1. Moving Forward After the ABNM-ABR Task Force ABNM Update George Segall, MD and Louise Thomson MBChB

2. Conclusions Agrees that certification only by the ABNM is not an economically viable professional pathway for most current and future trainees Believes the future work force should be certified by the ABNM and the ABR, or the ABNM and another ABMS member board The ABNM: Supports all existing training pathways (NM and NR) leading to dual certification

3. Moving Forward Increase medical student awareness and interest of training in NM and DR Increase the number of DR residents who plan to make NM or NR their practice focus, and get at least 16 months of training in NM or NR The ABNM will work with all stakeholders to: Support all current ABNM diplomates, particularly those who are only certified by the ABNM Make it easier for all diplomates, especially those who are certified by two boards, to maintain certification

4. GOALS: Improve physician training in DR and NM to advance NM and MI Attract more highly qualified young professionals into NM

5. Establishment of single training pathway that incorporates a DR core curriculum and dedicated NM curriculum, resulting in a new primary certificate in NM/DR. Creation of a new independent discipline of NM/DR under the umbrella of the ABR, with ultimate dissolution of the ABNM. PROPOSALS:

6. Appropriately recognize the training of previously-certified ABR and ABNM diplomates for the performance of hybrid imaging, including diagnostic CT performed in conjunction with hybrid imaging, general nuclear medicine imaging, and radioiodine therapy

7. Incorporated 1971 One of 24 ABMS member boards Sponsored by the ABR, ABP, ABIM, and SNM Independent board in 1985 5664 Total Certificates 1972-2015

8. Year

9. 2015 Statistics for ABNM and ABR-NR Diplomates Certified in 2010 42% (33/79) diplomates are also certified by the ABR; 7 diplomates were certified by the ABR after being certified by the ABNM 57% (38/85) diplomates in NM/NR are certified by the ABR

10. Number of Nuclear Medicine and Nuclear Radiology Programs and Trainees

13. Challenge: Pipeline Issue Lack of awareness/interest among medical students for training and career in Nuclear Medicine (plus Diagnostic Radiology) Lack of awareness/interest among radiology residents for training and practice focus in Nuclear Medicine/Nuclear Radiology

14. Opportunity: Pipeline Issue Robust and specific plan to educate medical students Comprehensive one-stop website/portal Shared PowerPoint educational presentations Printed educational/advertising material

15. Opportunity: Pipeline Issue Generate greater interest among radiology residents for training NM/NR More contact and education in the first year of residency Go beyond the education of basic principles and procedures, and talk about hybrid imaging, therapy and theranostics, and MI beyond radionuclides Discuss jobs, income, and professional status of DR-NM physicians among their peers

16. Support and promote all pathways NM residency (before or after DR) Combined Training and Dual Certification NR 16-month pathway during 4-years of DR NR fellowship Combined NM/DR

17. Challenge: Maintenance of High Standards ABNM position statement on NM professional competency and scope of practice J Nucl Med 2011;52(6):994-997 ACR/ABR clinical statement on credentialing and privileging of radiologists for therapeutic NM J Am Coll Radiol 2013;10:774-780 ACR/ABR clinical statement on credentialing and privileging of radiologists for diagnostic NM J Am Coll Radiol 2011;8(9):617-621

18. Challenge: Retention of Diplomates Total Certificate Holders Active Diplomates Number of Active Diplomates Participating in MOC Percentage of Active Participation Lifetime388120691899% Time- Limited1713159199763% Total55943660118632%

19. Opportunity: Make MOC less complicated, less burdensome and less expensive (more relevant and more valuable) Replace the MOC exam required every 10 years with an process of continuous learning and assessment Expand Part IV (Improvement in Practice) to recognize QI activities that physicians already do as part of the routine practice

20. If you want to go fast go alone. If you want to go far go together