Recertification Examination

cccvi.org

2013 Recertification Bulletin - CCCVI

A Division of the Council for

Certification in Cardiovascular Imaging

Expert Imagers ~ Quality Care

2 0 1 5 C A N D I D A T E B U L L E T I N

The Certification Board

of Nuclear Cardiology announces

Recertification

Examination

in Nuclear Cardiology

December 7–12, 2015


TABLE OF CONTENTS

About the Council for Certification in Cardiovascular Imaging (CCCVI) ........................................................................................ Page 3

About CBNC.............................................................................................................. ..................................................................... Page 3

Dates and Fees .............................................................................................................................................................................. Page 5

About the Examination ................................................................................................................................................................. Page 6

Eligibility Requirements for Recertification ................................................................................................................................... Page 7

The Application Process............................................................................................................................ ............................. Pages 8‐10

Sample Attestation Letter...................................................................... ................................................................................... Page 8

Scheduling the Exam...................................................................... ...................................................................................... Pages 10‐11

Admittance to the Exam...................................................................... ................................................................................. Pages 11‐12

Scoring the Exam...................................................................... ............................................................................................ Pages 12‐13

General Policies........................................................................................................ ................................................................... Page 13

Checklist Page................................................................................................................................ ............................................. Page 15

Application Forms .................................................................................................................... ........................................... Pages 16‐17

CBNC Address & Contact Information................................................................................................... ................................. Back Cover

Disclaimer

The information contained in the 2015 Candidate Bulletin is valid for 2015 only. The Board of Directors reserves the right to make

changes in its Policies and Procedures, including eligibility requirements and fees, from year to year. The Board cannot assume

responsibility for giving advance notice thereof.

Notice

By signing the application forms found in this Bulletin, or by making application via the CBNC electronic application, you are

agreeing to all CBNC exam policies found in this booklet and on the CBNC website. You have the right and responsibility to request

a complete set of CBNC policies prior to applying for the exam.

CBNC does not discriminate against any person on the basis of age, gender, sexual orientation, race, religion, national origin,

medical condition, physical disability or marital status.

2015 CBNC Recertification ‐ Page 2


ABOUT CCCVI

In January 2012 the Certification Board of Cardiovascular Computed Tomography (CBCCT) and the Certification Board of Nuclear

Cardiology (CBNC) announced the formation of the Council for Certification in CardioVascular Imaging (CCCVI), with CBCCT and

CBNC organized as divisions within the CCCVI structure. The Council’s launch was the result of more than three years’ effort and

signified a momentous step forward in support of the existing programs and in furtherance of multimodality certification. Using

the Intersocietal Accreditation Commission (IAC) as its model, the CBCCT and CBNC divisions continue to function autonomously

within their respective areas as they develop and administer the practice‐related examinations and programs.

The CCCVI’s mission to enhance the quality of patient care through individual and multi‐modality cardiovascular imaging

certification of physicians responds to the changes emerging in advanced cardiovascular imaging technologies. The joining of the

boards and the formation of the CCCVI provides support for the respected and recognized certification testing programs by

removing the administrative burden on the divisions. The Council is working to provide greater value to Diplomates and

Candidates with the introduction of processes and procedures to assist cardiovascular imaging practitioners.

Diplomates of CBCCT and CBNC have the capability to document multiple certifications in a centralized online site and to

communicate with a single office on questions or other information. Candidates from both programs can take advantage of the

simplified online application processes and a preliminary discount for those certifying in both modalities. CBNC and CBCCT

Candidates and Diplomates can look forward to reduced fees and delivery of a suite of enhancements to their online accounts as

the boards further integrate.

The CCCVI, through representation on the CBCCT and CBNC division boards, is partnered and supported by the ACC, ASNC, SCAI

and SCCT. There are more than 9,200 current nuclear cardiology Diplomates in over 50 countries; greater than 10,200 individual

certifications have been granted since 1996. Over 2,300 physicians have certified in cardiovascular CT across more than 40

countries. Over 1,300 physicians are certified in both cardiovascular computed tomography and nuclear cardiology and the

numbers continue to grow.

ABOUT CBNC

The Certification Board of Nuclear Cardiology (CBNC) was established in 1996 to develop and administer practice‐related

examinations in the field of Nuclear Cardiology and to award certification to those physicians who successfully complete the CBNC

examination process. The mission of the CBNC is to support optimal patient care and enhancement of the field through a

certification program that promotes quality, professionalism and practice‐based learning and improvement. CBNC is a division of

the Council for Certification in Cardiovascular Imaging.

The Purpose of Certification

The Certification Board of Nuclear Cardiology (CBNC) is committed to the certification of Nuclear Cardiology practitioners.

Certification provides practice‐based requirements against which members of the profession can be assessed. The purposes of the

CBNC Certification Program are as follows:

• to establish the domain of the practice of Nuclear Cardiology for certification;

• to assess the level of knowledge demonstrated by Nuclear Cardiology specialists in a valid manner;

• to encourage professional growth in, and enhance the quality of, the practice of Nuclear Cardiology;

• to recognize formally individuals who meet the requirements set by CBNC; and

• to serve the public by encouraging quality patient care in the practice of Nuclear Cardiology.

Candidates must pass a practice‐based exam developed by experts in the field in concert with psychometric and test development

experts. The exam is based on a substantial review and analysis of the current state of medical and scientific knowledge of nuclear

cardiology as reflected in the medical literature and clinical practice. The exam is designed to comply with testing industry

standards.

CBNC will issue a certificate to successful candidates who then may present themselves to the public as specialists in the field of

Nuclear Cardiology. Successful candidates may designate on letterhead, cards, etc. that they are “Diplomates of the Certification

Board of Nuclear Cardiology”. A listing of certified physicians is available to medical groups and to the public on the CBNC website

(www.cccvi.org/cbnc).

2015 CBNC Recertification ‐ Page 3


CBNC BOARD

REPRESENTING:

The American College of Cardiology

Aseem Vashist, MBBS, Hartford, CT

The American Society of Nuclear Cardiology

Jeffrey A. Rosenblatt, Portland, ME

Edwin Wu, Chicago, IL

Mary L. Zasadil, MD, Madison, WI (Secretary)

AT LARGE MEMBERS:

Lance T. Hall, MD, Madison, WI

Thomas A. Holly, MD, (President)

Diwakar Jain, MD, New York, NY

Richard Key, PharmD, Philadelphia, PA

Edward J. Miller, Boston, MA

Raymond R. Russell, MD, PhD, Providence, RI (Vice President)

LIAISONS FROM THE CCCVI BOARD OF DIRECTORS:

The Council for Certification in Cardiovascular Imaging

James A. Arrighi, MD, Providence, RI

Robert J. Gropler, MD, St. Louis, MO

Howard C. Lewin, MD, Los Angeles, CA

CONTACT INFORMATION

Certification Board of Nuclear Cardiology

A Division of the Council for Certification in Cardiovascular Imaging

101 Lakeforest Boulevard, Ste. 401, Gaithersburg, MD 20877 USA

Tel: +240.631.8151 • Fax: +240.631.8152

administration@cbnc.org • www.cccvi.org/cbnc

Prometric Exam Scheduling Center

www.prometric.com/cbnc

Prometric Exam Scheduling • Tel: 800.371.1989 in US and Canada

For contact information outside the US and Canada, visit www.prometric.com/cbnc

Candidates are advised to schedule their examination appointment with Prometric as soon as notification of eligibility for the

CBNC recertification exam is received. The best way to schedule with Prometric is online at www.prometric.com/cbnc.

Candidates also have the option of calling the Prometric Scheduling Center at 1‐800‐371‐1989 in the U.S. or Canada. For

Candidates outside the U.S. or Canada, visit www.prometric.com/cbnc for information about international sites. To schedule an

appointment, you will need your CBNC eligibility ID number. Prometric test centers fill up quickly so to have a better chance of

securing your preferred time and location, schedule early.

2015 CBNC Recertification ‐ Page 4


2015 IMPORTANT DATES & FEES

Check out our

Multi‐Modality

Discount!

Exam Testing Window

Monday, December 7 – Saturday, December 12, 2015

Registration Opens

Wednesday, May 20, 2015

Recertification Application Postmark/Submission Deadlines

Regular Monday, August 31, 2015 $725

Late Thursday, October 1, 2015 $925

13 th Hour Deadline for those who missed the Regular & Late Deadline

Thursday, October 15, 2015 $1,500

$50 Multimodality Discount

Applicants who are current Diplomates of the Certification Board of Cardiovascular Computed Tomography (CBCCT) or those who

passed the CBCCT exam and hold Testamur status are eligible for a $50 discount.

Cancellation Deadlines & Refund

Recertification candidates who provide a written and SIGNED request to cancel by Friday, November 20 are entitled to a refund of

$525. Candidates who received a $50 multimodality discount will receive a refund of $475. Scan your SIGNED cancellation request,

include as an attachment and email it to administration@cbnc.org or fax your SIGNED cancellation request to 240‐631‐8152. Refunds

will not be possible after Friday, November 20, 2015.

Incomplete/Incorrect Application Fee

Applications submitted without all required and correct documentation are subject to a $75 resubmission fee.

Non‐Sufficient Funds Fee

Checks returned to CBNC for non‐sufficient funds are subject to a $35 fee.

Rescheduling Fee

Prometric has revised their reschedule policy and fee structure with cost implications to candidates. Prometric will assess

candidates a $25 rescheduling fee for appointments rescheduled less than thirty (30) days of their originally scheduled exam date. IN

ADDITION, candidates who reschedule less than five (5) days of their originally scheduled exam date and time will be assessed an

ADDITIONAL fee of $165 by CBNC.

Individuals who pass the 2015 exam and are enrolled in the ABIM MOC program may claim 20 points of Self Evaluation of Medical

Knowledge (Part II) credit through ABIM.

Please provide your 6‐digit ABIM ID number on the CBNC Application form.

We’re Here for You!

The CBNC Office is staffed from 7:00 AM to 8:00 PM (Eastern) on exam days and our focus is on you. Bring our number with you and

call us at 240‐631‐8151 if you experience any problems while at the testing center.

2015 CBNC Recertification ‐ Page 5


ABOUT THE EXAMINATION

About the Exam

In order to recertify, applicants must meet and document established eligibility criteria and pass a practice‐based exam developed by

experts and other specialists working in concert with psychometric and test development experts. The examination is based on a

substantial review and analysis of the current state of medical and scientific knowledge of nuclear cardiology as reflected in the

medical literature and clinical practice. The exam is designed to comply with testing industry standards.

Exam Format

The exam format is electronic and administered on computer workstations. CBNC has contracted with Prometric to host the exam in

its test centers at locations around the world. The exam is comprised of up to 100 multiple questions, with four multiple choice

options, all of which may be plausible, but only one of which is the correct or best answer. Many of the exam questions have exhibits

which may be color or grayscale; motion or static. The workstation will include a workstation calculator which will be available for use

during the exam. Use of personal calculator is strictly prohibited during the exam. The exam is administered in English.

Exam appointments are three and one half (3 ½) hours in duration. Thirty minutes of this time may be used to review the tutorial on

computer based format, offered prior to the start of the exam, and for participation in a survey following completion of the exam.

Examinees will have three (3) hours to finish the exam. There are NO scheduled breaks during the exam, but Candidates may take an

unscheduled break to quickly use the restroom or retrieve a snack from their locker. However, the clock will continue to run and no

additional time will be added to the testing time. Candidates are not permitted to leave the building once their exam has begun. It

is strictly prohibited to access any electronic devices or study materials at any time during administration of the exam, including the

time you are permitted to use the restroom or get a snack. (see Compliance with Test Center Rules below).

Tutorial on Computer‐Based Format

A tutorial is available to help Candidates become familiar with the computer‐based exam format. This tutorial is available at no cost

on the CBNC website (www.cccvi.org/cbnc). The tutorial mimics the computer screens as examinees will see them during the exam

and allows Candidates to test out functions available on Prometric workstations in order to understand how to navigate through the

electronic format. Please note that the tutorial does not address exam content.

Change of Address/Email Information

If any contact information changes after you submit your application (e.g., address, telephone, cell phone, email, etc.) it is imperative

that you notify CBNC to ensure all documentation and information can reach you promptly. Contact information can be updated by

login to your CBNC online account or by registering for a CBNC online account at www.cccvi.org/cbnc. Alternatively, you may scan

your SIGNED request and include as an attachment and email it to administration@cbnc.org or fax it to 240‐631‐8152.

Preparing for the Exam

A list of references and guidelines that may be helpful in reviewing for the examination can be found on CBNC’s website

(www.cccvi.org/cbnc). The CBNC does not intend the list to imply endorsement of these specific references nor are the test questions

taken from these sources. Another helpful resource is the Exam Content Outline & Scope of Knowledge which identifies the specific

content areas on the exam and the percentage of questions related to each area. The Exam Content Outline & Scope of Knowledge

can be found on the CBNC website (www.cccvi.org/cbnc) under About the Exams menu option.

Compliance with Test Center Rules

Candidates must familiarize themselves with the Prometric test center rules and CBNC testing policies as they will be subject to them.

Candidates who do not comply with test center and CBNC testing policies will be excused from testing and escorted from the testing

center. No refund will be made. All testing cubicles, check‐in areas and locker facilities are videotaped and audio monitored. CBNC

can request DVD recordings of any of its test administrations. Candidates determined to have engaged in prohibited behavior will

not have their exam scored and will be barred from testing until three (3) years have passed.

2015 CBNC Recertification ‐ Page 6


2015 ELIGIBILITY REQUIREMENTS FOR RECERTIFICATION

1: Certification in Nuclear Cardiology

Applicants must, at the time of application, have successfully passed the CBNC certification exam no earlier than eight (8) years prior

to application. Candidates may sit for the exam in any (or all) of years eight (8), nine (9) or ten (10) of his/her ten‐year certification

period. If a Diplomate does not succeed in passing the recertification examination by the date of the expiration of his/her ten‐year

certification period, he/she will no longer be certified and CBNC’s online verification service will display his/her certification as lapsed.

Effective as of 2014! Individuals whose certification has lapsed may sit for the recertification exam in any given year provided they

meet all the eligibility requirements in the year of application. There will be no back‐dating of one’s certification; there will simply be

a gap between certifications.

2: Licensure

Applicants must, at the time of application, hold a current, unconditional, unrestricted license to practice medicine and must provide

a copy of the current license with expiration date.

3: Board Certification

U.S. applicants must, at the time of application, have current board certification in Cardiology, Nuclear Medicine or Radiology* by a

board which holds membership in either the American Board of Medical Specialties, or the Bureau of Osteopathic Specialists of the

American Osteopathic Association. Applicants must provide a copy of the certificate issued by the professional certifying board

showing the effective and expiration dates of certification or submit a letter or print‐out from the professional certifying board’s

website verifying certification and providing the physician’s name, specialized field and effective and expiration dates of certification.

*If you were not originally certified by CCNC or CBNC under one of these three specialties, please state this as part of your

application.

4: Documented Evidence of CME in Nuclear Cardiology

Candidates must submit documented evidence of 30 hours of Category I Continuing Medical Education (CME) credit completed within

36 months of application. Of the total, a minimum of 15 hours must be nuclear cardiology‐specific; up to 15 hours may be in the

applicant’s other area(s) of specialty (e.g., general cardiology, echo, nuclear medicine, etc). Acceptable documentation includes

certificates of completion or other record provided by the activity sponsor and must include the topic(s) and date(s) of completion. A

list of courses or topics alone is not sufficient to qualify as documented evidence. CME credit must be complete at the time of

application.

Consult CBNC’s website for more information and examples of what can be used to meet this requirement. CBNC has the final say on

what can be counted toward the CME criterion.

5: Candidate Attestation

Candidates must include a signed statement attesting to their ongoing practice and/or teaching in nuclear cardiology during their

certification period. The attestation must be on appropriate letterhead. (See sample letter on following page.)

Candidates who have not engaged in nuclear cardiology practice or teaching during their certification period should contact the CBNC

office for instructions. Ongoing experience and documentation are required to become eligible.

2015 CBNC Recertification ‐ Page 7


SAMPLE LETTER ATTESTING TO ONGOING TRAINING/TEACHING IN NUCLEAR CARDIOLOGY

LETTER TO BE AUTHORED BY APPLICANT AND SUBMITTED ON APPROPRIATE LETTERHEAD

Date

To: Certification Board of Nuclear Cardiology

I hereby attest that I have actively participated in the practice and/or teaching of nuclear cardiology during my certification period.

I declare that this statement is true and accurate.

Sincerely,

[Signature of Applicant]

[Typed or Printed Name of Applicant]

[Title of Applicant]

THE APPLICATION PROCESS

Preparing your Application

It is CBNC Board policy that applicants must complete all requirements before applying and must submit all correct supporting

documents with the application. Incomplete or incorrect application and/or supporting documentation will incur a resubmission fee

of $75. CBNC WILL CORRESPOND WITH APPLICANTS REGARDING THE STATUS OF THEIR APPLICATION VIA EMAIL SO PROVIDE A

VALID EMAIL ADDRESS THAT YOU CHECK FREQUENTLY. Note: Email communications sent from CBNC may be filtered by certain

personal and enterprise spam filters. This is beyond the control of CBNC. Therefore, be sure to enable your spam filter to allow email

from cbnc.org domain, the cccvi.org domain, and the Prometric.com domain. Check your Junk Mail folder often to ensure emails

from CBNC and Prometric have not been filtered. If you do not receive notification from CBNC by email within 10 business days of

mailing your documents or submitting your application electronically, contact the CBNC office.

Only the application form in this Candidate Bulletin or on CBNC’s website can be accepted for this year’s exam. Before submitting

your application, carefully review the information in this Bulletin or on the CBNC website. Staff is available to respond to questions or

review documents in advance to help Applicants be certain their materials meet CBNC requirements.

Submitting Your Application

Electronically Online

Applicants can submit their CBNC application and all correct supporting documentation electronically at www.cccvi.org/cbnc through

the Apply Now tab. Be sure to note the application deadlines. To electronically submit your application you will need to establish an

account with your name and contact information. Your account will be password protected. You must read the Candidate Bulletin

completely before applying to ensure you meet the eligibility requirements and have all the required and correct documentation.

CBNC accepts supporting documentation in .pdf, .doc, .docx, .tiff and .jpg formats. Once you submit your online application, you

will not be allowed to go back and upload additional documentation, therefore carefully review all of your documentation prior to

submitting payment. Applications missing required and correct supporting documentation will be assessed a $75 fee. Payment

must be made by credit card if applying online. CBNC accepts Visa, MasterCard, AMEX or Discover. Once your application has been

submitted you can check the status of your application online through your account. You will also receive updated status information

on your application via automated email from CBNC.

By Mail

Applicants can mail their application and supporting documentation to CBNC postmarked on or before the established deadlines.

Faxed or emailed applications will not be accepted. Be sure to read the Candidate Bulletin completely before applying to ensure you

meet all eligibility requirements and have all the required and correct documentation. Applications missing required and correct

supporting documentation will be assessed a $75 fee. The application form can be found at www.cccvi.org/cbnc under the Apply

Now tab. You can fill in the required fields of the application, print it, sign it and send it to CBNC with copies of all supporting

documentation. Payment can be made by check or money order payable to CCCVI or by credit card (Visa, Mastercard, AMEX, or

Discover). The credit card information should be included on the checklist page which accompanies the application form.

2015 CBNC Recertification ‐ Page 8


Application Deadlines & Fees

Your complete application plus all correct supporting documents and payment of $725 must be postmarked or electronically

submitted NO LATER THAN Monday, August 31 to receive the regular deadline fee. Late applications will be accepted until Thursday,

October 1 with an additional fee of $200. Late applications must be postmarked or overnight shipment dated NO LATER THAN

Thursday, October 1, 11:59pmE with the fee of $925.

13 th Hour Deadline

Individuals who missed the Regular and Late Deadlines can still apply under the 13 th Hour Deadline (Final). Applications must be

electronically submitted or postmarked no later than Thursday, October 15, 2015, 11:59pmE. The application must include all correct

supporting documents and the fee of $1,500.

Multimodality Discount

Current Diplomates of the Certification Board of Cardiovascular Computed Tomography (CBCCT) or those who have passed the CBCCT

exam and hold Testamur status are offered a discount of $50 off the application fee.

Payment and Refund Information

Payment of the examination fee must be made by credit card for electronically submitted applications (American Express, VISA,

MasterCard or Discover) or; for applications submitted by mail, payment can be made by completing the payment section on the

Application Checklist page (Page 15) which allows payment by check or money order payable to the Council for Certification in

Cardiovascular Imaging (CCCVI) or by credit card. Candidates whose checks are returned for non‐sufficient funds will be subject to a

$35 fee.

Applications submitted without all required and correct documentation will be subject to a $75 resubmission fee which will be

charged to the credit card on file if authorization to do so is given on the application. If authorization is not provided, the application

will not be approved until payment is received by CBNC.

Refunds in the amount of $525 (less $50 for those who received the CBCCT discount) will be made in response to written, signed

requests until Friday, November 20, 2015. Scan your SIGNED request and include as an attachment and email it to

administration@cbnc.org or alternatively fax it 240‐631‐8152. No refunds will be made after that date. Non‐sufficient funds,

administrative fees, late fees and resubmission fees will not be refunded.

Special Accommodations for Testing

The CBNC, in accordance with the Americans With Disabilities Act (ADA, 1990), provides reasonable and appropriate accommodations

for disabled individuals who supply appropriate documentation. Applicants requiring special accommodations must submit CBNC’s

Request for Special Accommodations Form with their application. This form can be found at www.cccvi.org/cbnc under the Forms and

Templates menu option. Medical documentation from an appropriate licensed professional or certified specialist who diagnosed the

disability of specific needs must accompany the request. The documentation must be submitted on the professional’s letterhead,

provide a diagnosis of the disability and the test(s) used to determine the disability. The document must specify what

accommodations are needed.

Reasonable accommodations provide disabled candidates with a fair and equal opportunity to demonstrate their knowledge and skill

in the functions being measured by the exam. Reasonable accommodations do not include actions that alter the purpose or nature of

the exam. Reasonable accommodations are determined based on the individual’s specific request, disability, documentation

submitted and the appropriateness of the request. The most frequent requests involve providing the candidate with extended time

and/or a separate room. No additional cost is incurred by the candidate.

Prometric cannot comply with special accommodation requests made by Candidates taking the examination outside the U.S., U.S.

territories or Canada where local operating conditions or local laws and customs render such request unlawful, impossible or

economically unfeasible to perform.

Receipt of Your Application

Upon receipt of your application, CBNC will send an automated email notifying you that your application has been received. Your

application will then be put in the queue to be reviewed. If your application is complete and all eligibility requirements are met, you

will receive another automated email advising you that you have been approved to sit for the exam and requesting that you

acknowledge receipt of the CBNC Testing Information & Policies booklet. This important document contains information about

scheduling your exam appointment as well as pre‐and post‐exam policies, including cancellation instructions and other critical exam

2015 CBNC Recertification ‐ Page 9


information. You will not be able to schedule your exam appointment without acknowledging having received it; your

acknowledgement is documented in your data record. Once you acknowledge receipt of the CBNC Testing Information & Policies you

will be provided with your eligibility ID number and a link to the Prometric website to schedule your exam. It is strongly

recommended that you record your eligibility ID number and keep the CBNC Testing Information & Policies document accessible

through the exam and beyond for questions on policy or procedure.

If your application is incomplete you will be contacted by CBNC staff via email. Contact may be initiated for any of the following

reasons: 1) failure to meet eligibility requirements; or 2) failure to meet deadlines; or 3) failure to submit a complete application,

including correct supporting documents. If you failed to submit correct supporting documentation CBNC staff will identify what is

missing and request that you submit it promptly, along with payment of the $75 resubmission fee. This fee can be paid by check

payable to CCCVI, or if you paid by credit card we can charge the credit card on file, if authorization was provided to do so on your

application. It is to your advantage to correct any deficiency promptly because the sooner your application is approved, the sooner

you can schedule your exam appointment with Prometric, enabling you a better chance to secure the location and date of your

choice.

Right to Audit

To maintain the integrity of its certification program, CBNC reserves the right to audit any application, in part or in whole and for up

to one year following notification of successful certification. Candidates whose applications are audited will be asked to submit

documentation to support his/her eligibility to sit for the exam. In addition, CBNC may request clarification or conduct an audit

during review of an application. If fraud is discovered, the individual may have his/her Diplomate status revoked and/or be barred

from sitting for the exam for three (3) years. The full audit policy can be accessed on the CBNC website (www.cccvi.org/cbnc).

SCHEDULING YOUR EXAM APPOINTMENT

Scheduling

To obtain your preferred testing date, time and location, you are encouraged to schedule an exam appointment as soon as you

receive email notification of your approval to sit for the CBNC exam. This email will include a link to a website wherein you may

download and acknowledge receipt of the CBNC Testing Information & Policies booklet in PDF format. Upon acknowledgement of

receipt you will be presented with your Eligibility Number which you will need to schedule your exam with Prometric at

www.prometric.com/cbnc. Testing centers fill up quickly so the earlier you schedule, the better chance you have of securing the

location and date of your choice. CBNC reserves the right to limit the number of Candidates taking the exam. Limitation due to

seating availability at Prometric test center may also apply.

Rescheduling

Exam appointments can be rescheduled if time slots are available. CBNC shares Prometric test centers with other organizations and

seats fill up quickly, so if you need to reschedule you are cautioned to do so as early as possible. To reschedule, you must do so at

least five (5) days prior to your originally scheduled exam time and date by using the Reschedule menu Option at

www.prometric.com/cbnc or by calling Prometric’s contact center at 1‐800‐371‐1989. You will need to have your Prometric

confirmation number in order to reschedule. Prometric has revised their reschedule policy and fee structure with cost implications

to candidates. Prometric will assess a $25 rescheduling fee for appointments rescheduled less than thirty (30) days of their originally

scheduled exam date. IN ADDITION, candidates who reschedule less than five (5) days of their originally scheduled exam date and

time will be assessed an ADDITIONAL fee of $165 by CBNC.

Cancelling

To withdraw from participation in the exam and receive a partial refund, you must cancel no later than Friday, November 20, 2015. If

you have scheduled your exam appointment, you must FIRST cancel with Prometric, either online or by contacting the Prometric

Scheduling (800‐371‐1989 in the U.S.), no later than Friday, November 20, 2015. Prometric will assess a $25 cancellation fee for

appointments cancelled less than thirty (30) days of their originally scheduled date. After cancelling with Prometric, you must then

notify CBNC of your intent to cancel. This notification must be in writing, with your signature, along with documentation from

Prometric confirming your appointment cancellation in order to receive a refund of $525 (less $50 if you claimed the multimodality

discount). Scan your SIGNED notification to cancel along with Prometric cancellation confirmation and include as an attachment and

email them to administration@cbnc.org or alternatively, fax to 240‐631‐8152. Non sufficient funds, administrative fees, late fees, and

resubmission fees will not be refunded. If cancellation is received after November 20, you will not be entitled to a refund.

2015 CBNC Recertification ‐ Page 10


No Show

If you cancel a scheduled exam appointment after Friday, November 20, 2015, or for any reason do not appear at the exam site where

you have registered to sit for the examination, you are considered a “No Show”; you will forfeit all fees paid and no refund will be

made.

ADMITTANCE TO THE EXAM

Arrival

Candidates should arrive at the Prometric test center 30 minutes prior to the starting time of their appointment to allow ample time

for check‐in and storage of personal belongings. Candidates arriving after the exam appointment time may not be permitted to sit for

the exam; whether or not you can sit is entirely at the discretion of the Prometric test center and will depend on whether the site has

availability to accommodate a late‐arriving Candidate. Should the late arriving Candidate not be permitted to test, CBNC will work

with Prometric to reschedule within the testing window; however, if this is not possible the Candidate will forfeit all fees paid and no

refund will be provided.

Admittance

Candidates are required to present one form of unexpired, government‐issued identification bearing a current photograph and

signature to be admitted to the test center (e.g., driver’s license or passport). If your driver’s license does not include a photograph,

this is not an acceptable form of identification.

If you are testing outside of your country of citizenship, you must present a valid passport or some other form of non‐expired

government‐issued ID bearing your name, current photograph and signature.

The Prometric test center administrator will validate a Candidate’s identification by verifying that the name, photograph and

signature on the Candidate ID match the Prometric record. If the test center administrator has any questions or concerns about the

Candidates’s identification they will contact the CBNC office for further instruction. All Candidates will be scanned with a metal

detector wand prior to entering the testing room. If you are unsure about the requirements for admittance to the testing center call

the CBNC office prior to the exam.

Personal Belongings

Candidates are encouraged to limit what they bring to the test center as ALL personal belonging must be stored in a locker for test

security purposes. Personal belongings include, but are not limited to keys, snacks, purses, wallets, books, notes, all forms of cell

phones, pagers, calculators and any other electronic devices. Personal belongings (with the exception of snacks) are NOT permitted

to be accessed once the exam has started.

Unscheduled Breaks & Prohibited Activities

There are NO scheduled breaks during the examination. The exam consists of a single module of questions WITHOUT any scheduled

breaks. Examinees may take an unscheduled break to quickly use the restroom or retrieve a snack from their locker. However, the

clock will continue to run and no additional time will be added to the testing time. Candidates are not permitted to leave the building

once their exam has begun. It is strictly prohibited to access notes, study materials, cell phones or other electronic devices at any

time during the administration of the exam, including the time you are permitted to use the restroom or retrieve a snack from your

locker. Such action is a violation of testing policies and will result in disciplinary action. Candidates determined to have engaged in

prohibited behavior, whether inadvertently or not, will not have their exams scored and will be barred from testing until three (3)

years have passed. Candidates are required to sign in and out of the testing room and may be asked to provide photo ID upon reentry.

Security On‐Site

Strict security measures are maintained throughout all phases of the exam administration. Prometric and CBNC will at all times be in

compliance with applicable laws relative to Identity Management Services. Proctors will supervise the administration of the exam and

all testing cubicles, check‐in areas and locker facilities are videotaped and audio monitored. Irregularities identified by observation or

suspicion by the exam proctors may be sufficient cause to terminate a Candidate’s participation in the exam, or to invalidate or cancel

scores.

2015 CBNC Recertification ‐ Page 11


CBNC reserves the right to investigate each incident of misconduct or irregularity that occurs during the exam, or that may be

evidenced by subsequent statistical analysis of testing materials. Where CBNC and Prometric policy are not in agreement, CBNC

policy supersedes Prometric policy. CBNC policy relating to examination and conduct is found in the CBNC Testing Information and

Policies booklet which you acknowledge receipt of in order to access your eligibility ID number. This document is also available on the

CBNC website under the About the Exams menu option. Read it carefully. Certification boards have varying policies so what you’ve

seen before may not be applicable here. Candidates should clearly understand that CBNC examinees are subject to CBNC policies.

Candidates determined to have engaged in prohibited behavior, whether inadvertently or not, will not have their exams scored and

will be barred from testing until three (3) years have passed.

Issues with Exam Administration

CBNC and Prometric make all reasonable efforts to deliver the exam on the date and time scheduled, however, issues occasionally

arise in the administration of the exam. If an issue or problem arises during your exam administration which you believe may impact

your performance, it MUST be reported to Prometric Test Center Administrator (TCA) at the time your exam is being administered.

Candidates must ask the TCA for their name and the ticket number assigned to their report issues or problems. Candidates are then

required to notify CBNC of the problem, in writing, within 48 hours of their scheduled exam time. This notification should include the

ticket number assigned by the TCA, the TCA’s name and be as detailed as possible. Email the information to administration@cbnc.org.

CBNC cannot address administrative and technical problems if a complaint was not filed with the test center and with CBNC.

If a Candidate has a problem with a workstation he/she may request a workstation change if needed, provided the testing center has

availability. If the test can not be delivered due to a test center or workstation failure, power failure, hardware and/or software

problems, weather, or conditions which arise from events or circumstances beyond the reasonable control of Prometric or CBNC,

Prometric will use reasonable efforts to reschedule the Candidate for the exam within the test window dates. If the Candidate can

not be rescheduled within the test window, CBNC at its discretion may provide the affected Candidate with an opportunity to take the

exam at the next scheduled exam date for a reduced or waived fee. This shall be the Candidate’s sole remedy. In no circumstance

will CBNC reduce its standards or over turn a Candidate’s score as a means of correcting a problem in the administration.

NOTE: Prometric offers more than 10 million examinations annually from hundreds of different organizations. The focus of test center

personnel is to safeguard the integrity of the exam, not necessarily to assist candidates. Therefore, if you experience any problems

while at your testing center, CALL THE CBNC OFFICE at 240‐631‐8151. We staff the office from 7:00amE to 8:00pmE on exam days

and OUR focus is on YOU!

SCORING THE EXAM

Determination of Passing Score

The passing score is based on an expected level of knowledge; it is not related to the distribution of scores obtained during a

particular examination administration (i.e., the CBNC examinations are not “graded on a curve”). Thus, in any given year, a candidate

has the same chance of passing the examination whether the group taking the examination at that time tends to have high scores or

low scores. In other words, each candidate is measured against a standard of knowledge, not against the performance of the other

individuals taking the examination. For more details about scoring refer to www.cccvi.org/cbnc under the About the Exams tab.

Exam statistics are also provided under the same tab.

Reporting Scores

Approximately ten (10) weeks after the exam, CBNC will mail exam results to each Candidate. Results will not be available onsite at

the test center and will NOT be given over the phone, by fax or by email. Each Candidate will receive a letter indicating whether s/he

passed or failed. Candidates who fail will receive a diagnostic report showing their performance in each content area. Candidates

who pass the exam will receive a template press release announcing their Diplomate status. Candidates certified by CBNC will be

listed on the directory of Diplomates on www.cccvi.org/cbnc under the Verify Certification tab approximately 2 weeks after the scores

are mailed. Candidates who recertified in advance of their certification expiring will receive their certificates closer to when their

certification is expiring.

Cancellation of Scores

Candidates who feel they did not perform well on the exam may request cancellation of scores in writing to CBNC within five (5) days

of the exam. A cancellation score form can be found on www.cccvi.org/cbnc under Forms and Templates menu option. Scan your

SIGNED cancellation form and include as an attachment and email it to administration@cbnc.org or fax it to 240‐631‐8152.

2015 CBNC Recertification ‐ Page 12


Cancellation of scores will result in the scores not being reported to CBNC, nor will a record of your exam results be kept, nor will you

receive a refund of the exam fees.

Manual Score

Candidates who fail the exam may request that their exam be manually rescored to verify reported scores. Manual scoring can be

honored only up to four (4) months post exam. The fee for manual scoring is $75 and requests and payments can be made online if

paying by credit card. To do so, use the Login tab on the CBNC website and access your existing CBNC online account, or create a

CBNC online account. Alternatively, a written request via mail accompanied by a check or money order in the amount of $75 to CCCVI

will be accepted. Request received by mail must include the candidate’s name, date of birth and signature.

Appeal of Scores

Candidates who fail the exam may appeal the score by following the CBNC Due Process and Appeals policy. The appeal must be for

reasons related to exam administration and not solely that you prepared for the exam and did not pass. For an appeal to be

considered, you must have reported the issue to Prometric prior to leaving the exam center and to CBNC within 48 hours of taking the

exam as outlined above. Documentation to support your appeal must be submitted with your appeal request. Candidates who feel

they have a legitimate reason to appeal their scores must contact CBNC to obtain a copy of the CBNC Due Process and Appeals policy.

GENERAL POLICIES

Revocation of Certification

The CBNC Board of Directors may, at its discretion, revoke certification if the Diplomate fails to maintain moral, ethical or professional

behavior satisfactory to the Board or engages in misconduct that adversely affects professional competence or integrity. This includes,

but is not limited to, the Diplomate losing his/her license to practice medicine either through suspension or termination or conviction

of a felony or other serious crime.

Diplomate Responsibilities

Diplomates are required to maintain the highest ethical standards in the practice of nuclear cardiology. If a Diplomate engages in any

practice or activity which, in the determination of the CBNC is deemed immoral or unethical, the CBNC Board of Directors may, at its

discretion, revoke certification. To maintain Diplomate status, recertification is required on or before the tenth year of certification.

CBNC will make a good faith effort to contact Diplomates regarding changes in policy and procedure and to provide application

material to recertify in years 8, 9 and 10; however, the onus is on Diplomates to maintain their certification status. Keeping the office

apprised of changes in contact information is crucial to our being able to inform Diplomates of changes that may affect their status.

Stay in touch!

2015 CBNC Recertification ‐ Page 13


NOTES AS YOU BEGIN…

Meeting eligibility requirements is an essential part of CBNC’s certification program and as important as passing the examination. The

information provided on the application forms and in any required supplementary documents required should be completed legibly

and in full.

If accepted, your examination results will be sent to the mailing address (#3) indicated on the form. If you change your address after

you have been accepted to sit for the exam, it is most important that you notify the CBNC office of this address change so

correspondence will reach you promptly. Change your contact information by login to your CBNC online account or by registering

for a CBNC online account. Alternatively, you may scan your SIGNED change of address notification and include as an attachment

and email it to administration@cbnc.org or fax it to 240‐631‐8152.

Checks returned to CBNC for non‐sufficient funds are subject to a $35 fee.

PLEASE NOTE: Candidates must provide a valid email address. Unless you include a letter of request indicating otherwise, the

email advising you of your approved status and scheduling instructions will be sent to this email address. Email is also needed so

CBNC staff can contact you if there are questions regarding your application.

CBNC is pledged to contact applicants in a timely manner; however, CBNC is not responsible for mail and/or email lost or late due

to incomplete, invalid or otherwise incorrect addresses.

In cases of dispute CBNC requires WRITTEN, DOCUMENTED evidence in support of the applicant’s claim (e.g., delivery confirmation

receipt, fax confirmation, etc). We urge applicants to consider using a mailing method that includes a delivery confirmation

receipt, particularly near the deadline. CBNC uses the application’s postmark relative to fees and deadlines.

Mail the completed checklist, application form, fee, and all supporting documentation together to the address below. FAXED

APPLICATIONS WILL NOT BE ACCEPTED.

If Applying by Mail, submit Checklist, Application and Supporting Materials to:

Certification Board of Nuclear Cardiology

101 Lakeforest Boulevard, Suite 401

Gaithersburg, MD 20877 USA

Tel: +240.631.8151 • Fax: +240.631.8152 (faxed applications are not accepted)

Email: administration@cbnc.org • Website: www.cccvi.org/cbnc

Candidates may also apply electronically via the CBNC website. It’s Fast and It’s Simple ‐ Check it Out!

2015 CBNC Recertification ‐ Page 14


CHECKLIST ‐ 2015 RECERTIFICATION EXAMINATION APPLICATION

Incorrect Applications or those missing correct support materials are subject to a $75 Penalty Fee. Please read carefully.

To apply for the 2015 Recertification Exam, please complete and submit the following:

This page with applicable boxes checked

Completed and signed application forms (CVs are NOT accepted)

Payment to Council for Certification in Cardiovascular Imaging (CCCVI)

$725 if by 8/31/15 $925 between 9/1/15 ‐ 10/1/15 $1,500 between 10/2/15 ‐ 10/15/15

No Deadline Exceptions will be made.

$50 discount if you are a current diplomate or testamur of CBCCT

Payment by: Check Money Order Credit Card: MasterCard Visa Amex Discover

Card Number: _________________________________

Expiration Date: __________ Security Code: ______________

Credit Card Billing Zip Code: ____________

Signature: _________________________________________

Name on Card: ________________________________

Penalty Fee Authorization

I authorize CBNC to charge the $75 penalty fee, if required, to the credit card listed above.

Supporting Documents

Copy of current, unrestricted medical license (certificate in NY) with expiration date.

Documentation of qualifying ABMS or AOA Board Certification (CVD, NM, R) ‐ U.S. candidates only. CERTIFICATION MUST

BE CURRENT. Not required for Non U.S. applicants.

U.S. applicants board certified in an area other than CVD, NM or R must provide a statement on this to the CBNC.

Documented evidence of 30 hours of Continuing Medical Education (CME) completed within the last 36 months; minimum

of 15 hours nuclear cardiology‐specific; up to 15 hours in applicant’s other area of specialty(s) (see www.cccvi.org/cbnc for

guidance).

Candidate Attestation of ongoing practice and/or teaching in nuclear cardiology, on appropriate letterhead (see the

template on page 8).

Unless a specific request is made, CBNC does not return application materials. Please make a copy for yourself prior to

submitting your application.

2015 CBNC Recertification ‐ Page 15


2015 CBNC RECERTIFICATION EXAMINATION

APPLICATION FORM

The application forms are just one part of the required documentation. Be sure that you include all

documents listed in the Bulletin and on the Checklist page. Please TYPE or PRINT legibly.

Office Use

Recd: ____________________

Amount: _________________

Type: _______ Rev: _________

MD DO Other ______________ Year of most recent CCNC/CBNC Certification: _______

I am a diplomate/testamur of CBCCT

1. Print Official Name as listed on the Government Issued Photo ID you will used to identify yourself at the testing site:

__________________________________|____________________________|_______________________________|___________

First Middle Last Degrees

2. Print Name as you wish it to appear on your Certificate (may be different from Official Name)

__________________________________|____________________________|_______________________________|___________

First Middle Last Degrees

3. Preferred Address (select only one) Home Office

____________________________________________________|______________________________________________________

Facility Name (if you selected Office above)

Department

____________________________________________________|______________________________________________________

Street Apt/Suite #

___________________________________|_____________________|______________________|__________________________

City State Postal Code Country

4. Preferred Method of Contact: Office Phone Home Phone Mobile Phone Email

Email: ____________________________________ Tel (O):_______________ Tel (H):________________ Tel (M):________________

Please provide email address in order to receive status updates.

5. Date of Birth (mm/dd/yy):____/____/____ 6. Gender: M F 7. Last Four Digits of SS Number: ______________________

8. 6‐Digit ABIM ID______________________ 9. I hold a current, unconditional, unrestricted license to practice medicine in the

following state(s)/country(ies):____________________________________________Expiration Date: (mm/dd/yy)________________

10. (U.S. candidates only) I hold current Board Certification in the following ABMS or AOA Boards (cardiology, nuclear medicine,

radiology):

1. Board: ___________________________ Date certified: ___________

2. Board: ___________________________ Date certified: ___________

3. Board: ___________________________ Date certified: ___________

I do not reside or practice in the United States; Board Certification requirements in my country are as follows:

____________________________________________________________________________________________

I do not reside or practice in the United States and no Board Certification exists in my county for my specialty.

11. My primary professional setting is (check all that apply):

Private Practice, Group Private Practice, Solo Hospital

Medical School Fellowship/Residency Other: _________________

2015 CBNC Recertification ‐ Page 16


12. My PRIMARY type of practice is (check ONE only):

Cardiology Nuclear Medicine Radiology Other: ______________________

13. CBNC Candidate and Diplomate data are always treated confidentially. CBNC never rents or sells the names or addresses of such

individuals. However, as a service to candidates, information on educational programs, such as board review courses, may be

available prior to the exam. Check below whether you wish CBNC to provide your address to sponsors of such programs:

I wish to receive information on educational courses prior to the exam. NOTE: CBNC does not sponsor educational activities

Yes No If Yes, send by (check any that apply) postal mail email

14. Candidates with Disabilities: Candidates requiring modifications in the examination administration because of a disability must

submit documentation outlining the reason special accommodations must be provided. A form is available on the CBNC website

(www.cccvi.org/cbnc). This request must be included at the time of application. CBNC must work with Prometric’s Special

Accommodations Department for any special needs testing.

I am submitting a request for special accommodations.

PLEASE READ AND SIGN OFF ON THE FOLLOWING STATEMENTS

I, the undersigned, hereby apply for recertification through the Certification Board of Nuclear Cardiology (CBNC) in accordance with and

subject to its rules and policies. I understand that not all CBNC policies have been outlined in this bulletin; however, they are listed on

www.cccvi.org/cbnc and are available by contacting the CBNC office. I understand that in making this application, I am bound by all CBNC

policies.

I understand that it is my responsibility to meet CBNC’s eligibility requirements and to provide such material as is required to document this.

I understand that the information acquired in the certification process may be used for statistical purposes and for evaluation of the

certification program. I further understand that the information in my records will be treated confidentially.

I understand that CBNC does not sell or rent Applicant names, emails or mailing addresses. However, information on educational programs

such as board review courses may be available prior to the exam from sponsors of such programs. CBNC does not sponsor any programs, or

warrant the quality of any program or make any statement that the activity will or will not aid in preparation for the CBNC exam. If I chose to

receive such information, I indicated so on my application form.

To the best of my knowledge, the information provided in this application is true, complete, correct, and made in good faith. I understand that

CBNC reserves the right to verify any and all information on this application and to audit applications during the application process and up to

one year thereafter. I understand that any incorrect or misleading information may constitute grounds for rejection of my application,

revocation of my certification, or other disciplinary action.

I recognize that the CBNC Board is the sole and only judge of my qualifications to receive and to retain a certificate issued by CBNC and to have

my name included in any list or directory in which the names of Diplomates of specialty exams are published. I further agree to hold harmless,

individually and collectively the officers, directors, staff and appointed examiners of CBNC for any decision or action in pursuance of their

duties in connection with this application, the exam, the score or scores given with respect to any exam or for the failure of CBNC to issue me a

certificate.

I understand and agree that in the consideration of my application my moral, ethical and professional standing may be reviewed and assessed

by CBNC; that CBNC may make inquiry of such persons as CBNC deems appropriate with respect to my moral, ethical and professional

standing; that if information is received that would adversely affect my application, I will be so advised and given an opportunity to rebut such

allegations, but I will not be advised as to the identity of the individuals who have furnished adverse information concerning me; and that all

statements and other information furnished to CBNC in connection with such inquiry shall be confidential, and not subject to examination by

me or by anyone acting on my behalf.

I also pledge myself to the highest ethical standards in the practice of nuclear cardiology. I fully understand that if I engage in any practice or

activity which, in the determination of CBNC is deemed to be in violation of this pledge, that CBNC has full authority to withdraw my

certification. Furthermore, I understand that if I engage in any form of exam impropriety before or during the exam, my exam will not be

scored. I understand also that, should any impropriety on my part occur, I will not be allowed to re‐apply until three (3) years have passed and

that a new application and Candidate fees will be required.

I understand that CBNC will use electronic mail (email) to communicate with me during the application review and approval process and for all

subsequent communications regarding CBNC policies and procedures including, but not limited to exam scheduling and other testing

information. If I am unable to receive or send electronic mail I understand I must advise CBNC of an alternate method of communication. I

understand that my exam pass/fail letter and certificate will be the only communications not sent via electronic mail.

I have read the Candidate Bulletin for this year’s exam and agree to abide by all policies and rules of the Certification Board of Nuclear

Cardiology as posted on www.cccvi.org/cbnc. I understand that I have the right to request and review any CBNC policy prior to signing this

document. I attest that I meet all of the eligibility requirements for recertification as outlined in the Candidate Bulletin and/or can be found on

www.cccvi.org/cbnc.

_______________________________________________________________________________

Signature

Date

2015 CBNC Recertification ‐ Page 17


Certification Board of Nuclear Cardiology

A Division of the Council for Certification in Cardiovascular Imaging

Expert Imagers – Quality Care

101 Lakeforest Boulevard, Suite 401

Gaithersburg Maryland 20877

T: 240.631.8151 • F: 240.631.8152

administration@cbnc.org • www.cccvi.org/cbnc

2015 CBNC Recertification ‐ Page 18

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