Majority Already Providing TrainingMajority Already Providing Training– Prior to 2005Prior to 2005
NRC Recognized ABRNRC Recognized ABR
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ABR I-131 Therapy RequirementsABR I-131 Therapy Requirements “AU-E” Elevation to High-Dose Tx “AU-E” Elevation to High-Dose Tx
ABR Form AABR Form A– Attestation to NRC T&E (Attestation to NRC T&E (§35.392 &§35.392 & 35.39435.394))
ABR Form BABR Form B– 3 cases of Low-dose Therapy3 cases of Low-dose Therapy– 3 cases of High-dose Therapy3 cases of High-dose Therapy
2011 Exams will include 2011 Exams will include – Low-dose Therapy (Low-dose Therapy (≤ 33 mCi) ≤ 33 mCi) ((§35.392 )§35.392 )– High-dose Therapy (> 33 mCi) (High-dose Therapy (> 33 mCi) (§ 35.394)§ 35.394)
NRC AU-Eligibility on Certificates NRC AU-Eligibility on Certificates (June (June 2011)2011)– Low Dose I-131 TherapyLow Dose I-131 Therapy– High Dose I-131TherapyHigh Dose I-131Therapy
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II. Changes by ABRII. Changes by ABR
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Change by the ABR:Change by the ABR:Future ABR Examination Future ABR Examination FormatFormat
Examination of the FutureExamination of the Future– Oral Oral Examination Examination Certifying Certifying ExaminationExamination– AU-E Content must be re-positionedAU-E Content must be re-positioned
““AU-EAU-E” Computer-Based Exam” Computer-Based Exam (2013)(2013)– Administered at Time of Core Exam (R-Administered at Time of Core Exam (R-
Yr-3)Yr-3)– Separate from the Core ExaminationSeparate from the Core Examination– ~50 Questions related to Radiation ~50 Questions related to Radiation
Safety, Safe Handling, NRC Curriculum Safety, Safe Handling, NRC Curriculum
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ABR AU-Eligible Process ABR AU-Eligible Process Computer-Based Computer-Based AU-EAU-E Exam Exam
Purpose of the ExaminationPurpose of the Examination– Demonstrate Mastery of Radioisotope Demonstrate Mastery of Radioisotope
SafetySafety– Must Pass for AU-Eligible CertificateMust Pass for AU-Eligible Certificate
There Will Be ”Make-up” ExaminationsThere Will Be ”Make-up” Examinations
No “AU-E “ Questions on Certifying ExamNo “AU-E “ Questions on Certifying Exam
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Change by the ABR:Change by the ABR: Future ABR Examination Future ABR Examination TimingTiming
EnterEnter Core EndCore End CertifyingCertifying
Residency Exam Residency Residency Exam Residency ExamExam
____________________3 yrs 3 yrs ________1 yr ___________15 1 yr ___________15
momo
AU-E ExamAU-E Exam NoNo AU-EAU-E
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ABR AU-Eligible Process ABR AU-Eligible Process 15-Month Gap - Residency/Au 15-Month Gap - Residency/Au
EligibilityEligibility NRC Advisory Committee (ACMUI)NRC Advisory Committee (ACMUI)
– Considered the Issue in 2009Considered the Issue in 2009 Recommendation: “AU-E” feasible, if -Recommendation: “AU-E” feasible, if -
– 1. Successful Core Exam Completion1. Successful Core Exam Completion– 2. Pass Radioisotope Safety Examination2. Pass Radioisotope Safety Examination– 3. Completion of Residency 3. Completion of Residency
NRC Awaits Specific Proposal From NRC Awaits Specific Proposal From ABRABR
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III. AU-E Special CasesIII. AU-E Special Cases
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ABR AU-Eligible ProcessABR AU-Eligible ProcessAlternate Pathway CandidatesAlternate Pathway Candidates
Lack of ACGME - Accredited Residency ProgramLack of ACGME - Accredited Residency Program
No AU-E Certificates will be awardedNo AU-E Certificates will be awarded
But, Exemption may be requested, case-by caseBut, Exemption may be requested, case-by case
– Depends on willingness of department to train & Depends on willingness of department to train & attestattest
– Forms A & B requiredForms A & B required– May Receive a Certificate with AU-E May Receive a Certificate with AU-E
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ABR AU-Eligible ProcessABR AU-Eligible ProcessABNM Certified CandidatesABNM Certified Candidates
Dx Rad ResidentsDx Rad Residents– Prior ABNM CertificationPrior ABNM Certification
Achieved AU-Eligible status by ABNMAchieved AU-Eligible status by ABNM
May be granted exemptionMay be granted exemption– Forms A & B Forms A & B notnot Required Required– Will Receive Certificate without AU-EWill Receive Certificate without AU-E
But, Exemption is not RequiredBut, Exemption is not Required– Can Received Certificate with AU-E Can Received Certificate with AU-E – Forms A & B required Forms A & B required
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Thank You.