| CLEAR Component |
Cost |
ACOG Credit |
SDMS Credit |
Lectures
Examination
Image Review |
$150 |
1.0
1.5 |
1.0
2.0 |
Approval
Effective
Dates |
|
2016 |
2016
-
2019 |
| Total Cost/CME |
$150 |
2.5 |
3.0 |
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
- Lecture 4: Translating Knowledge Into Clinical Practice
Web-based Examination
The CLEAR program includes a web-based examination consisting of twenty 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.The questions are drawn randomly from a larger question pool that currently
has 31 questions. The questions are multiple choice and many are image-based.
Cervical Image Quality Review
The participant submits a batch of five cervical length images. The participant is required to input
specific data for each image. Data required includes the following:
The images are reviewed by experienced reviewers and graded based on the nine criteria discussed in Lecture
2. 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.
Summary
The CLEAR program is an integrated lecture, exam, and image review program designed to improve sonography cervical
length measurements.
We would like to give 1.5 to 2 credits of CME for the lecture and exam. This includes 61 minutes of videotaped
lecture and an examination with 20 questions that may be retaken if failed.
We would like to provide an additional 1 hour of CME (for a total of 2.5-3 credits) for those who complete the
entire three-part program including successful completion of the image review. This hour of CME credit would not be
awarded by itself but only upon completion of the entire program.
To access the lectures and other aspects of the CLEAR program, create a username and password above. 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 are 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
|
|