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Sample Residency Letter for Residency Graduates of 2014 or Later

Starting with the medical residency graduating classes of 2014, the American Board of Radiology (ABR) will require each resident to demonstrate proficiency across all of diagnostic radiology by completing a Comprehensive Core Examination after 36 months of residency training. This examination will be followed by a Final Certifying Examination administered 15 months after the resident graduates from the medical residency program. Graduates will no longer have the opportunity to become board certified by the ABR during the medical residency.

In order to immediately begin independent interpretation of mammograms following a residency program, medical residency graduates of 2014 or later must:

  • Have interpreted 240 mammographic examinations under direct supervision within any 6-month period during the last two years of the medical residency. (That is, for newly graduating medical residents, the interpretation of the 240 exams may be during any 6-month period during the last 2 years of the residency program, as opposed to the last six months of the residency program, as was previously required.)
  • Have completed 3 months of formal training in the interpretation of mammograms and in topics related to mammography (including instruction in radiation physics specific to mammography, radiation effects, and radiation protection).
  • Have completed a minimum of 60 category I hours of documented medical education in mammography (including instruction in the interpretation of mammograms, basic breast anatomy, pathology, physiology, technical aspects of mammography, and quality assurance and quality control in mammography), with at least 15 of the category I hours having been acquired within the 3 years immediately prior to the date that the physician qualified as an interpreting physician.

The new residency letter template provided below is applicable only for residents who graduate in June 2014 or later. All former residency letter templates and initial interpreting physician qualification requirements are still applicable to the time periods that they were previously used for.

(Applies to residency training completed in calendar year 2014 or later.)

[Official Letterhead of Residency Program]

{Date of Letter}

To Whom It May Concern:

Dr. {Insert name} successfully completed his/her residency in diagnostic radiology on {Insert date}. During the period of his/her residency program {Insert inclusive dates}, Dr. {Insert name} received the following training and experience specific to mammography:

  1. At least three months {or may include exact amount of training} of training in the interpretation of mammograms, including instruction in radiation physics, radiation effects, and radiation protection.
    [NOTE to residency program director: This paragraph may be deleted if the resident has passed the diagnostic radiology certifying examinations and become a diplomate of the American Osteopathic Board of Radiology (AOBR), or the Royal College of Physicians and Surgeons of Canada (RCPSC).]
  2. At least 60 hours of documented continuing medical education in mammography.
    [NOTE to residency program director: These 60 hours may be included in the three months of training described in #1. It does not have to be an additional 60 hours of training. This paragraph may be deleted if the three months of training is already documented in #1.]
  3. At least eight hours each of training in {specify the mammographic modality/ies: screen-film mammography, full field digital mammography, and/or a digital breast tomosynthesis (DBT) system. If a DBT system, you must specify the manufacturer(s) and unit(s) on whose unique features the resident was trained.}

    [NOTE to residency program director: These eight hours may be included in the three months of training described in #1 or the 60 hours described in #2; it does not have to be an additional 8 hours of training. If item #3 is not included in the letter or no mammographic modality is specified, it will be assumed that the resident received eight hours of training in full field digital mammography only.]
  4. Read or interpreted, under the direct supervision of an interpreting physician, the mammograms from the examinations of at least 240 patients in any 6-month period during the last two years of the residency program {give dates of 6-month period}.

{Signature of Training Institution Representative}

{Title of Training Institution Representative}

[NOTE to residency program director: Must include signing official's title, e.g., Chairman of Program, Director of Residency Education, Director of Mammography Section, etc.]

Page Last Updated: 10/27/2015
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