Breast Ultrasound Certification

Breast Ultrasound Certification Application
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Certification demonstrates a dedication to quality patient care and public safety through adherence to established standards for performance and training in breast ultrasound. The program offers a means of recognition to individual surgeons who meet criteria in the areas of clinical experience, training, and quality assurance. The framework of the program is based on the principles for the proper performance and interpretation of diagnostic and interventional breast ultrasound, its appropriate clinical application, and use of interventions to guide further management as outlined in the Society’s Performance and Practice Guidelines for Breast Ultrasound.

Program Goals

The American Society of Breast Surgeons recognizes the leading role of surgeons as providers of clinical expertise in management of patients with breast abnormalities. A major goal of the Society’s breast ultrasound certification program is to improve the quality of care for patients with breast disease by encouraging education and training to advance expertise and clinical competency for surgeons who use ultrasound and ultrasound-guided procedures in their practices.

The American College of Radiology (ACR) accepts breast ultrasound certification by ASBrS as a qualification to work in ACR-accredited facilities. Certification in breast ultrasound by the American Society of Breast Surgeons is one of the qualification options for physicians performing breast ultrasound in an ACR accredited facility effective August 2014. ACR’s Breast Ultrasound Accreditation Program Requirements are available here.

Requirements for Initial Certification

There are two components to the breast ultrasound certification process:

  • A clinical application
  • A written examination

While the examination and submission of the clinical application must occur within the same two-year period, applicants may choose which component to complete first.

Prerequisites

The following minimum prerequisites must be met by surgeons seeking breast ultrasound certification prior to the completion of the clinical application:

  • Must have attained board certification by the American Board of Surgery (ABS) or American Osteopathic Board of Surgery (AOBS), or evidence of international equivalent, upon completion of training. Current recertification is not a requirement. OB/GYNs not certified by the ABS or AOBS, must have completed a fellowship recognized by the Society, SSO, and ASBD.
  • A documented appropriate level of training and a minimum of 1-year experience in the performance and interpretation of breast ultrasound.
  • Documented performance of no fewer than 100 breast ultrasound exams per year with review of a minimum of 100 mammography exams annually that include the authenticated reports. These must include a minimum of 80 diagnostic and 20 interventional examinations.
  • Documented completion of 15 AMA Category 1 continuing medical education credits in breast ultrasound toward the AMA Physician’s Recognition Award.
  • Must include one all-day breast ultrasound course
  • At least 7 credits in breast ultrasound in the 18 months prior to application must be included.

Clinical Application

Breast Ultrasound Certification clinical case requirements include the following:

  • Six Clinical Case Submissions
    • 3 Diagnostic Cases
    • 3 Interventional Cases
    • Two of the three Diagnostic case submissions MUST be malignancy related
    • Two of the three Interventional case submissions MUST be malignancy related
    • One Interventional case submission MAY be a Cyst aspiration or Fine Needle Aspiration
    • Each case must be of a breast tissue lesion or axillary lesion

The clinical application includes full details related to the required documentation of board certification, training, procedure volume, CME accrual and the clinical case submissions.

Breast Ultrasound Clinical Case Requirement Chart

Written Examination

The written exam may be taken in a group or individual setting as follows:

  • Testing sessions are offered at the Society's Annual Meeting. Register for the exam using the online meeting registration form.
  • The exam may also be taken individually by appointment at the Society's office in Columbia, Maryland.
  • Sample exam questions are available here.

Certification candidates who demonstrate exceptional knowledge on the written examination and consistent expertise and adherence to the criteria in the clinical case submissions will be eligible for an extended certification of 6 years with an MOC component at 3 years.

Fees

  • A $50 application access fee will be charged when starting the application.
  • A $600 review fee is due upon submission of the completed clinical application.
  • A $200 fee is required to register the written exam.

Recertification in Breast Ultrasound

Breast Ultrasound Recertification clinical case requirements include the following:

  • Documented performance of no fewer than 100 breast ultrasound exams per year with review of a minimum of 100 mammography exams annually that include the authenticated reports. These must include a minimum of 80 diagnostic and 20 interventional examinations.
  • Submission of one diagnostic and one interventional clinical case.
    • Both MUST be malignant related cases.
    • Both MAY be from the same patient.
  • 10 CME credits in breast ultrasound over the last 3 years, 3 of the total hours from the most recent 18 months. Five of the credits must be category 1 CME.
  • Valid for 3 years.
  • Recertification candidates who demonstrate consistent expertise and adherence to the criteria in the clinical case submissions will be eligible for an extended certification of 6 years with an MOC component at 3 years. Details regarding eligibility and scoring of clinical cases will be provided within the application.
  • Retired and Inactive Surgeons are now able to maintain certification in breast ultrasound. Contact certification@breastsurgeons.org for details regarding eligibility or to request an application.

Fees

  • A $50 application access fee will be charged when starting the application.
  • A $275 review fee is due upon submission of the completed clinical application.

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