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Workshops Top of Page
The workshops are organized by organizations such as ICIM in the USA,
AUSCAM in Australia, IACAM in Indonesia, KIMI in South Korea, MTM (Germany),
NZCTA in New Zealand, The Hong Kong Foundation for Biomedical Research on Toxic Metals
and The Philippine College of Integrative Medicine. However, the examinations
are always conducted under the auspices of IBCMT.
(I.e. the president of the examining committee, or his delegate needs to be present.
A delegate is a fully qualified CMT, not belonging to the organizing organization).
On completion of all requirements, physicians are awarded Board Certification
as Clinical Metal Toxicologist (CMT).
It is very important to keep the teaching and accreditation as separate entities.
This is an accepted and expected format in medical academia. Board certification
is an essential part of medical practice, demonstrating to any medical or political
organization that you have attained such knowledge of the subject that you have been
able to pass an examination, written and oral, that certifies this knowledge.
More and more patients are seeking the care of those Board Certified physicians
as a marker of that physician's ability and knowledge. This reassures patients
and colleagues of your professional and ethical standards.
Requirements for IBCMT Workshop Approval Top of Page
In order to participate in an IBCMT written or oral exam, a candidate has to attend an IBCMT- approved workshop.
A(n) (teaching) organization, which wishes to conduct such a workshop, is invited to direct a request for approval to the IBCMT chairman, preferably at least six months in advance.
This request should include:
- The names and qualifications of the speakers
- The subjects of the lectures
- The expected attendance
Speakers may also be assigned by IBCMT, if needed.
Approved workshops will dedicate at least 6 lectures to basic teaching of Clinical Metal Toxicology.
Advanced teaching of Clinical Metal Toxicology does not need IBCMT approval, as long as first-time participants will not take the written exam. However, IBCMT encourages this advanced teaching and will be happy to advise in selection of teachers and subjects. Participants of an advanced workshop may take the oral test if they have attended an IBCMT-approved teaching workshop, no longer than 1 year ago.
Participants, preparing for the written test, need to purchase a recent or an updated edition of the IBCMT protocol at least 3 months prior to the workshop, in order to qualify for the written or oral test. Exceptions need to be discussed with the Chairman.
Reimbursements, fees.
IBCMT-assigned speakers do not charge a fee for lecturing.
The organizing committee will pay for lodging and food of the IBCMT speakers.
Speakers are exempt from admission fee.
The organizing committee is expected to consult with IBCMT about reimbursement of travel expenses.
In addition, IBCMT will collect 10% of the admission fees.
Information of the examination fees is available from our Mrs. Grace Claus at the IBCMT secretariat.
New Requirements For IBCMT Tests Top of Page
The material for the knowledge tests has expanded rapidly these last few years and thorough studying
of this unfamiliar material takes usually far more time than expected.
Therefore, IBCMT has modified the way to acquire the status of Clinical Metal Toxicologist."
Examinations Top of Page
Written and Oral examinations are usually administered during conferences and workshops.
To acquire the CT (Clinical Metal Toxicologist) status a candidate has to take three tests:
- The Basic Written knowledge test.
This test consist of 100 questions regarding basic knowledge of the chelation process and its practical application.
Passing the test is awarded with the B/CMT (Basic Metal Toxicologist) certificate, which allows the applicant to start practicing Clinical Metal Toxicology under guidance of an experienced IBCMT mentor, but their practice is limited to the use of oral, subcutaneous or intramuscular chelation agents.
The applicant will appear on the Web site of IBCMT as B/CMT
Validity 2 years.
Required reading: Textbook of Clinical Metal Toxicology
- The Full Written Knowledge test. This test consists of approximately 300 questions,
concerning the material of the Textbook of clinical Metal Toxicology and some related issues.
Passing the test is awarded with the C/CMT (Candidate Clinical Metal Toxicologist) certificate.
Passing the test is awarded with a temporary certificate which allows the applicant
to start practicing Clinical Metal Toxicology under guidance of IBCMT.
The applicant will appear on the Web site of IBCMT as Candidate Clinical Metal Toxicologist (C/CMT)
Validity 4 years.
Required reading Textbook of Clinical Metal Toxicology
- The final, Oral test..
Requirements.
a. Practical experience.
With I.V. EDTA : about 1000 infusions. (Reduce to 500 infusions if candidate has carried out more than 100 cases of other I.V. chelators)
With other I.V. chelating agents about 100 cases. These chelating agents may include DMPS, Zn- or Ca-DTPA.
With I.M. or S.C. chelating agents, about 100 cases. These chelating agents may include Deferoxamine.
With oral chelating agents, about 100 cases. These chelating agents may include DMPS, DMSA. Penicillamine. TM
Any 100 combinations of I.M. and/or S.C. administered chelating agents will reduce the required number of oral chelators to 50, provided that excretion tests could support the clinical findings.
The infusions are mandatory to make sure the candidate has a sound and basic understanding of intravenous infusions and electrolyte balance to avoid obvious pitfalls in cardiac and renal compromised patients.
b. Six charts which should represent at least 2 EDTA cases and at least 2 I.V. cases of other chelating agents. The remaining 2 cases may contain any of above-mentioned modalities.. At the test the applicant is required to produce the patient charts, completed according to the IBCMT “ Guidelines for the Preparation of a Patient Chart.” These guidelines are available from the secretariat
The oral test should be taken no later than 4 years after the written test and after having administered at least 1000 i.v. treatments of one or more of the following chelators: EDTA, BAL DFO, DMSA, DMPS. DTPA, Penicillamine.
These patients are the basis for a discussion about the knowledge and practical expertise of the applicant. In addition, the applicant may also be questioned about the subjects of the Textbook, or related subjects. This exam usually will take one hour.
After passing this test , the applicant will receive the Certificate of Clinical Metal Toxicologist (CMT)
which has a maximum validity of 5 years and, of course, will appear on the IBCMT Web site.
IBCMT exams always need to be conducted in the presence of the head of the examining committee
or his delegate.
Candidates who fail a test will be enabled to take the test again.
There is no limitation to the number of retakes, however each individual case needs to be discussed
with the head of the examining committee.
CMTs who fail to recertify after 5 years need to step down to C/CMT status and can obtain CMT status any time that they fulfil the recertification requirements.fs
If they fail to do that for another 5 years they need to step down to B/CMT status, where they can either stay for another 2 years before being removed from IBCMT status, or take the full written test to be upgraded again to C/CMT, and so on to CMT again.
Grace Claus
Fax (**1) 714 840-5951
gclaus@socal.rr.com
or
gclaus@socal.rr.com
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