[Intl_DxMedPhys] [EXTERNAL] Re: Mammography CE question

Fri Aug 14 14:24:50 EDT 2026

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.

Mike Timmerman, MS, DABR
Diagnostic Medical Physicist
Sanford Health - Sioux Falls Region
(541) 213-1075
________________________________
From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+michael.timmerman=sanfordhealth.org at lists.osu.edu> on behalf of Bob Kobistek via Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Sent: Friday, 14 August 2026 12:29:14
To: Ryan Fisher <rfisher1 at metrohealth.org>; DX List (intl_dxmedphys_wd_osu_list at lists.osu.edu) <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: [EXTERNAL] Re: [Intl_DxMedPhys] Mammography CE question

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

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.

Robert J. Kobistek, MS, FACR, DABR, MRSE(MRSC™)

Medical Physicist

RJK Medical Physics, Inc.

440-463-7879

From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+bob=rjkmedphys.com at lists.osu.edu> On Behalf Of Ryan Fisher via Intl_dxmedphys_wd_osu_list
Sent: Friday, August 14, 2026 12:38 PM
To: DX List (intl_dxmedphys_wd_osu_list at lists.osu.edu) <intl_dxmedphys_wd_osu_list at lists.osu.edu>
Subject: [Intl_DxMedPhys] Mammography CE question

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

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 there was a 2 hr session on Breast MR, which was coded in CAMPEP as “Diagnostic Radiology: Mammography.”

[cid:image003.png at 01DD2BF0.E4EE49B0]

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.

The FDA’s Small Entity Compliance Guide<https://urldefense.com/v3/__https:/www.fda.gov/media/181152/download__;!!KGKeukY!x2S3Wqt_e1bKNXQf7qlRp55gxMfNePw51_-HGjz1AQy462CaeeacD5YFQHc4VhzWRe6aiBYSZRCPUQNMBFHQNvwI-F_EqbD2eZKG8o_p_DnX$> has this blurb for physics CME
[cid:image004.png at 01DD2BF0.E4EE49B0]

Have people had issues with inspectors on this? 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.

Curious to hear other people’s experiences on this.

Thanks!

Ryan

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Ryan Fisher, PhD, DABR, MRSE (MRSC™)

Department of Radiology

Chief Diagnostic Medical Physicist

Radiation Safety Officer

O 216.778.5453 | M 216.978.5276  |  rfisher1 at metrohealth.org<mailto:rfisher1 at metrohealth.org>

MetroHealth Main Campus  |  2500 MetroHealth Drive, Cleveland, OH 44109

Associate Professor

[cid:image006.png at 01DD2BF0.E4EE49B0]

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