Eligibility for U.S. Applicants

Eligibility for U.S. Applicants

2017 CERTIFICATION ELIGIBILITY REQUIREMENTS FOR CANDIDATES TRAINED IN THE UNITED STATES

all criteria must be met to receive a U.S. certificate)

Requirement 1: Training/Experience in the provision of Nuclear Cardiology Services (Level 2 nuclear cardiology training, a minimum of 700 hours including 80 hours of Classroom and Laboratory Training (CLT) must be completed prior to submission of application)

A. Formal Training Pathway (effective as of 2009)

  1. Candidates must document Level 2 training in nuclear cardiology in accordance with the ACC Core Cardiovascular Training Statement 4 Task Force 6: Training in Nuclear Cardiology , Level 2 (the COCATS Guidelines revised 2015) by providing a preceptor attestation letter. Training in nuclear cardiology must occur at a center that has an ACGME or AOA accredited training program in Cardiovascular Disease, Nuclear Medicine, or Radiology,

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  2. All applicants must document Authorized User status or a minimum of 80 hours of Classroom and Laboratory Training (CLT) in radiation safety that meets the NRC topic requirements. Documentation may be a copy of the facility RAM license listing the applicant's name or a copy of a certificate of completion of an 80 hour CLT course that meet NRC topic requirements.
    • The CLT hours must have been taken no more than seven (7) years prior to the date of the exam for which an individual is applying. CLT must be repeated if  seven (7) or more years have elapsed since initial CLT and the applicant is not an Authorized user. Classroom and Laboratory Training (CLT) may be taken externally from the fellowship program.
    • If CLT hours were taken directly within the fellowship program, the preceptor must state this in the preceptor attestation letter by including the sentence "Dr.__________ completed a minimum of 80 hours of Radioisotope Handling Classroom and Laboratory Training which meets the requirements of the Nuclear Regulatory Commission within his/her fellowship program". If using the online preceptor letter template the box that states that this part of training was completed as an "integral" part of the fellowship should be checked.

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  3. A preceptor attestation letter must be provided from an individual who can verify the candidate's total training in nuclear cardiology. All components of Level 2 training in nuclear cardiology, including the 80 hours of Classroom and Laboratory Training (CLT), must be completed prior to applying to sit for the exam. The preceptor letter must document the dates of the applicant's training (mm/dd/yy), be written on organizational letterhead and dated no earlier than 36 months prior to application.
    Important Notice: Beginning in 2011 all preceptors must have a Program Verification on file with CBNC before a preceptor attestation letter can be accepted. Click here to lookup your Preceptor in our database. If your Preceptor is not listed, check with your preceptor prior to sending your documents as your application cannot be approved without this document on file. Preceptor Information and Guidance

    A preceptor for this pathway must be one of the following:

    • Program Director of an accredited residency or fellowship in Cardiovascular Disease, Nuclear Medicine, or Radiology
    • Director of Nuclear Cardiology laboratory at an institution with an accredited residency or fellowship in Cardiovascular Disease, Nuclear Medicine, or Radiology.
    • If the preceptor is not an authorized user, an authorized user at the training institution must co-sign the letter to verify that the candidate has had appropriate training in radiation safety.

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  4. Recentness of Training: If your nuclear cardiology training was completed seven (7) or more years prior to the date of the CBNC exam for which you are applying, you must also provide:
    • documentation of at least 300 cases within the last 24 months at time of application.
    • 30 CME Category I hours completed within the last 36 months at time of application. Of the total, a minimum of 15 hours must be nuclear cardiology-specific and the remaining 15 hours may be in the applicant's other area(s) of specialty (e.g., general cardiology, echo, nuclear medicine, etc). See Guidance on CME Credit
    • Authorized User status or a certificate of completion of an 80 hour CLT course taken no more than 7 years prior to the 2016 exam.

 

 OR 

 

B. "Experience" Pathway Candidates [no new candidates accepted]

Candidates who did not receive nuclear cardiology training within the context of an accredited fellowship or residency program and who have sat previously for the CBNC exam must provide:

  1. Documentation of Authorized User status (e.g., by copy of current facility radioactive materials license listing the applicant's name) or provide a copy of a certificate of completion of a course with a minimum of 80 hours which included all topic areas required by the Nuclear Regulatory Commission, taken no more than 7 years prior to the date of the exam for which you are applying,

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  2. A preceptor attestation letter. The preceptor must be certified by one of the following Boards: CBNC, ABNM, ABR, AOBNM or AOBR. ABIM certification alone does not qualify. If the preceptor is not an Authorized User, an Authorized User must co-sign to verify that the candidate has had appropriate training in radiation safety. The preceptor letter must be dated no earlier than 36 months prior to application and must document the dates of the applicant's nuclear cardiology training. The preceptor verifying training/experience for this pathway must include in the preceptor letter his or her NRC or Agreement State License Number,

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  3. Ongoing experience as evidenced by interpretation of a minimum of 300 cases (current Nuclear Cardiology COCATS requirement for Level 2) in the preceding 24 months of application; See Letter Templates,

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  4. At least 30 hours of CME (Category 1 AMA PRA) completed within the preceding 36 months of application.Of the total, a minimim of 15 hours must be nuclear cardiology-specific and the other 15 hours may be in the applicant's other area(s) of specialty (e.g., general cardiology, echo, nuclear medicine, etc). 

 

Special NOTE: All U.S. applicants must submit evidence of either Authorized User status, (e.g., a copy of the facility's radioactive materials license listing the candidate's name), OR a copy of a certificate of completion of a radioisotope handling and radiation safety course with a minimum of 80 hours which included all topic areas required by the Nuclear Regulatory Commission and dated no more than 7 years prior to the date of the exam for which you are applying.)

If the Classroom and Laboratory Training hours were an integral part of the fellowship program, the candidate's preceptor should include the following text in his/her preceptor attestation:

Dr. __________ completed a minimum of 80 hours of Radioisotope Handling Classroom and Laboratory Training which meets the requirements of the Nuclear Regulatory Commission within his/her fellowship program.

Training and experience requirements for licensure by the Nuclear Regulatory Commission (NRC) or Agreement States vary from state to state; therefore, candidates seeking licensure should check with their regional NRC office or the office responsible for licensure in the Agreement State in which they practice. Information is also available on the NRC website: https://scp.nrc.gov/asdirectory.html

 

Requirement 2: Licensure

To be certified, applicants must hold a current, unconditional, unrestricted license to practice medicine in the U.S. and must provide a copy of the current license.

  • Individuals with limited or training medical licenses may apply to sit for the examination. Certification will only be granted, however, when all requirements are met within 6 years of the examination, including holding a current unrestricted medical license. Such candidates who pass the examination will be listed as "testamurs" until all requirements for full licensure and certification are fulfilled. Individuals with a training medical license must provide a copy of their training medical license in addition to a letter on institutional letterhead from their Program Director stating the duration of training in the program as well as confirming that the individual is a fellow/resident in good standing. 

 

Requirement 3: Board Certification

To become certified in nuclear cardiology, applicants must be physicians who hold current certification in one of the following: Cardiology, any of the ABIM Cardiology subspecialties, Nuclear Medicine or Radiology by a board which holds membership in the American Board of Medical Specialties or the Bureau of Osteopathic Specialists of the American Osteopathic Association.

All applicants must provide a copy of the current board certification.

  • Individuals enrolled in an ACGME or AOA fellowship or residency program in Cardiology, Nuclear Medicine, or Radiology may apply to sit for the examination. Certification will only be granted, however, when all requirements are met within 6 years of the examination, including board certification in Cardiology, Nuclear Medicine, or Radiology. Such candidates who pass the examination will be listed as "testamurs" until all requirements for certification are fulfilled.
Special Note Regarding Testamur Status: As noted above, individuals who pass the CBNC exam under Testamur status have 6 years from passing the CBNC to document full licensure and successful certification in Cardiology, Nuclear Medicine or Radiology in order to have their Testamur status changed to Diplomate. This certification will expire 10 years from the date of passing the CBNC examination.

 

Additional Notes:

  • Beginning in 2011 all preceptors who write attestation letters for individuals who completed Level 2 in a training program must have a Program Verification form on file with the CBNC office before their Preceptor Attestation Letter can be accepted. Click here to lookup your Preceptor in our database. Guidance and information for preceptors can be found on this page of the CBNC website.
  • CBNC is not accepting NEW applicants whose Level 2 equivalent was completed by experience.
  • Preceptor attestation letters and other supporting documentation must accompany application. Preceptor templates may be found and completed on this link of the CBNC website. Preceptors are STRONGLY encouraged to use these to ensure that the language in their letters complies with CBNC requirements.
  • Preceptor letters must be dated no earlier than 36 months prior to application.
  • Preceptor letters must be on organizational letterhead and the author's relationship to the applicant provided (e.g., Program Director).
  • The letter must include the applicant's nuclear cardiology training dates.
  • If the preceptor is not an Authorized User, an Authorized User at the training institution must co-sign the letter to verify that the candidate has had appropriate training in radiation safety.