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Statistically Speaking

THE WHO, WHAT, AND WHERE OF ICANL ACCREDITED LABORATORIES


from the March 2007 issue

Have you ever wondered how your accredited nuclear medicine laboratory compares with over 750 other laboratories with approximately 1,100 sites currently accredited by the ICANL? A primary philosophy held by the ICANL Board of Directors has always been that the ability for a nuclear medicine laboratory to become accredited should be inclusive as opposed to exclusive. The intent of this philosophy is that the Standards and application requirements include such a broad scope that a private practice laboratory located in a rural setting would have as much opportunity to achieve accreditation as a larger laboratory located in an academic institution.

The ICANL is sponsored by a variety of professional organizations representing cardiology (American College of Cardiology), nuclear cardiology (American Society of Nuclear Cardiology), general nuclear medicine and radiology (Society of Nuclear Medicine), nuclear medicine technology (Society of Nuclear Medicine Technologist Section), and PET/molecular imaging (Academy of Molecular Imaging). Appointed individuals representing the various sponsoring organizations make up the ICANL Board of Directors. Not only are the various specialty fields associated with nuclear medicine testing represented, the individuals making up the Board of Directors come from a diverse scope of nuclear medicine laboratory venues as well, ranging from privately run office-based laboratories to university hospital settings.

The following statistics feature information gathered from ICANL accreditation applications as of February 2007. You will find that these statistics reflect this multidisciplinary and inclusive approach to the accreditation process, and provide you with an idea of the likenesses and differences your own personal lab possesses in comparison to other accredited laboratories.

THE WHO

Over the past three years, 60% of the laboratories applied for the first time, 32% of the laboratories are seeking accreditation for the 2nd cycle, and 8% are entering their third cycle of accreditation (figure 1). Accreditation through the ICANL was first offered in 1998 to nuclear cardiology laboratories and in 2000 to nuclear medicine and PET laboratories, making it possible for some of the very first laboratories achieving ICANL accreditation to be accredited for the third time.

figure 1.


Medical Director and Medical Staff

The Medical Directors and Medical Staff members in accredited laboratories have experience and training in a variety of specialty areas. All physicians in accredited laboratories meet at least one of the training and experience requirements listed in the ICANL Standards. All Medical Directors in accredited Nuclear Medicine laboratories are authorized users on the radioactive material license issued by the Nuclear Regulatory Commission or their own Agreement State.

MEDICAL DIRECTOR SPECIALTY:

  • Cardiology - 82.6%
  • Nuclear Medicine - 8.6%
  • Radiology - 4.2%
  • Other - 1.1%

MEDICAL STAFF SPECIALTY:

  • Cardiology - 86.1%
  • Nuclear Medicine - 3.9%
  • Radiology - 9.8%
  • Other - 0.2%
 
 

figure 2.


 

Technical Director and Technical Staff

The average number of nuclear medicine technical staff members in an accredited laboratory is 3.

All accredited laboratories must have a technical director who is responsible for overseeing the technical staff and the day-to-day operations of the nuclear medicine department. All nuclear medicine technical staff are required to be credentialed by the American Registry of Radiologic Technology in nuclear medicine [RT(N)], the Nuclear Medicine Technology Certification Board [CNMT], or be State-Licensed in nuclear medicine technology. In addition, all nuclear medicine technologists in accredited laboratories must hold current certification in basic life support (BLS). All Nuclear Medicine staff in accredited laboratories must maintain a minimum of 15 continuing education credits every three years in their area of specialty: physicians must have 15 AMA Category I CME credit hours in nuclear cardiology, general nuclear medicine and/or PET; technologists must have 15 CEU credit hours recognized by SNM VOICE and/or ARRT in nuclear medicine technology.

TECHNICAL DIRECTOR CREDENTIALS: Of the total number of Technical Directors, 94.5% are credentialed.

  • CNMT - 78.1%
  • RT(N) - 50%
  • State Licensed - 7.7%

TECHNICAL STAFF CREDENTIALS: Of the total number of Technical Staff, 92.1% are credentialed.

  • CNMT - 79.5%
  • RT(N) - 40.5%
  • State Licensed - 7.2%

figure 3.

 

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