American College of Endocrinology Report on Endocrine Certification in Neck Ultrasound (ECNU) H. Jack Baskin, MD, MACE.

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Presentation transcript:

American College of Endocrinology Report on Endocrine Certification in Neck Ultrasound (ECNU) H. Jack Baskin, MD, MACE

Endocrine Certification in Neck Ultrasound (ECNU) Two components:  Comprehensive Certification Exam (CCE)  Validation Process (VP) - Validation of competency in the performance and interpretation of diagnostic US and UG FNA

CCE  Computer-based  100 Multiple choice questions  Administered by Prometric TM  3 week window  Twice a year

CCE Content 1. Principles of ultrasound imaging 2. Neck anatomy 3. Thyroid pathology 4. Parathyroid pathology 5. Lymph node pathology 6. Ultrasound-guided FNA

Validation Process  Within 12 Months after passing CCE  Perform 100 (125) US studies 70% Ultrasound 30% UG FNA  Submit 15 examinations and reports

VP content 5 Cases nodular goiter 1 Case thyroiditis 2 Cases parathyroid pathology 2 Cases lymph node pathology 5 UG FNA

VP content –all reports Indication for performing procedure Measure thyroid and nodules in longitudinal x anterior-posterior x transverse plan (isthmus A-P) Diagnostic impression or differential diagnosis Disposition/plan

VP content - thyroid Description of thyroid parenchyma Description of significant nodules (echogenicity, margin, vascularity Describe in detail any abnormality (cyst, calcification, comet tails, etc) Description of neck lymph nodes

VP content – parathyroid adenoma Measurement of parathyroid Location of adenoma Echogenicity of parathyroid Description of vascularity with Doppler image Parathyroid must be verified by FNA (PTH in washout) or surgery

VP content – malignant lymph node Location of primary cancer Location of lymph node (compartment I thru VI) Measurement of short and long axis with Short/Long Axis Ratio (Transverse view) Echogenicity of lymph node Description of vascularity with Doppler image Presence or absence of hilar line, calcifications and cystic necrosis

Certification Results 3 years – 5 exams 330 Candidates took certifying examination 276 successfully passed exam 54 failed exam (20% fail rate) 136 have completed the VCP and are eligible to apply for AIUM practice accreditation

Recertification  Due 10 years after receiving ECNU  50 hours CME over 10 years  100 studies year before recertification  On line test of ultrasound images