Stereotactic Breast Procedures Certification

Stereotactic Certification Application
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The Stereotactic Breast Procedures Certification program is based on the principles for the proper performance of stereotactic breast procedures as outlined in the Society's Performance and Practice Guidelines for Stereotactic Breast Procedures.

Program Goals

The American Society of Breast Surgeons' goal in establishing certification is to improve the quality of care for patients with breast disease by encouraging education and training for surgeons who perform stereotactic breast procedures.

Requirements for Initial Certification

There are three components to the stereotactic certification process:

  • A clinical application
  • A written exam
  • A practical exam

The practical exam may only be taken after an applicant successfully passes both the clinical application and the written exam components. Provisional certification will be granted upon completion of these steps and will be valid for one year. During that year the applicant will be expected to register, take and pass the practical examination. If at the end of one year the applicant has not made arrangements to be tested the provisional certification will expire. The examinations and submission of the clinical application must occur within the same two year period.

Prerequisites

The Society has established the following minimum prerequisites for surgeons who may choose to undertake certification for stereotactic breast procedures:

  • 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.
  • Must document an appropriate level of training and a minimum of 1-year experience in the performance of stereotactic breast procedures.
  • Must document performance of no fewer than 12 stereotactic breast procedures per year and evaluation* of a minimum of 480 mammography exams in the last 2 years. (*Evaluation means review of the mammographic films in direct consultation with an MQSA-qualified physician and/or independent review of mammograms with the authenticated mammographic report.)
  • All applicants must have a minimum of 4 hours of AMA PRA Category 1 CME in medical radiation physics or can attest to the review of Radiation Physics and Safety by Howard Snider, MD, included with the application. In addition:
    1. Applicants with less than 5 years' experience must have a minimum of 15 hours of AMA PRA Category 1 CME in breast imaging, including a minimum of 7 hours in stereotactic breast procedures during the last 5 years.
      or
    2. Applicants with 5 or more years' experience must have a minimum of 5 hours of AMA PRA Category 1 CME in breast imaging or breast intervention during the last 5 years.
  • Society-Sponsored Breast Imaging CME Opportunities

Clinical Application

The clinical application includes all details related to the required documentation of board certification, training, procedure volume, CME accrual and the 2 required clinical case submissions. Both case submissions must have been performed utilizing 2D technology. Stereotactic Clinical Case Requirements

Written and Practical Examinations

  • One or more testing sessions (written and practical) are offered at the Society's Annual Meeting. Register for the exam using the online meeting registration form.
  • The written exam may also be taken individually by appointment at the Society's office in Columbia, Maryland.
  • Details about the written exam and sample questions are available here.
  • Candidates who demonstrate exceptional knowledge on the written examination, consistent expertise and adherence to the criteria in the clinical case submissions as well as expert demonstration on the practical examination 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.

Fees

  • A $50 document fee must be submitted to access the online Clinical Application.
  • A $600 review fee is due when submitting the completed Clinical Application.
  • A $100 fee is required to sit for the written exam.
  • A $100 fee is required to take the practical exam.

Recertification in Stereotactic Breast Procedures

Stereotactic recertification applications will be accessible through the Society website 12 months prior the expiration of the previous certification. Overview of requirements for recertification:

  • 10 CME credits in breast imaging 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.
  • One 2D stereotactic breast procedure clinical case of a cancer, invasive or in situ, or one of a high risk lesion such as atypical hyperplasia.
  • Valid for 3 years.
  • Recertification 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. 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 stereotactic breast procedures. 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 $150 review fee is due upon submission of the completed clinical application.

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