UPDATE ON CREDENTIALINGof

VASCULAR LABORATORY PERSONNELR. Eugene Zierler, M.D.

The D. E. Strandness, Jr. Vascular LaboratoryUniversity of Washington Medical Center

Division of Vascular SurgeryUniversity of Washington, School of Medicine

DISCLOSURE INFORMATION

No relevant financial or commercial relationships

Previously: RVT Exam CommitteeRPVI Exam CommitteeARDMS Board of DirectorsInteleos Board of DirectorsPast-President ICAVL

R. Eugene Zierler, M.D.

CREDENTIALING ORGANIZATIONSVascular Laboratory Personnel

American Registry for Diagnostic Medical Sonography (ARDMS) - RVT

Alliance for Physician Certification and Advancement (APCA) – RPVI*

Cardiovascular Credentialing International (CCI) – RVS, RPhS (peripheral venous testing only)

American Registry of Radiologic Technologists (ARRT) - RT (VS)

American Society of Neuroimaging (ASN) -Neurosonology (IC/EC cerebrovascular testing only)

*Formerly under ARDMS

ARDMS has now certified over 35,000 vascular technologists

Founded in 1975 to provide certification examinations in medical ultrasound

A “Peripheral Vascular Doppler” examination was given from 1975-1982

Registered Vascular Technologist (RVT) examination first given in 1983

American Registry for Diagnostic Medical Sonography

ARDMS

All RVTs 1983 – 2017 (October)

Total RVTs = 35,674

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THE ARDMS RVT CREDENTIAL

*First “physician only” ARDMS credential (2006)

Credentials Offered in 2013

ARDMS

SonographerRDMS Abdomen, Breast, Fetal Echo, Ob-Gyn, PediatricRDCS Adult Echo, Pediatric Echo, Fetal EchoRVT Vascular TechnologyRMSKS Musculoskeletal Sonographer

PhysicianRPVI* Physicians Vascular InterpretationRMSK Musculoskeletal Sonography(RPVI China and others being developed)

Physician (MD) RVTs 1983 – 2017 (October)

Total MD-RVTs = 1,870

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RPVI Exam

THE ARDMS RVT CREDENTIAL

?

Perception of ARDMS as a sonographer credentialing organization was a barrier to continued expansion –especially for physician credentials

New Board and Council structure implemented in 2016 Main goals: Maintain the ARDMS “brand” for sonographers Create a new “home” for physicians credentialing Allow flexibility for credentialing other healthcare

providers (nurses, PAs, nurse-midwives)

ARDMS RESTRUCTURE PROJECT2013-2016

INTELEOS BOARD AND COUNCILS

“Parent” organization for the ARDMS and APCA Councils

Volunteer Board of Directors Provide governance and

infrastructure for the Councils Psychometric services Strategic direction Fiduciary responsibilities Development of new

assessment programs

INTELEOS

Introduced in January 2016 “Parent” company for the

ARDMS and APCA Councils Volunteer Board of Directors Provide governance and

infrastructure for the Councils Psychometric services Strategic direction Fiduciary responsibilities Development of new

assessment programs

“A non-profit certification organization that delivers rigorous

assessments and cultivates a global community of professionals

dedicated to the highest standards in healthcare and

patient safety.”

THE ARDMS COUNCIL

Continues the 40-year ARDMS mission of certifying ultrasound professionals

Focuses on sonographers as the core constituency

Currently has ≈90,000 sonographer registrants

Volunteer-led management of the sonographer credentials RDMS RDCS RVT RMSKS

Assessment Oversight Teams

(AOTs) and Working Groups

Introduced in January 2016 Focuses on physicians as

the core constituency Currently has ≈20,000

physician registrants Volunteer-led management

of the physician credentials

THE APCA COUNCIL

RPVI RMSK RPVI China Sonography Certifications

Council for Certification in Cardiovascular Imaging (CCCVI) - CBNC, CBCCT

Point of Care Ultrasound (POCUS Academy) Latin American US Certificate Program

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142 144 154190

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283323

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407

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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

RPVI Registrants 2005 – 2017 (October)

Total RPVIs = 4,235

Pilot Exam

Exam ReleasedJan 2006

THE APCA RPVI CREDENTIAL

Specialties of 4,240 Successful Applicants

*Total = 1,725

Through October

2017

THE APCA RPVI CREDENTIAL

Specialty NumberCardiology 1,597*Vascular Surgery 1538Not Available 405Radiology 244Other 207Vascular Medicine 128*Internal Medicine 40Int Radiology 52Family Practice 16Cardiac Surgery 13

No longer “voluntary” for vascular surgery trainees

Starting in 2014 the RPVI credential is required by the Vascular Surgery Board of the American Board of Surgery for all applicants prior to taking the Vascular Surgery Certifying Exam

This makes the RPVI a “prerequisite” for certification in Vascular Surgery

THE APCA RPVI CREDENTIAL

RPVI CHINAVascular Ultrasound in China – The “Chinese RPVI”

The Chinese Ultrasound Doctors Association (CUDA) was interested in the ARDMS RPVI credential – since it was designed specifically for physicians

The RPVI examination was given in Beijing in 2008 and 2012 as a “pilot” to assess interest (in English)

Ultrasound in China is a medical specialty that includes diagnostic studies and ultrasound-guided procedures

Nov 2008 – First pilot the ARDMS RPVI credential Educational conference

Vascular Ultrasound in China – The “Chinese RPVI”

RPVI CHINA

Visited the Peking Army Hospital #301 >4000 beds ≈1200 ultrasound exams/day ≈ 200 vascular duplex exams/day

Vascular Ultrasound in China – The “Chinese RPVI”

RPVI CHINA

Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY

May 2012 – Second pilot the ARDMS RPVI credential Another Educational conference

57 Chinese ultrasound doctors took the RPVI pilot exam

Pass rate 51% (>90% in US)

They had particular difficulty with arterial physiologic testing –because they don’t do it

Vascular Ultrasound in China – The “Chinese RPVI”

RPVI CHINA

Vascular Ultrasound in China – The “Chinese RPVI”

CUDA respects ARDMS credentials but wanted a Chinese version of the RPVI that reflects their languageand unique scope of practice

This resulted in a joint venture between CUDA, ARDMS, and Pearson-Vue testing centers to develop a Chinese RPVI exam Item-Writing in China

RPVI CHINA

Vascular Ultrasound in China – The “Chinese RPVI”

Exam given starting in 2014

RPVI CHINA

Year Total Exams Passed (%) Failed2014 60 39 (65%) 212015 20 16 (80%) 42016 341 233 (68%) 1082017 102 Not available

NEW CREDENTIALS (CERTIFICATES)APCA POCUS Academy (Launched May 1, 2017)

First 10 Certificates

NEW CREDENTIALS (CERTIFICATES)APCA POCUS Academy (Launched May 1, 2017)

1069 Total enrollments

752 Clinical certificate enrollments

236 EM certificate enrollments

81 Fundamentals enrollments

540 Total certificates issued

APCA POCUS Academy (Launched May 1, 2017)

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In Progress Certificates Issued No Certificate Awarded

NEW CREDENTIALS (CERTIFICATES)

Midwife Sonography Certificate Cardiovascular Magnetic Resonance (CMR) New POCUS Academy certificates

Needle Guidance (US-guided procedures)MSK (soft tissue, upper extremity, lower extremityPediatrics (basic, neonatal procedural)

Eligibility for POCUS Academy will be extended to advanced practice providers (NP, PA)

Coming Soon and Under DevelopmentNEW CREDENTIALS (CERTIFICATES)

Sonographer (RVT) ARDMS will continue to be your certification organization No change (website, phone numbers)

Physician (RPVI) APCA is now your certification organization All functions will transition from ARDMS to APCA

Other Providers and Assessments POCUS Academy, Midwife Sonography, etc.

What Does All This Mean To You?UPDATE ON CREDENTIALING

Educational conference Talks on Renal Duplex and Physiologic Testing (?)

Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY

Vascular Ultrasound in China – The “Chinese RPVI”MEDICAL SONOGRAPHY

Another Educational conferenceDuplex Follow-up of EVAR

Vascular Ultrasound in China – The “Chinese RPVI”A Lesson in International vs. Global Certification

MEDICAL SONOGRAPHY

Taking the English version of the ARDMS RPVI to China makes it International

Making a true Chinese RPVI that reflects their language and unique scope of practice makes it Global

On track for roll-out in 2015

Specialties of 4,240 Successful Applicants

*Total = 1,725

Through October

2017

THE APCA RPVI CREDENTIAL

Specialty NumberCardiology 1,597*Vascular Surgery 1538Not Available 405Radiology 244Other 207Vascular Medicine 128*Internal Medicine 40Int Radiology 52Family Practice 16Cardiac Surgery 13