| CLEAR Component |
Cost |
ACOG Credit |
SDMS Credit |
Lectures
Examination
Image Review |
$150 |
2.5 |
3.0 |
Approval
Effective
Dates |
|
2019 |
2019
-
2022 |
The CLEAR program consists of the following:
Lectures
The lectures listed below are available on line on video and handouts may be downloaded as Adobe PDF or Power Point.
- Lecture 1: Why Measure Cervical Length
- Lecture 2: How to Measure Cervical Length
- Lecture 3: The CLEAR Program
Cervical Length Education and Review (CLEAR) is an integrated web-based lecture, exam, and image review program designed to improve sonographic cervical length measurements.
CME credit is awarded upon completion of the entire program. 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.
To access the lectures and other aspects of the CLEAR program, create a username and password above.
Examination
The CLEAR program includes an examination consisting of multiple choice and image-based questions. The participants must pass the examination with a score of 70%. A participant
who fails the examination may retake it.
Cervical Image Quality Review
One or more batches of cervical length images taken by the participant are submitted. A batch of images must pass for the participant to complete the image review process.
Initially a batch of five cervical length images from separate patients is required. The participant inputs specific information about each image online then submits the batch by
upload or mail.
The images are reviewed by experienced reviewers and graded based on the nine criteria discussed in the CLEAR lectures and provided under IMAGE CRITERIA above. A second senior
scorer reviews image batches that are borderline or failing. Reviewers provide specific comments and critiques on each image.
If the first batch of five images fails to pass the image review, additional batch submissions are required. The comments and critiques provided with each batch provide encouragement
and assistance as participants master the sonographic techniques required to produce accurate cervical length measurements.
For further information contact the Perinatal Quality Foundation at support@perinatalquality.org
|
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.
 
Cervix Measurement Image Criteria
- Transvaginal Image
- Field of View is Optimized for Measurement
- Anterior Width = Posterior Width
- Maternal Bladder Empty
- Internal Os Seen
- External Os Seen
- Cervix Canal Visible Throughout
- Caliper Placement Correct
- Cervix Mobility Considered
|
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
|
|