Revision History


All physicians who supervise and/or interpret CT examinations must be licensed medical practitioners who meet the following minimum criteria: 


Requirements for all Physicians Supervising and/or Interpreting CT Examinations
Initial Qualifications
Board-Certified RadiologistNon-Board Certified RadiologistOther Physician
  • Board-certification in radiology or diagnostic radiology by the American Board of Radiology (ABR), American Osteopathic Board of Radiology (AOBR), Royal College of Physicians and Surgeons of Canada (RSPSC) or College des Medecins du Quebec (CMQ)
  • If board-certified before 2008 must also document supervision, interpretation and reporting of 300 CT examinations in the past 36 months
  • Radiologists graduating from residency after 6/30/14 must be board-certified or eligible as defined by the ABR
All of these:
  • Completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) diagnostic radiology residency
  • Interpretation and reporting of 500 CT examinations in the past 36 months
All of these:
  • Completion of an accredited specialty residency
  • 200 hours of category 1 CME in the interpretation of CT in the subspecialty where CT reading occurs
  • Interpretation and reporting of 500 supervised cases in the past 36 months
Continuing Experience
Upon renewal, physicians reading CT examinations must demonstrate one of the following:
  • Currently meets the Maintenance of Certification (MOC) requirements for the ABR
  • Physicians reading CT examinations across multiple organ systems must have interpreted 200 CT exams over the prior 36 months
  • Physicians reading organ-system-specific exams (i.e. body, abdominal, musculoskeletal, head) across multiple modalities must interpret a minimum of 60 organ-system-specific CT exams in 36 months; however, they must interpret a total of 200 cross-sectional imaging (MRI, CT, PET/CT and ultrasound) studies over the prior 36 months (the 60 organ-system-specific exams are included in the 200 cross-sectional imaging studies)
Continuing Education
Upon renewal must meet one of the following:



If board-certified before 2008, completion of an accredited radiology residency in the past 24 months will be presumed to be satisfactory for the reporting and interpreting requirements for both initial and continuing experience.


Occasional readers who are providing imaging services to and for the practice are not required to meet the interpreting physician initial qualifications or continuing experience requirements. However, the reads of all occasional readers combined should not exceed 5% of the total volume of reads per practice and per modality. There must be an active written review process in place at the institution for occasional readers based on each institution’s credentialing requirements. Validation of this process will take place during any site visit by the ACR.



Requirements for all Physicians Supervising and/or Interpreting Cardiac CT Examinations
Initial Qualifications
Board-Certified RadiologistNon-Board Certified RadiologistOther Physician
  • Board-certification in radiology or diagnostic radiology by the American Board of Radiology (ABR), American Osteopathic Board of Radiology (AOBR), Royal College of Physicians and Surgeons of Canada (RSPSC) or College des Medecins du Quebec (CMQ)
  • If board-certified before 2008: supervision, interpretation and/or review and reporting of 75 Cardiac CT examinations within the last 36 months
  • Radiologists graduating from residency after 6/30/14 must be board-certified or eligible as defined by the ABR
  • Completion of at least 40 hours of category 1 Continuing Medical Education (CME) in cardiac imaging, including cardiac CT, anatomy, physiology and/or pathology, or documented equivalent supervised experience in a center actively performing cardiac CT
All of these:
  • Completion of an Accreditation Council for Graduate Medical Education (ACGME) Radiology Residency Program 
  • Have supervised interpretation of 75 cardiac CT cases in the past 36 months
  • Completion of at least 40 hours of category 1 Continuing Medical Education (CME) in cardiac imaging, including cardiac CT, anatomy, physiology and/or pathology, or documented equivalent supervised experience in a center actively performing cardiac CT
Cardiologists - Cardiac ONLY
Certification in cardiology by the American Board of Internal Medicine with completion of Level 2 training or higher

Level 2 Requirements (All of the following):
  • Board-certification or eligibility, valid medical license, and completion of a 3-month (cumulative) specialty residency or fellowship in Cardiac CT
  • 150 Cardiac CT examinations, including 50 where the candidate is physically present, involved in the acquisition and interpretation of the case 
  • Completion of 30 hours of courses related to CT in general and/or Cardiac CT in particular

Level 3 Requirements (All of the following):
  • Board-certification or eligibility, valid medical license, and completion of a 12-month (cumulative) specialty residency or fellowship in Cardiac CT
  • 300 Cardiac CT examinations, including 100 where the candidate is physically present, involved in the acquisition and interpretation of the case 
  • Completion of 60 hours of courses related to CT in general and/or Cardiac CT in particular

Nuclear Medicine Physicians - Cardiac ONLY

All of these:
  • Completion of an ACGME-approved training program in Nuclear Medicine
  • Interpretation and reporting under the supervision of a qualified physician of at least 75 cases of CT of the cardiovascular system during the past 36 months.
In addition:
  • Specific training in CT within an ACGME-accredited training program
OR
  • 160 hours of category 1 CME in CT, including, but not limited to: CT physics; recognition of artifacts; safety; instrumentation; and 40 hours specific to cardiovascular CT
Continuing Experience
  • Upon renewal, radiologists reading Cardiac CT examinations must have read 50 exams over the prior 24-month period. The cardiac exams interpreted will count toward the overall continuing experience for other CT modules.
  • Upon renewal, cardiologists reading Cardiac CT examinations must have continuing experience in accordance with level 2 requirements or higher - 50 examinations each year.
Continuing Education
  • Upon renewal, physicians must have earned at least 15 CME hours in CT (half of which must be category 1) in the prior 36 month period, and should include CME in Cardiac CT as is appropriate to the physician's practice needs.
  • Upon renewal, cardiologists must have completed at least 30 hours of coursework in the prior 36 month period, in accordance with Level 2 requirements.



In addition, all physicians interpreting CT examinations must:

  • Have completed an accredited diagnostic radiology residency or 80 hours of documented, relevant classroom instruction including diagnostic radiology and radiation safety physics. Otherwise, physicians must demonstrate training in the principles of radiation protection, the hazards of radiation exposure to both patients and radiological personnel, and appropriate monitoring requirements.

  • Be thoroughly acquainted with the many morphologic and pathophysiologic manifestations and artifacts demonstrated on computed tomography. Additionally, supervising physicians should have appropriate knowledge of alternative imaging methods.

  • Be knowledgeable of patient preparation, and training in the recognition/treatment of adverse effects of contrast materials for these studies, as described in the ACR-SPR Practice Parameter for the Use of Intravascular Contrast Media.  

  • Be responsible for reviewing all indications for the examination; specifying the use, dosage, and rate of administration of contrast agents (per the 2005 ACCF/AHA Clinical Competence Statement on Cardiac CT and MR, specifying the imaging technique, including appropriate windowing and leveling; interpreting images; generating written reports; and maintaining the quality of both the images and interpretations.

  • Be familiar with the meaning and importance to the practice of CT of: total radiation dose to the patient; exposure factors; conscious sedation principles that are performed in the practice; and post-processing techniques and image manipulation on work stations.


Regarding intravascular contrast media: A properly certified and/or licensed healthcare professional may perform the injection of intravascular contrast media so long as a radiologist or his/her physician designee is present and immediately available to furnish assistance and direction throughout the performance of the procedure. The physician need not be in the same room.




Revision History for this Article

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes



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