This page is intended to provide information and guidance to preceptors when writing letters attesting to completion of nuclear cardiology training for CBNC applicants.
PRECEPTOR PROGRAM VERIFICATION
Beginning in 2011 and going forward, CBNC requires that preceptors who write letters attesting to Level 2 nuclear cardiology training for CBNC applicants applying through the Formal Training Pathway have on file with the CBNC office Program Verification documentation that verifies:
The preceptor may also be subject to position requirements, depending on the pathway under which the applicant is eligible. See below. If there is more than one individual in the training program or institution serving in the capacity of preceptor they may each fill out a Program Verification document so that all appropriate individuals in the program have a letter on file and can write attestation letters.
An applicant's preceptor attestation letter can be accepted only once CBNC has the preceptor’s Program Verification and AU documentation (copy of RAM license or letter from Radiation Safety Committee) on file.
The program verification document need only be submitted once every three years, OR when there is a change:
One set of program verification material on file per preceptor is sufficient for all his/her trainees for a period of three years, assuming training of the applicant is/was in accordance with the statement on file.
Click here to lookup your program verification letter in our database. If your letter does not appear in the list, please contact our office at firstname.lastname@example.org.
FORMAL TRAINING PATHWAY - FOR US trained applicants who received Nuclear Cardiology training in an ACGME or AOA-accredited fellowship or residency program in Cardiovascular Disease, Nuclear Medicine, or Radiology.
The preceptor attestation letter must document that:
To author a preceptor attestation letter for an applicant in this pathway, a preceptor must be one of the following:
If the preceptor is not an Authorized User, an Authorized User at the training institution must co-sign the letter to verify that the candidate has had appropriate training in radiation safety.
The letter must be on institutional letterhead, dated no earlier than June 1, 2017 and included with the candidate's application.
EXPERIENCE PATHWAY (no new candidates) - FOR US trained candidates who did not receive nuclear cardiology training within the context of an accredited fellowship or residency program AND who have sat previously for the CBNC exam:
The preceptor attestation letter must document:
The letter must be on institutional letterhead, dated within the preceding 36 months and included with the candidate's application.
To author a preceptor attestation letter for an applicant in the Experience Pathway (no new applicants), a preceptor must be an Authorized User and certified by one of the following Boards: CBNC, ABNM, ABR, AOBNM or AOBR. ABIM-CVD certification alone does not qualify.
If the preceptor is not an Authorized User, a separate letter from an Authorized User must be provided to verify that the candidate has had appropriate training in radiation safety. The preceptor must meet the definition of one who "provides, directs or verifies" training. A Program Verification letter is not required for preceptors of candidates under this pathway.
NON US TRAINED APPLICANTS - For applicants who have completed or will complete training in Cardiology, Nuclear Medicine or Radiology outside the United States. The preceptor letter must be on organizational letterhead, written within 36 months of application submission, and make one of the following statements:
If training was completed seven or more years prior to the exam for which the Applicant is applying the letter must also verify ongoing experience as evidenced by interpretation of a minimum of 300 cases in the preceding 2 years.
Preceptors for these applicants may be:
Guidance on the Classroom and Laboratory Training (CLT) component of Level 2 Training in Nuclear Cardiology
There are many courses available to provide or round out the 80 (or 200) hours of Classroom and Laboratory Training (CLT) experience required for NRC 10 CFR 35.290 Training (Imaging and Localization Studies) or Agreement State equivalent and to complete Level 2 Nuclear Cardiology Training according to the ACC COCATS Guidelines, revised 2015. Program Directors and individuals might note that the NRC recognizes a variety of teaching formats, including internet-based. Laboratory experience is also a requisite part of these hours. Because training programs vary, CBNC does not endorse any specific course to fulfill individual requirements.
Be aware that it is possible to acquire the obligatory 700 total hours and still not have met the topic requirements mandated by the NRC. Preceptors and individuals have the responsibility to assure that between their programs and CLT, ALL training and experience requirements have been met. The U.S. NRC requires that direct, hands-on laboratory experience be part of the applicant's Classroom and Laboratory Training. Attesting preceptors must document that their Nuclear Cardiology curriculum includes this expereince and the training attestation must affirm that as well.
*ATTENTION - Due to a 2017 documentation requirement from the NRC, all preceptors attesting to the training of CBNC Candidates must complete and submit the amended 2017 version of the CBNC Program Verification Form. This update is required to ensure that proper CLT training is being administered, attended and documented. As of June 1, 2017 all program verification letters were marked as expired. Expired programs/preceptors are not shown in the preceptor lookup above. We update the Preceptor Lookup above as new letters are received. If you do not see your preceptor in our database, a 2017 version of the letter has not yet been provided.*
For more information on the requirements of the NRC and the ACC COCATS for Training in Nuclear Cardiology Level 2 (revised 2015) see below: