About the Perinatal Quality Foundation CLEAR program
The Perinatal Quality Foundation was established in 2005. The mission of the Perinatal Quality Foundation is to improve the quality
of Maternal-Fetal Medicine medical services by providing state of the art educational programs, and evidence-based, statistically
valid monitoring systems to evaluate current practices and facilitate the transition of emerging technologies into clinical care.
In 2005, the initial focus of the Perinatal Quality Foundation (PQF) was the Nuchal Translucency Quality Review (NTQR) program.
With maturation of the NTQR program the Board of Directors turned their attention toward a broader mission and additional clinical
initiatives that could be facilitated through foundation efforts. The Cervical Length and Education Review (CLEAR) Program followed
in 2011 with the Fetal Monitoring Credentialing (FMC) Program in 2013, and the Genetic Education Module (GEM) in 2016.
As evidence built to support a role for progesterone to prevent preterm birth in subsets of patients with short cervical length, the
need to standardize the measurement of the cervix became apparent. PQF convened a task force in November 2011 with representatives
and experts. Membership on the task force included representatives from the American College of Radiology (ACR), the American
College of Obstetrics and Gynecology (ACOG), the American College of Osteopathic Obstetrics and Gynecology (ACOOG), the American
Institute of Ultrasound in Medicine, the Society of Diagnostic Medical Sonographers (SDMS), and the Society of Maternal Fetal
Medicine (SMFM). The task force developed a consensus education initiative that presented standard criteria for sonographic
cervical measurement in pregnancy.
The Cervical Length Education and Review program (CLEAR) is a product of task force deliberations. The CLEAR program provides
educational lectures, optional examinations, and scored image reviews. Those who complete the lectures and who pass the examination
and image review receive documents verifying that they have completed the CLEAR program. They also qualify for CME provided by both
SDMS and ACOG. Names of those who complete the program are listed on the CLEAR website.
The volunteers and staff involved in the development of the CLEAR program hope that the site will facilitate measurement of the
cervix in a standard and accurate manner. The site is designed for education and practice.
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