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Table 1 Initial and Continuing Competency Criteria for Credentialing Physicians to Independently Practice Cardiac PET/MRI

From: SNMMI/ACR/ASNC/SCMR joint credentialing statement for cardiac PET/MRI

Number of interpretations (training)

Didactic requirement

Number of interpretations (continuing)

CME/MOC

100 cardiac PET examinations (applicant must be physically present and perform initial interpretation of 50 of these)*; Board certification**or equivalent; radiation safety training for NRC 35.290 imaging and localization studies (or equivalent)

20 h of didactic education is recommended

100 cardiac PET studies within prior 3 years***

Fulfilling MOC; or 15 h CME related to cardiac PET in prior 3 years

100 cardiac MRI examinations (applicant must be physically present and perform initial interpretation of 50 of these)*; Board certification **or equivalent

20 h of didactic education is recommended

100 cardiac MRI within prior 3 years***

Fulfilling MOC; or 15 h CME related to cardiac MRI in prior 3 years

  1. An alternative and acceptable method of performance of the cardiac PET/MRI examination is supervision and interpretation by two physicians, each credentialed individually in either cardiac PET or cardiac MRI
  2. *For programs with hybrid cardiac PET/MRI, combined cardiac PET/MRI examinations may count for both cardiac PET and cardiac MRI examinations. “Physical presence” implies involvement on acquisition and processing of studies
  3. ** American Board of Radiology (ABR), American Board of Nuclear Medicine (ABNM), Certification Board of Nuclear Cardiology (CBNC) or the Certification Board of Cardiovascular Magnetic Resonance (CBCMR), or the equivalent in Canada
  4. ***For those pursuing credentials in pediatric cardiac PET/MRI, given the relatively low number of pediatric PET and MRI studies, an exception should be made that would allow for the continuing training to be more than 3 years, in order to achieve the competency criteria. A timeframe of 5 years may be reasonable, but in certain specialized clinical settings where the practice is limited only to pediatrics, the proposed criteria may be waived