SCMR Letter of Certification
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LEVEL I 


Level I training is intended to provide introductory knowledge in cardiovascular magnetic resonance (CMR).  Level I competency represents knowledge of the indications for and capabilities of CMR, but not to the extent that is sufficient for independent practice and clinical interpretation of CMR. The topics to be covered in Level I training are listed in Table 1 at the bottom of this section.

Level I competency can be achieved by meeting the requirements of either Track A or B.

Track A is tailored for fellows or residents in training, and Track B is designed for physicians who have completed medical training.

The mentored cases and time spent in training in Track A in can also be applied towards meeting Level II certification requirements.

Track A (Formal fellowship or residency training)

It is recommended that all training programs (cardiology, internal medicine, radiology, pediatric cardiology, and nuclear medicine) incorporate basic training in CMR to familiarize the trainee with the indications, methods and applications of CMR. Level I CMR competency can be achieved by meeting the following requirements, typically during the course of residency or fellowship training:

  • A minimum of 1 month of cumulative (need not be consecutive) exposure to the methods and applications of CMR.
  •  Training must be under the aegis of a Level II or preferably Level III qualified mentor.
  • Training must provide exposure to the topics listed in Table 1 below.
  • Exposure to a minimum of 50 mentored cases.

Official SCMR certification of Level I competency may be sought by providing a letter from the trainee’s laboratory director or qualified mentor verifying that the above requirements have been met.

SCMR Level I Template- Track A

 

Track B (Course-based training)

This track is designed primarily for physicians who have completed medical training.  Level I CMR competency can be achieved by meeting the following requirements, typically attained during a dedicated training course:

  • The course must include a minimum of 2 full days of intensive, live instruction in the indications, methods, and applications of CMR.
  •  The course director must be Level II or preferably Level III qualified.
  • The course must cover all topics listed in Table 1 below. These topics may be presented as both didactic lecture and as case studies.

Official SCMR certification of Level I competency may be sought by providing proof of attendance, the course syllabus and a letter from the course director verifying that the course meets the requirements.

SCMR Level I Course Verification Letter Template- Track B

 Table 1:

             

Topics to be covered in Level I training:

  • CMR safety: magnetic fields, contrast agents, and contraindications.
  • MRI contrast agents; mechanisms and applications
  • Flow imaging and quantitative analysis of velocity-encoded images
  • CMR of cardiovascular structure and anatomy
  • CMR of right and left ventricular function
  • CMR of myocardial infarction, scarring, and viability assessment
  • CMR of myocardial fibrosis and edema
  • Pharmacologic stress testing with CMR
  • CMR of vascular pathology, including aortic disease
  • CMR of valvular heart disease
  • CMR of pediatric and adult congenital heart disease
  • CMR in cardiomyopathies and heart failure
  • CMR in arrhythmia
  • CMR of pericardial disease
  • CMR for cardiac masses and tumors


APPLY NOW FOR LEVEL I

LEVEL II                                                                               


Level II  training refers to the additional training in 1 or more areas that enables some cardiologists to perform or interpret specific procedures or render more specialized care for specific patients and conditions. This level of training is recognized for those areas in which an accepted instrument or benchmark, such as a qualifying examination, is available to measure specific knowledge, skills, or competence. Level II training in selected areas may be achieved by some trainees during the standard 3-year cardiovascular fellowship, depending on the trainees’ career goals and use of elective rotations. It is anticipated that during a standard 3-year cardiovascular fellowship training program, sufficient time will be available to receive Level II training in a specific subspecialty. In the case of CMR, Level II training is required for individuals who wish to perform and interpret CMR examinations as part of their practice of cardiovascular medicine.1

1COCATS 4 Task Force 8: Training in Cardiovascular Magnetic Resonance Imaging
Journal of the American College of Cardiology

SCMR Level II Template

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LEVEL III


Level III training requires additional training and experience beyond the standard 3-year cardiovascular fellowship to acquire specialized knowledge and competencies in performing, interpreting, and training others to perform specific procedures or render advanced specialized care at a high level of skill. In the case of CMR, Level III training would enable the trainee to direct a CMR laboratory or train others in CMR. As for other noninvasive imaging modalities, Level III training in CMR requires training in multimodality imaging.1

1COCATS 4 Task Force 8: Training in Cardiovascular Magnetic Resonance Imaging
Journal of the American College of Cardiology

SCMR Level III Template

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