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I have used credits that don’t explicitly state mammography in the subcategory or breast in the title, as the FDA guidance is clear that this is acceptable. Had an inspector mention this one time and we provided the FDA guidance that Ryan included. </div>
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I have used credits that don’t explicitly state mammography in the subcategory or breast in the title, as the FDA guidance is clear that this is acceptable. Had an inspector mention this one time and we provided the FDA guidance that Ryan included. Their response
was that they didn’t like making the call about what is applicable to mammography. After that, I started included a cover page to my CE records stating which credits were applicable to mammography. For example, I’ve done a lot of CE related to AI in imaging,
which is absolutely applicable to mammography even if it doesn't specifically state this in the category/subcategory. I haven't had any further issues since including this information.</div>
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<div id="divRplyFwdMsg" dir="ltr"><font face="Calibri, sans-serif" style="font-size:11pt" color="#000000"><b>From:</b> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+michael.timmerman=sanfordhealth.org@lists.osu.edu> on behalf of Bob Kobistek
via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Sent:</b> Friday, 14 August 2026 12:29:14<br>
<b>To:</b> Ryan Fisher <rfisher1@metrohealth.org>; DX List (intl_dxmedphys_wd_osu_list@lists.osu.edu) <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject:</b> [EXTERNAL] Re: [Intl_DxMedPhys] Mammography CE question</font>
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I just had another thought. How many times have we attended sessions at RSNA or AAPM given by radiologists on the topics of breast anatomy and pathology? I know I’ve been to numerous sessions like this, which I find educational. I’ve always</div>
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<p class="x_MsoNormal"><span style="font-size:12.0pt">I just had another thought. How many times have we attended sessions at RSNA or AAPM given by radiologists on the topics of breast anatomy and pathology? I know I’ve been to numerous sessions like this,
which I find educational. I’ve always claimed credit for these sessions even though they are not directly related to the process of acquiring radiographic images. No inspector has ever dinged me on it.</span></p>
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<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span><span style="font-size:12.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif; color:#A50021">Robert J. Kobistek, MS, FACR, DABR, MRSE(MRSC™)</span><span style="font-size:12.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:12.0pt; font-family:"Arial",sans-serif; color:#A50021">Medical Physicist</span><span style="font-size:12.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:22.0pt; font-family:"Castellar",serif; color:#A50021">RJK</span><span style="font-size:22.0pt; font-family:"Colonna MT"; color:#A50021">
</span><span style="font-size:14.0pt; color:#A50021">Medical Physics, Inc.</span><span style="font-size:12.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:14.0pt; color:#A50021">440-463-7879</span><span style="font-size:12.0pt"></span></p>
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<p class="x_MsoNormal"><b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif">From:</span></b><span style="font-size:11.0pt; font-family:"Calibri",sans-serif"> Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+bob=rjkmedphys.com@lists.osu.edu>
<b>On Behalf Of </b>Ryan Fisher via Intl_dxmedphys_wd_osu_list<br>
<b>Sent:</b> Friday, August 14, 2026 12:38 PM<br>
<b>To:</b> DX List (intl_dxmedphys_wd_osu_list@lists.osu.edu) <intl_dxmedphys_wd_osu_list@lists.osu.edu><br>
<b>Subject:</b> [Intl_DxMedPhys] Mammography CE question</span></p>
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<p class="x_MsoNormal" style=""><span style="font-size:1.0pt; color:white">Happy Friday! Question for everyone. We had a comment in the Spring Clinical Meeting survey where someone was upset that there weren’t 5 hours of mammography credit offered. We always
have 5 hours in the mammography track, though this past year</span></p>
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<p class="x_MsoNormal"><span style="font-size:11.0pt">Happy Friday! </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Question for everyone. We had a comment in the Spring Clinical Meeting survey where someone was upset that there weren’t 5 hours of mammography credit offered. We always have 5 hours in the mammography track,
though this past year there was a 2 hr session on Breast MR, which was coded in CAMPEP as “Diagnostic Radiology: Mammography.”
</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"><img width="628" height="264" id="x__x0000_i1028" src="cid:image003.png@01DD2BF0.E4EE49B0" style="width:6.5416in; height:2.75in"></span><span style="font-size:11.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">These CAMPEP transcripts are all I’ve ever used for MQSA inspections, and I’ve never had any issues with an inspector not counting something because the title references something other than the strict “radiography
of the breast” definition of mammography. </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">The <a href="https://urldefense.com/v3/__https:/www.fda.gov/media/181152/download__;!!KGKeukY!x2S3Wqt_e1bKNXQf7qlRp55gxMfNePw51_-HGjz1AQy462CaeeacD5YFQHc4VhzWRe6aiBYSZRCPUQNMBFHQNvwI-F_EqbD2eZKG8o_p_DnX$">
FDA’s Small Entity Compliance Guide</a> has this blurb for physics CME <br>
</span><span style="font-size:11.0pt"><img border="0" width="569" height="232" id="x_Picture_x0020_1" src="cid:image004.png@01DD2BF0.E4EE49B0" style="width:5.925in; height:2.4166in"></span><span style="font-size:11.0pt"></span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><b><span style="font-size:11.0pt">Have people had issues with inspectors on this?</span></b><span style="font-size:11.0pt"> We’re obviously trying to serve attendees’ needs at the meeting, but I wasn’t aware there were any issues with
non-x-ray of the breast sessions counting for CME since the guidance seems pretty cut and dried. One could conceivably even claim credits for non-breast imaging sessions if you wanted to try to convince an inspector that those were anticipated to help you
in your role as a medical physicist, though I usually just try to keep 15 hrs of CAMPEP coded mammo credits to avoid having those kinds of arguments.
</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Curious to hear other people’s experiences on this.
</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Thanks!</span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt">Ryan </span></p>
<p class="x_MsoNormal"><span style="font-size:11.0pt"> </span></p>
<p class="x_MsoNormal" style="line-height:125%"><a href="https://urldefense.com/v3/__http:/www.metrohealth.org/__;!!KGKeukY!x2S3Wqt_e1bKNXQf7qlRp55gxMfNePw51_-HGjz1AQy462CaeeacD5YFQHc4VhzWRe6aiBYSZRCPUQNMBFHQNvwI-F_EqbD2eZKG8qWqkwgi$"><span style="font-size:12.0pt; line-height:125%; color:windowtext; text-decoration:none"><img border="0" width="275" height="67" id="x_Picture_x0020_13" src="cid:image005.jpg@01DD2BF0.E4EE49B0" alt="A picture containing text, clipart
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<p class="x_MsoNormal" style="line-height:125%"><b><span style="font-family:"Arial",sans-serif; color:#282B6F">Ryan Fisher, PhD, DABR, MRSE (MRSC™)</span></b><span style="font-size:12.0pt; line-height:125%"></span></p>
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