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UPDATE ON CREDENTIALINGof
VASCULAR LABORATORY PERSONNELR. Eugene Zierler, M.D.
The D. E. Strandness, Jr. Vascular LaboratoryUniversity of Washington Medical Center
Division of Vascular SurgeryUniversity of Washington, School of Medicine
DISCLOSURE INFORMATION
No relevant financial or commercial relationships
Previously: RVT Exam CommitteeRPVI Exam CommitteeARDMS Board of DirectorsInteleos Board of DirectorsPast-President ICAVL
R. Eugene Zierler, M.D.
CREDENTIALING ORGANIZATIONSVascular Laboratory Personnel
American Registry for Diagnostic Medical Sonography (ARDMS) - RVT
Alliance for Physician Certification and Advancement (APCA) – RPVI*
Cardiovascular Credentialing International (CCI) – RVS, RPhS (peripheral venous testing only)
American Registry of Radiologic Technologists (ARRT) - RT (VS)
American Society of Neuroimaging (ASN) -Neurosonology (IC/EC cerebrovascular testing only)
*Formerly under ARDMS
ARDMS has now certified over 35,000 vascular technologists
Founded in 1975 to provide certification examinations in medical ultrasound
A “Peripheral Vascular Doppler” examination was given from 1975-1982
Registered Vascular Technologist (RVT) examination first given in 1983
American Registry for Diagnostic Medical Sonography
ARDMS
All RVTs 1983 – 2017 (October)
Total RVTs = 35,674
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THE ARDMS RVT CREDENTIAL
*First “physician only” ARDMS credential (2006)
Credentials Offered in 2013
ARDMS
SonographerRDMS Abdomen, Breast, Fetal Echo, Ob-Gyn, PediatricRDCS Adult Echo, Pediatric Echo, Fetal EchoRVT Vascular TechnologyRMSKS Musculoskeletal Sonographer
PhysicianRPVI* Physicians Vascular InterpretationRMSK Musculoskeletal Sonography(RPVI China and others being developed)
Physician (MD) RVTs 1983 – 2017 (October)
Total MD-RVTs = 1,870
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RPVI Exam
THE ARDMS RVT CREDENTIAL
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Perception of ARDMS as a sonographer credentialing organization was a barrier to continued expansion –especially for physician credentials
New Board and Council structure implemented in 2016 Main goals: Maintain the ARDMS “brand” for sonographers Create a new “home” for physicians credentialing Allow flexibility for credentialing other healthcare
providers (nurses, PAs, nurse-midwives)
ARDMS RESTRUCTURE PROJECT2013-2016
INTELEOS BOARD AND COUNCILS
“Parent” organization for the ARDMS and APCA Councils
Volunteer Board of Directors Provide governance and
infrastructure for the Councils Psychometric services Strategic direction Fiduciary responsibilities Development of new
assessment programs
INTELEOS
Introduced in January 2016 “Parent” company for the
ARDMS and APCA Councils Volunteer Board of Directors Provide governance and
infrastructure for the Councils Psychometric services Strategic direction Fiduciary responsibilities Development of new
assessment programs
“A non-profit certification organization that delivers rigorous
assessments and cultivates a global community of professionals
dedicated to the highest standards in healthcare and
patient safety.”
THE ARDMS COUNCIL
Continues the 40-year ARDMS mission of certifying ultrasound professionals
Focuses on sonographers as the core constituency
Currently has ≈90,000 sonographer registrants
Volunteer-led management of the sonographer credentials RDMS RDCS RVT RMSKS
Assessment Oversight Teams
(AOTs) and Working Groups
Introduced in January 2016 Focuses on physicians as
the core constituency Currently has ≈20,000
physician registrants Volunteer-led management
of the physician credentials
THE APCA COUNCIL
RPVI RMSK RPVI China Sonography Certifications
Council for Certification in Cardiovascular Imaging (CCCVI) - CBNC, CBCCT
Point of Care Ultrasound (POCUS Academy) Latin American US Certificate Program
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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
RPVI Registrants 2005 – 2017 (October)
Total RPVIs = 4,235
Pilot Exam
Exam ReleasedJan 2006
THE APCA RPVI CREDENTIAL
Specialties of 4,240 Successful Applicants
*Total = 1,725
Through October
2017
THE APCA RPVI CREDENTIAL
Specialty NumberCardiology 1,597*Vascular Surgery 1538Not Available 405Radiology 244Other 207Vascular Medicine 128*Internal Medicine 40Int Radiology 52Family Practice 16Cardiac Surgery 13
No longer “voluntary” for vascular surgery trainees
Starting in 2014 the RPVI credential is required by the Vascular Surgery Board of the American Board of Surgery for all applicants prior to taking the Vascular Surgery Certifying Exam
This makes the RPVI a “prerequisite” for certification in Vascular Surgery
THE APCA RPVI CREDENTIAL
RPVI CHINAVascular Ultrasound in China – The “Chinese RPVI”
The Chinese Ultrasound Doctors Association (CUDA) was interested in the ARDMS RPVI credential – since it was designed specifically for physicians
The RPVI examination was given in Beijing in 2008 and 2012 as a “pilot” to assess interest (in English)
Ultrasound in China is a medical specialty that includes diagnostic studies and ultrasound-guided procedures
Nov 2008 – First pilot the ARDMS RPVI credential Educational conference
Vascular Ultrasound in China – The “Chinese RPVI”
RPVI CHINA
Visited the Peking Army Hospital #301 >4000 beds ≈1200 ultrasound exams/day ≈ 200 vascular duplex exams/day
Vascular Ultrasound in China – The “Chinese RPVI”
RPVI CHINA
Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY
May 2012 – Second pilot the ARDMS RPVI credential Another Educational conference
57 Chinese ultrasound doctors took the RPVI pilot exam
Pass rate 51% (>90% in US)
They had particular difficulty with arterial physiologic testing –because they don’t do it
Vascular Ultrasound in China – The “Chinese RPVI”
RPVI CHINA
Vascular Ultrasound in China – The “Chinese RPVI”
CUDA respects ARDMS credentials but wanted a Chinese version of the RPVI that reflects their languageand unique scope of practice
This resulted in a joint venture between CUDA, ARDMS, and Pearson-Vue testing centers to develop a Chinese RPVI exam Item-Writing in China
RPVI CHINA
Vascular Ultrasound in China – The “Chinese RPVI”
Exam given starting in 2014
RPVI CHINA
Year Total Exams Passed (%) Failed2014 60 39 (65%) 212015 20 16 (80%) 42016 341 233 (68%) 1082017 102 Not available
NEW CREDENTIALS (CERTIFICATES)APCA POCUS Academy (Launched May 1, 2017)
First 10 Certificates
NEW CREDENTIALS (CERTIFICATES)APCA POCUS Academy (Launched May 1, 2017)
1069 Total enrollments
752 Clinical certificate enrollments
236 EM certificate enrollments
81 Fundamentals enrollments
540 Total certificates issued
APCA POCUS Academy (Launched May 1, 2017)
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In Progress Certificates Issued No Certificate Awarded
NEW CREDENTIALS (CERTIFICATES)
Midwife Sonography Certificate Cardiovascular Magnetic Resonance (CMR) New POCUS Academy certificates
Needle Guidance (US-guided procedures)MSK (soft tissue, upper extremity, lower extremityPediatrics (basic, neonatal procedural)
Eligibility for POCUS Academy will be extended to advanced practice providers (NP, PA)
Coming Soon and Under DevelopmentNEW CREDENTIALS (CERTIFICATES)
Sonographer (RVT) ARDMS will continue to be your certification organization No change (website, phone numbers)
Physician (RPVI) APCA is now your certification organization All functions will transition from ARDMS to APCA
Other Providers and Assessments POCUS Academy, Midwife Sonography, etc.
What Does All This Mean To You?UPDATE ON CREDENTIALING
Educational conference Talks on Renal Duplex and Physiologic Testing (?)
Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY
Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY
Another Educational conferenceDuplex Follow-up of EVAR
Vascular Ultrasound in China – The “Chinese RPVI”A Lesson in International vs. Global Certification
MEDICAL SONOGRAPHY
Taking the English version of the ARDMS RPVI to China makes it International
Making a true Chinese RPVI that reflects their language and unique scope of practice makes it Global
On track for roll-out in 2015
Specialties of 4,240 Successful Applicants
*Total = 1,725
Through October
2017
THE APCA RPVI CREDENTIAL
Specialty NumberCardiology 1,597*Vascular Surgery 1538Not Available 405Radiology 244Other 207Vascular Medicine 128*Internal Medicine 40Int Radiology 52Family Practice 16Cardiac Surgery 13