Over the course of the next 4 review cycles CESAC will be collecting actual case data submitted by applicants in order to better understand evolving practice patterns in neuroendovascular surgery.

Specifically total case volumes will be analyzed for frequency of the various endovascular procedures performed.

Currently, the CESAC committee will continue to diligently review each application, holistically evaluating case complexity and volumes.

ABNS CNS ENDOVASCULAR RFP EXAM will be offered on Friday, May 13, 2022 in the afternoon.

Recognition of Focused Practice in CNS Endovascular Surgery

This RFP has been approved by the ABMS and has the goal of recognizing candidates who have successfully completed a(n) standardized neuroendovascular training program and met practice criteria, thereby elevating and advancing patient care for the public good. This RFP is co-sponsored by The American Board of Psychiatry and Neurology (ABPN) and  American Board of Radiology (ABR).

The CESAC committee reviews applications twice per year; fall (usually in September) and spring (usually in March).

Candidates who successfully 1) pass the RFP Examination and 2) have an approved application will be awarded the printed credential.

The application must be submitted by the candidate to ABNS and include the following:
  • Proof of primary board certification; ABNS, ABPN, ABR
    • Neurologists- Vascular Neurology OR Neurocritical Care
    • Radiologists- Neuroradiology
  • Up to date CV
  • Evidence of unencumbered license and credential to practice from CMO of current hospital practice(s)
  • Successful completion of the CNS-NES written examination (administered by the ABNS), ideally taken after completion of the fellowship.
  • Certificate of successful completion of a CNS Endovascular fellowship accredited by CAST, UCNS or ACGME
  • Practice Data submission (See below)
    • Cases included should be post Fellowship only

Practice Track (grandfathering) Application Pathway

Current neuroendovascular physicians are eligible to achieve RFP credentialing through this practice track regardless of whether they trained in a CAST, ACGME or another type of program by completion of the following steps:

  1. CESAC review of fellowship training or equivalent clinical experience
  2. Two consecutive years of practice data after the fellowship will be need to be submitted in an Excel spreadsheet or equivalent to CESAC. Cases may be selected to be entered into ABNS Post for peer review.
  3. Passing the RFP CNS Endovascular written examination
  4. Licensing and credentials review
  5. Two peer letters of recommendation attesting to the candidates’ endovascular qualifications
  6. Participation in annual Continuing Certification (learning tool, entry of 65 cases annually into online database)

Current neuroendovascular physicians who are already CAST certified and whose credentials have been forwarded to their respective ABMS boards for RFP can maintain their status by participation in annual Continuing Certification (learning tool, entry of 65 cases annually into online database), and all other requirements of this process going forward.

Additionally, fellows training in programs that are not currently CAST or ACGME certified may apply to CESAC for RFP if, upon careful review, the training program meets the standards and requirements for training as set forth by NESAC.

The requirements will be identical for all specialties in which the volume of interventional cases performed on an annual basis will be sufficient to achieve desirable outcomes and maintain practitioner competency as defined by CESAC. 

A 2-year (to be adjudicated by CESAC) summary of all endovascular procedures to confirm that the individual is truly focusing their practice on CNS-NES

CESAC may select interventional cases (not diagnostic arteriograms) from this log for entry into ABNS POST for granular peer review (number of cases to be determined by CESAC)

*If the candidate is a neurosurgeon they must pass the ABNS oral exam which must include a session on endovascular medicine.

Continuing Certification Requirements for ABNS RFP in CNS Endovascular Surgery

Annual continuing certification in this RFP will require the following:

  • Maintenance of primary board certification
  • Documentation of satisfactory participation in CC
  • Completion of annual CNS Endovascular learning tool /RFP specific module offered by ABNS (on-line)
  • Letter from COS or equivalent supporting that individual’s practice is focused in neuroendovascular surgery
  • Proof of unencumbered state license(s)
  • Proof of unencumbered staff privileges in each hospital at which the applicant practices

ABNS position on fellowships

Individuals who received a CAST certification in CNS Endovascular can convert that credential to a Recognition of Focused Practice in CNS Endovascular Surgery. To do so, an application must be completed and submitted to the ABNS for review and approval.