Oates M Elizabeth, Guiberteau Milton J
Albert B. Chandler Medical Center, Department of Radiology, University of Kentucky College of Medicine, 800 Rose St, HX-307B, Lexington, KY 40536-0293; Commission on Nuclear Medicine and Molecular Imaging, Board of Chancellors, American College of Radiology, Reston, Virginia.
Baylor College of Medicine, Texas Medical Center, Department of Radiology, Houston, Texas; Nuclear Radiology, Board of Trustees, American Board of Radiology, Tucson, Arizona.
Acad Radiol. 2014 Oct;21(10):1348-56. doi: 10.1016/j.acra.2014.05.015. Epub 2014 Aug 7.
In 2010, the American Board of Radiology (ABR) approved a new 16-month nuclear subspecialty training pathway within a standard 48-month Accreditation Council for Graduate Medical Education (ACGME)-accredited diagnostic radiology (DR) residency available to institutions sponsoring ACGME-accredited nuclear radiology (NR) and/or nuclear medicine (NM) program(s). This accelerated pathway leads to eligibility for dual ABR certifications in DR and NR or in NM by the American Board of Nuclear Medicine (ABNM). The American College of Radiology, in conjunction with the ABR, aimed to understand adoption of this new pathway, barriers to implementation, preferences for subspecialty certification, and competing alternative combined DR/NR/NM training pathways.
During 2013-2014, there were 20 ACGME-accredited NR fellowship and 43 ACGME-accredited NM residency programs eligible to adopt this new 16-month pathway. They were surveyed by e-mail correspondence regarding implementation and barriers to implementation, board certification (ABR-NR and ABNM) preferences, and local alternative training pathways.
With 100% of the surveys completed, a small cadre of qualifying DR programs (14, 22%) has adopted (9, 14%) or is seriously considering adopting (5, 8%) the 16-month ABR pathway. For most, implementation is problematic with numerous barriers in common. Five (8%) institutions are developing 60-month nontraditional models as alternative routes to ABR-DR/ABR-NR certifications and/or dual ABR/ABNM board certifications.
In spite of strategies to promote a shortened training pathway in NR/NM, traditional subspecialty fellowships outside the DR residency remain the dominant pathway leading to ABR subspecialty certification in NR and/or ABNM certification for diagnostic radiologists.
2010年，美国放射学会（ABR）批准了一条新的为期16个月的核医学亚专业培训途径，该途径包含在标准的48个月研究生医学教育认证委员会（ACGME）认可的诊断放射学（DR）住院医师培训项目内，可供赞助ACGME认可的核医学放射学（NR）和/或核医学（NM）项目的机构使用。这条加速途径使学员有资格获得由ABR颁发的DR和NR双重认证，或由美国核医学委员会（ABNM）颁发的NM认证。美国放射学会与ABR合作，旨在了解这条新途径的采用情况、实施障碍、亚专业认证偏好以及竞争性的DR/NR/NM联合培训替代途径。
在2013 - 2014年期间，有20个ACGME认可的NR奖学金项目和43个ACGME认可的NM住院医师培训项目有资格采用这条新的16个月途径。通过电子邮件通信对它们进行了调查，内容涉及实施情况和实施障碍、委员会认证（ABR - NR和ABNM）偏好以及当地的替代培训途径。
100%的调查问卷已完成，一小部分符合条件的DR项目（14个，占22%）已经采用（9个，占14%）或正在认真考虑采用（5个，占8%）这条16个月的ABR途径。对大多数项目来说，实施存在问题，有许多共同的障碍。五个（占8%）机构正在开发为期60个月的非传统模式，作为获得ABR - DR/ABR - NR认证和/或ABR/ABNM双重委员会认证的替代途径。
尽管采取了促进NR/NM缩短培训途径的策略，但DR住院医师培训之外的传统亚专业奖学金项目仍然是放射科医生获得ABR核医学亚专业认证和/或ABNM诊断放射学认证的主要途径。
