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Certification and Accreditation

Breast Ultrasound Certification & Recertification

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.


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 18-month period, applicants may choose which component to complete first.


The following minimum prerequisites must be met by surgeons seeking breast ultrasound certification:

  • 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. At least 7 credits in breast ultrasound in the 18 months prior to application must be included.


Clinical Application

  • Apply for certification using our on-line application. Login to the website or create an account if you a non-member first-time user.
  • Or, to request a clinical application for hard copy submission, download and complete the Clinical Application Order Form and submit it with a $50 nonrefundable document fee. Check or credit card payment is accepted. An application will be emailed to you.

This clinical application will include all details related to the required documentation of board certification, training, procedure volume, CME accrual and the 10 required clinical case submissions. Please see the Breast Ultrasound Clinical Case Requirement Chart for an overview of case submission criteria.

Written Examination

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

  • One or more testing sessions are offered at the Society's annual meeting. Additional group testing sessions may be scheduled in conjunction with other educational events or meetings. Watch the Society website for announcements.  Applicants should pre-register for a testing session by contacting the Society office.
  • The 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.


  • A $50 document fee must submitted when requesting the Clinical Application, fee waived for on-line applicants
  • A $600 review fee is due when the completed Clinical Application is submitted.
  • A $200 fee is also required to sit for the written exam.


Information related to recertification will be made available through the Society website member page including a link to the online application 12 months prior to expiration of your previous certification.

Overview of requirements for recertification:

  • 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
  • 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.
  • Two clinical cases including diagnostic and interventional components
  • Fee for recertification is $275
  • Valid for 3 years