Eligibility Requirements – Maintenance of Competency in Cardiovascular Computed Tomography

CBCCT eligibility requires compliance with published Maintenance of Competency requirements.

If completion of Level 2 ( or 3) training or the effective date of the SCCT Verification of Cardiovascular CT Training Program letter was more than 36 months from the date of the application for the CBCCT examination, the applicant must document 150 additional contrast cardiac CT cases completed within the last 36 months. The 150 cases must meet the requirements for those of initial Level 2 training.  See our Level 2 Training table​ and descriptions of case requirements.

Radiologists meeting the ACR Cardiac CT Practice Guidelines must document 75 contrast cardiac CT cases, interpreted within the last 12 months, excluding those performed exclusively for calcium scoring.

All Level 2 ( or 3)-trained Applicants must document 150 contrast CT cases every 36 months.  However, whether the Applicant completes 150 cases over the course of several weeks or over 36 months is at the discretion of the individual Applicant. 

Documentation to Verify Maintenance of Competency
One or more of the following documents verifying Maintenance of Competency must be submitted with the application:

For Applicants who completed Level 2 ( or 3) or whose SCCT Verification Program letter is dated more than 36 months prior to application. For Radiologists who completed ACR Cardiac CT Training more than 12 months prior to application.
  • Certificate(s) from a course(s) showing the name of the course, dates of attendance and verification that the Applicant interpreted 150 contrast cardiac CT cases equivalent to initial Level 2 training in the last 36 months.  Multiple course certificates are acceptable; or
  • A letter from a qualified supervisor* attesting that the Applicant interpreted 150 contrast cardiac CT cases equivalent to initial Level 2 training in the last 36 months. **
  • Certificate(s) from a course(s) showing the name of the course, dates of attendance and verification that the Applicant interpreted 75 contrast cardiac CT cases (excluding those performed exclusively for calcium scoring) on a workstation in a supervised teaching environment in the last 12 months. Multiple course certificates are acceptable; or
  • A letter from a qualified supervisor* attesting that the Applicant interpreted 75 contrast cardiac CT cases (excluding those performed exclusively for calcium scoring) in a clinical environment or on a workstation in a supervised teaching environment in the last 12 months.**

* A “qualified supervisor” may be Chief of Service; Program Director; CT Director, or for cases completed in a private practice clinical environment, CFO; CEO; or Billing Manager.

** CBCCT provides a Maintenance of Competency letter template which can be used to satisfy this requirement. This letter must be dated and printed on the author’s organizational letterhead.