The written certification examination consists of 200 multiple-choice items and is administered over a four-hour session. Towards the end of training, the residents must take and pass multiple sets of board-certifying examinations. Over the last few years we have launched a number of initiatives and have more to come. Certification is a medical review process performed to establish medical necessity for certain services. We understand that many diagnostic procedures, and the reasons for having them, may be stressful.

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