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Documentation Checklist


For details of the criteria to sit for the exam, please download the PDF version of the Certification Exam Prerequisites & Policies.

All applicants are responsible for knowing and meeting American Board of Phlebology certification examination prerequisites prior to submitting their application.

Please use the following as a checklist guideline and include requested items IN THIS SEQUENTIAL ORDER (if not self-contained on this form packet) with your application. Note that additional documentation may be required, depending on the applicant’s circumstances and prior experience. Intersperse any additional documents in the order referenced in the form.

Copies of several documents are permissible.

  1. Complete the application online (preferred method) and pay the non-refundable application fee ($495) and the refundable exam fee ($2100) for a total of $2595.00.

  2. Two passport-sized photographs (hardcopy), or one high-quality photo (headshot) uploaded in JPG format.

  3. A current Curriculum Vitae.

  4. A copy of an allopathic or osteopathic degree (MD or DO) from an accredited college of medicine, or letter of verification from the institution where the degree was earned. In the case of foreign medical schools other than Canada, an English translation of the document is required. Graduates of foreign medical schools who practice in the United States must also include a copy of their ECFMG Certificate.

  5. A copy of your current valid, full and unrestricted license to practice medicine in the United States, its territories or a Canadian province in which the applicant’s practice of medicine is regularly conducted.

  6. Applicants must have completed Residency training in a program approved by the Accreditation Council of Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) in the United States, or the Royal College of Physicians and Surgeons of Canada (RCPSC) in Canada. A letter from the Chair indicating successful completion is required. A form is available from ABPh for this purpose. Alternatively, applicants must now be or ever have been board certified in an ABMS- or AOA-recognized specialty. Proof of such certification is required.

  7. You will choose ONE of the three paths in the Prerequisites section of the application to qualify. The Paths are outlined below.

PATH ONE "Fellowship Route"



i.
Submit one letter from the office that administers the program, confirming successful completion.

ii.
Submit an attestation of satisfactory completion of the Fellowship from the program director.

PATH TWO "Residency Route"



i.
Submit one letter attesting to the satisfactory completion of the residency program.

ii.
Submit one letter from the program director of the completed residency program.
Note: The director letters for the Fellowship and Residency Routes should:

  • Reference 6 general competencies identified by the ACGME and ABMS; patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice.

  • Describe the phlebology training provided.

  • Verify the candidate has provided active phlebology care under supervision and with demonstrated competence. Active care means direct participation in patient care that would include, at a minimum, gathering a history, performing a physical exam, assessing pertinent diagnostic studies, and forming and carrying out a treatment plan.

  • Verify the candidate has demonstrated competence and been supervised in diagnostic peripheral venous duplex ultrasound.

  • Verify the candidate has demonstrated competence and been supervised in at least one of the categories (Category I-VII) listed in the application policies.

PATH THREE "Experience Route"



i.
Submit (via upload) in a separate file (Word, PDF, or text) a description of your phlebology training and experience with dates. This should be at least 3 paragraphs in letter or report format, stating how you were trained in phlebological techniques. It should include dates and preceptors/instructors.

ii.
The Reference Contact Form is included in the Online Application. A separate form is no longer submitted.

iii.
Complete Phlebology Experience case log documenting at least 100 consecutive phlebology Category I-VII cases not to exceed two (2) years from the date of your application. You must use the ABPh Case Log provided on the ABPh website (www.AmericanBoardOfPhlebology.org). This form is in both Excel and PDF formats, and Excel is preferred. If completed in Excel, the completed log should be uploaded in your Online Application. If PDF, it may be scanned and uploaded, or faxed. Refer to the Case Log for specific instruction on how to complete the log. Note: The case log has two columns pertaining to Diagnostic Ultrasound. These columns will or will not be filled out dependent on your ultrasound experience as explained in item iv below.

iv.
Document Ultrasound Training and Experience Qualifications with ONE of the following ways.
  • Hold an active RVT, RVS, RPVI or RPhS Credential (submit copy of card or certificate).
  • Complete peripheral venous duplex ultrasound training in an ACGME, RCPSC or AOA - accredited residency or fellowship that includes didactic and clinical vascular laboratory/ultrasound interpretation as an integral part of the program, then submit a letter from your program director or supervisor verifying length of ultrasound experience or successful completion of a sonography program.
  • On the Phlebology Experience Case log, you must document a minimum of 100 cases of your diagnostic peripheral venous duplex ultrasound experience. These cases must not to exceed two (2) years from the date of your application.