Certifications for Fellows

Access is limited to fellows in approved breast fellowship programs.
Click here to log in to BESAP for Fellows.

The American Society of Breast Surgeons has developed exclusive certification tracks specifically for breast fellows, positioning fellows to integrate essential imaging skills into practice both during their fellowship and afterward. These certification programs are based on the principles outlined in the Society's Performance and Practice Guidelines for Breast Ultrasound and Stereotactic Breast Procedures respectively.

Each track is divided into 3 distinct parts: an initial candidate certification is awarded for 3 years, followed by an opportunity to earn full certification for 5 years, and a maintenance of certification process to remain current.

Breast Ultrasound

View Requirements

Eligibility Prerequisites

  • Fellow: Breast or Surgical Oncology
  • Board Certification Not Required
  • Procedure Volume in Past 12 Months
    • 30 diagnostic
    • 10 interventional
    • Record in the Procedure Log (Excel file), signed by program director
  • CME/Education: No Specific Requirement

Online Exam

  • 100 Minute, Multiple-Choice Format
    • Review of the Fellows Imaging Course or other Introductory Breast Ultrasound Course Material is recommended.

Clinical Case Submission

  • 1 Diagnostic
  • 1 Interventional
    • Performed within 12 months of submission
    • May be same patient
    • Must include own report or be co-signed by attending

Fee Structure

  • Online Exam Fee — $200
  • Application Access Fee — $50
  • Application Review Fee — $275

Eligibility Prerequisites

  • Submit Within 3 Years of Receiving Candidate Certification
  • Board Certification Is Required
  • Procedure Volume
    • 100 per year
    • 80 diagnostic
    • 20 interventional
  • CME/Education
    • 15 AMA PRA Category 1 Credits™ in breast ultrasound
    • Must include 1 all-day course with hands-on portion. Note: the ASBrS Breast Fellows Ultrasound Course (non‑CME) is accepted to meet part of this requirement.

Clinical Case Submission

  • 2 Diagnostic
  • 2 Interventional
  • Performed Within 12 Months of Submission
  • May Be Same Patient

Fee Structure

  • Full Certification Application Access Fee — $50
  • Full Certification Application Review Fee — $275

After earning full certification, you may upkeep your certification by engaging in a maintenence of certification (MOC) process every 5 years.

Breast Ultrasound MOC Requirements

  • Medical Licensure
  • Equipment Maintenance Reports
  • Documented performance of no fewer than 50 breast ultrasound exams per year with review of a minimum of 50 mammography exams annually that include the authenticated reports. These must include a minimum of 30 diagnostic and 20 interventional examinations.
  • 15 AMA PRA Category 1 Credits™ in Breast Content

Fee Structure

  • MOC Application Access Fee — $50
  • MOC Application Review Fee — $75

My Certification

Candidate Certification Application

Log in to access.

Stereotactic Breast Procedures

View Requirements

Eligibility Prerequisites

  • Fellow: Breast or Surgical Oncology
  • Board Certification Not Required
  • Procedure Volume in Past 12 Months
    • 6 stereotactic procedures — under supervision
    • Record in the Procedure Log (Excel file), signed by program director
  • CME/Education: No Specific Requirement

Online Exam

  • 90 Minute, Multiple-Choice Format

Clinical Case Submission

  • 1 Stereotactic Breast Procedure
  • 1 Interventional
    • Performed within 12 months of submission
    • 2D or 3D technology
    • Must include own report or be co-signed by attending

Fee Structure

  • Online Exam Fee — $100
  • Application Access Fee — $50
  • Application Review Fee — $275

Eligibility Prerequisites

  • Submit Within 3 Years of Receiving Candidate Certification
  • Board Certification Is Required
  • Procedure Volume
    • 12 stereotactic procedures within previous year
  • CME/Education
    • 15 AMA PRA Category 1 Credits™ in breast imaging
    • Must include Radiation, Physics, and Safety CME or attest to reviewing Radiation Safety and Physics by Howard Snider, MD.
    • Must include 1 all-day course with stereotactic content. Note: the ASBrS Breast Fellows Ultrasound Course (non‑CME) is accepted to meet part of this requirement.

Clinical Case Submission

  • 1 Stereotactic Breast Biopsy
  • Must Be Cancer or Atypia
  • 2D or 3D Technology
  • Performed Within 12 Months of Submission

Practical Examination

  • Virtual Practicum Within 12 Months of Clinical Case Completion

Fee Structure

  • Full Certification Application Access Fee — $50
  • Full Certification Application Review Fee — $275
  • Practical Examination Fee — $100

After earning full certification, you may upkeep your certification by engaging in a maintenence of certification (MOC) process every 5 years.

Stereotactic MOC Requirements

  • Medical Licensure
  • Equipment Maintenance Reports
  • Documented performance of no fewer than 12 stereotactic breast procedures.
  • 15 AMA PRA Category 1 Credits™ in Breast Content

Fee Structure

  • MOC Application Access Fee — $50
  • MOC Application Review Fee — $75

My Certification

Application — Coming Soon

Soon, fellows will log in here to access their clinical application and online exam. Please view the above Candidate Certification requirements to prepare.

Questions on Certification?

Telephone: 410-381-9500 or 877-992-5470 (M–F 8:30 am et–5:00 pm et)
Email: certification@breastsurgeons.org
Technical Support Email: webmaster@breastsurgeons.org

Breast Fellows Univerity (BFU) programs and services are made possible through generous support of sponsors: AstraZeneca, Endomag, Hologic, Mammotome, PreludeDX, and Stryker.