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2015 ULTRASOUND SUBSPECIALTY EXAMINATION
The Board of Examiners of the Ultrasound Society of the Philippines wishes to announce the
schedule for the 2015 Ultrasound Subspecialty Examination.
Written Exam: August 15, 2015 Saturday starts at 7 am
Practical Exam: August 16, 2015 Sunday starts 7 am
Venue: Valdez Hall, Veterans’ Memorial Hospital, North Avenue, Quezon City
Application Period: June 15 (Monday) to July 15 (Wednesday), 2015
Requirements for Applicants:
1. The Examinee should be a Fellow of the Philippine College of Radiology.
2. The Examinee should have undergone or currently undergoing a 6-month Ultrasound
Fellowship in a PCR Accredited Training Hospital.
3. The Examinee should submit a completely accomplished Application Form which could be
obtained from the PCR Secretariat or downloaded from the PCR or Residency Training
Council website. The Chairman and Training Officer of the institution where the applicant is
undergoing training should sign the Application Form.
4. Please attach/submit the following together with the Application form:
a) Seven (7) pieces of 2x2 ID pictures with name typed/written at the bottom of
the photograph when it was taken - avoid mismatch of names and pictures
-
1 picture stapled on the Application form will be submitted for the Souvenir
program of the Induction Night, if the Applicant passes the written and oral
exam
-
6 pictures stapled to application form will be used for the exam ID card and
oral exam if the applicant passes the written exam (may be returned if
applicant does not pass the written exam)
b) Photocopy of the Philippine Board of Radiology certificate
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c) Photocopy of the certificate of Philippine College of Radiology Fellowship
d) Photocopy of the Certificate of Ultrasound Fellowship from a PCR Accredited
Training Hospital with inclusive dates of training; if not yet available, then a
Certificate from the Department of Radiology of the Accredited Training
Hospital stating that the Examinee has finished the Ultrasound Fellowship
program or will be finished by AUGUST 2015 to be signed by both the Chairman
and the Training Officer
e) Certificate of Accreditation of the Training Institution
5- Application fee of 5,000 pesos. Payments may be made directly to the PCR office in Cash or
Check issued to: Ultrasound Society of the Philippines
6- Provincial applicants must submit their application forms including the requirements and
fees through courier. Payments should be made through Manager’s or Personal check.
7- If an Examinee will request for a Refund, a letter of Intent of Withdrawal of Application
should be submitted to the Philippine Board of Ultrasound addressed to the Chairman Dr.
Evangeline Villapando.
If the letter is submitted 1 month prior to the exam or earlier, the entire application fee will be
refunded ; if 3 weeks before the exam, only 50% of the fee will be refunded; if submitted 2
weeks prior to the exam or later, no refund of the fee will be given.
Examinees who qualified to take the exam will be announced through the PCR or USP websites.
Official Receipts for application fees may be obtained at the PCR office or will be given on the
day of the Written examination.
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PHILIPPINE BOARD OF ULTRASOUND EXAMINERS FOR 2015 AND SUBJECT ASSIGNMENTS:
Dr. Evangeline Villapando – Gastrointestinal Imaging and Physics
Dr. Kimberly Ang-Baluyut – Genito-urinary Imaging
Dr. Romelito Jose Galsim – Pediatrics Imaging
Dr. Sarah Zampaga - OB-gyne Imaging
Dr. Marcelino Mendoza - Small Parts and Color Doppler Imaging
LIST OF BOOKS: The Examiners recommend the following books to be used for the USP
examination but highly encourage examinees to read other materials that will complement this
list.
1.
2.
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General - Diagnostic Ultrasound by Carol Rumack (4th edition)
Specific
a. Pediatric Sonography - Marilyn Siegel(4th edition)
b. Ultrasonography in Obstetrics and Gynecology – Peter W. Callen (5th
Edition)
c. Clinical Doppler Ultrasound – Paul Allan, Dubbins (2000)
d. Breast Imaging – Nilda Cardenosa
e. Diagnostic Imaging Ultrasound, Ahuja (2007) – Small parts and Vascular
*Staple remaining 6 pictures to be used for EXAM ID CARD AND ORAL EXAM
Attach a 2 x 2
ULTRASOUND SOCIETY OF THE PHILIPPINES
sized colored ID
picture w/
Units 807 & 809 Future Point Plaza1, 112 Panay Avenue, South Triangle, Quezon City name typed
Telephone No.: 3738462; 3743299
cp number: +639064725655
Website: www.ultrasoundsocietyofthephilippines.org.ph
email: [email protected], [email protected]
APPLICATION FORM FOR EXAMINATION
_______________________________
___________________________
Surname
First Name
_______________________________
Middle Name
___________________________
Sex
__________________________
Date of Birth
__________________________
Civil Status
_______________________________________________________________________
Mailing Address
_____________________
Tel. No.
_____________________
Cell Phone
________________________
___________________
Fax
Name, Address and Contact Number of current Hospital /Clinics/Place of Practice; if in training, place Training Hospital:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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E-mail
DIAGNOSTIC ULTRASOUND TRAINING:
_________________________________________________________________________
Name and Address of Institution
___________________________________
Inclusive Dates
_____________________________________
__________________________________
Year Inducted as DIPLOMATE of the PCR
Year Inducted as FELLOW of the PCR
IS THIS THE FIRST TIME THAT YOU WILL BE TAKING THE FUSP WRITTEN EXAM? ______________________
IF THE ANSWER IS NO, INDICATE THE NUMBER OF TIMES AND YEARS_________________________________
IS THIS THE FIRST TIME THAT YOU WILL BE TAKING THE FUSP ORAL EXAM? _________________________
IF THE ANSWER IS NO INDICATE THE NUMBER OFTIMES AND YEARS_________________________________
I hereby certify that all the statements above are correct and true.
__________________________________________________________________
Signature over Printed Name of Applicant
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____________________________
Date
Endorsed by:
________________________________________________________
Signature over Printed Name of
Department Chairman of Training Institution
and Date Signed
_____________________________________________________
Signature over Printed Name of
Department of Training Officer of Training Institution
and Date Signed
NOTE: The training officer must be a certified FELLOW of the Ultrasound Society of the Philippines
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