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About ARDMS APCA and the RPVI Certification About the RPVI Certification The Registered Physician in Vascular Interpretation (RPVI) certification, developed in response to requests from physicians in the vascular surgery and vascular medicine community, documents the highest attainable standard in vascular ultrasound interpretation. The RPVI certification meets the physician training and experience criteria for the ICAVL accreditation process. Earning the RPVI certification is a requirement to sit for the American Board of Surgery's Vascular Surgery Qualifying Examination. Additionally, the RPVI certification is required for completion of many vascular surgery fellowship programs. Earning the RPVI Certification The RPVI certification is earned by passing the Physicians' Vascular Interpretation (PVI) examination. The content of the PVI examination reflects current noninvasive vascular laboratory practice. To learn about how the PVI examination is written, go to ARDMS.org/RPVI. How the RPVI and RVT Certifications Differ The RPVI certification, offered exclusively to physicians, validates the clinical expertise fundamental to vascular sonography interpretation and provides recognition of the skills and knowledge required in making consistent and reliable diagnoses in vascular disease. The Registered Vascular Technologist (RVT) certification assesses the competency needed to perform a vascular sonography scan. Picture Archive and Communication Simulation (PACSim) Questions on the Physicians' Vascular Interpretation Examination The patent-pending PACS items are designed to simulate an interpretation workstation experience relevant to actual present-day medical practice. The PACSim questions will require examinees to read a clinical history of the patient, evaluate the existing image(s), and complete a diagnostic ultrasound report by selecting from the presented options. The PVI examination will remain four hours long and will now contain 185 questions comprised of multiple-choice and Advanced Item Type (AIT) items. Visit ARDMS.org/pacs to learn more.