 NRC AU-Eligible: ABR Update Mickey Guiberteau, MD, FACR, FACNM Trustee, American Board of Radiology 1

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 Process Factors Necessitating Change Changes by the NRC Enhanced Recognition of ABR Process Changes by ABR in Certification Process Format of the Examinations Timing of Process

I. Changes by the NRC

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 5

ABR Certificate Recognition by NRC “High Dose” I-131 Tx Survey Prior Survey of Dx Rad Programs (187) 183 Responses 90% Can Provide Training 4 Programs Cannot Arrange Training Majority Already Providing Training Prior to 2005 NRC Recognized ABR 6

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 7

II. Changes by ABR

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 9

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 10

Change by the ABR: Future ABR Examination Timing Enter Core End Certifying Residency Exam Residency Exam __________3 yrs ____1 yr ___________15 mo AU-E Exam No AU-E 11

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 12

III. AU-E Special Cases

ABR AU-Eligible Process Alternate 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 Process ABNM 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.