CLEAR Component Cost ACOG Credit SDMS Credit
Lectures
Examination
Image Review
$150 2.5 3.0
Approval
Effective
Dates
  2019
-
2020
2019
-
2022

The Cervical Length Education and Review (CLEAR) program integrates an online course with an examination and image review. CME credit and a displayable certificate of program completion is available for those who pass all components including the image review. Participants may choose to receive ACCME CME through joint providership with the American College of Obstetricians and Gynecologists (ACOG) or CME through the Society of Diagnostic Medical Sonography (SDMS). Completion of the program also provides credit for American Board of Obstetrics and Gynecology (ABOG) Maintenance of Certification (MOC) Part IV: Improvement un Medical Practice.

Online Course

  • Lecture 1: Why Measure Cervical Length?
  • Lecture 2: How to Measure Cervical Length
  • Lecture 3: Tips & Tricks

To access the lectures and other aspects of the CLEAR program, create a username and password while registering above.

Online Examination

The CLEAR examination consists of multiple-choice questions. A passing score is 70%. There is no limit on the number of attempts an applicant may make to pass the exam.

Image Review

To complete the program, an applicant must submit an image “batch”. The initial batch consists of 5 images, from 5 separate patients, demonstrating accurate measurement of cervical length. The applicant uploads each image and inputs specific information about the image in the appropriate question boxes. (A mail-in option is available, but discouraged.) The batch is randomly assigned to one of the CLEAR reviewers and scored according to the 9 criteria explained in the course.

If the batch receives a borderline or failing score, a second senior reviewer also evaluates the batch. Applicants can see how each image fared on the 9 criteria. Specific helpful comments offered by the reviewers will also be available to the applicant. If the initial batch does not pass image review, the applicant will be invited to submit another batch (of 3 or 5 images, depending on the review) to complete the certification process.

For further information contact the Perinatal Quality Foundation at support@perinatalquality.org

News Alert

CLEAR ACCEPTED BY ABOG FOR MOC CATEGORY IV

We are happy to report that successful completion of the CLEAR web course education, examination and image requirements has been accepted by the American Board of Obstetrics and Gynecology (ABOG) for Maintenance of Certification (MOC) Part IV: Improvement in Medical Practice.

Measurement of the Cervix
Normal Cervix
Image Criteria for Cervical Length Measurement
  • Exam is transvaginal
  • Maternal bladder is empty
  • Field of view is optimized
  • Anterior = Posterior width of cervix
  • Internal os is well seen
  • External os is well seen
  • Cervical canal is visible in its entirety
  • Calipers are correctly placed
  • Shortest, best of 3 measurements is reported
Shortened Cervix
Pregnant Woman

The Perinatal Quality Foundation convened a cervix education task force in November 2011. The goal of the task force was to develop consensus education that presented in a widely available format the standard criteria for sonographic cervical measurements during pregnancy.

The Cervical Length Education and Review (CLEAR) program is a product of task force discussions.

Members of the task force and the organizations represented were the following:

Vincenzo Berghella, MD co-chair
Jay Iams, MD co-chair
Richard Berkowitz, MD Perinatal Quality Foundation
Eric Carlson, DO American College of Osteopathic OB/GYN
Helen Feltovich, MD Perinatal Quality Foundation
James Goldberg, MD Perinatal Quality Foundation
Gerald Joseph, MD American College of Obstetricians and Gynecologists
Hytham Imseis, MD Perinatal Quality Foundation
Deborah Levine, MD American College of Radiology
George Saade, MD Society for Maternal Fetal-Medicine
Jill Trotter, RDMS Society of Diagnostic Medical Sonography
Joseph Wax, MD American Institute of Ultrasound in Medicine