Marcia Foster

4/5/2019 Welcome to the TMB Website

reg.tmb.state.tx.us/OnLineVerif/Phys_ReportVerif_new.asp 1/2

PUBLIC VERIFICATION / PHYSICIAN PROFILE

MEDICAL PHYSICIST LICENSE

NAME:  VALERIE BLANCHE  FOREMAN    MP DATE: 04/05/2019 

 THE INFORMATION IN THIS BOX HAS BEEN VERIFIED

 BY THE TEXAS MEDICAL BOARD Date of Birth: 1959TMB License Number: FMP00010141DSHS License Number: MP10141Issuance Date: 07/14/2008Expiration Date: 05/31/2021Registration Status: ACTIVERegistration Date: 12/30/2015Disciplinary Status: Disciplinary Date: NONESpecialties:DIAGNOSTIC RADIOLOGICAL PHYSICS Mailing Address4614 SHAMROCK DRIVEFRISCO , TX   75034  Board Action (includes all actions regardless of license/permit type)NONE   

 THE INFORMATION IN THIS BOX WAS REPORTED BY THE LICENSEE AND

 HAS NOT BEEN VERIFIED BY THE TEXAS MEDICAL BOARD Gender:  Current Primary Practice Address:NOT GIVEN    

  Contact Us | Privacy Policy | Accessibility Policy | Compact with Texans | Website Linking Policy 

Marcia Foster

Verification of Certification and Maintenanceof Certification (MOC)

September 19, 2019

Name: Ms. Valerie Weismann ForemanPractice Locations: Frisco, TXParticipating in MOC

Certificate Status Valid Through Maintenance MOC RequirementsDiagnostic Medical Physics Valid 03/01/2021* Maintained Meeting

The information provided in this letter is considered the primary source verification. The most current certificate and MOC public reporting status information can beaccessed at any time for Ms. Valerie Weismann Foreman by entering the required information in the 'Verify board certification status' search on the ABR website atwww.theabr.org.

For questions regarding the ABR MOC Program or its participation requirements, please contact the board office at (520) 519-2152 or information@theabr.org.

Sincerely,

Valerie Jackson, MDExecutive DirectorAmerican Board of Radiology

*Validity of certification is contingent upon participation in Maintenance of Certification. The ABR recommends verification of certification be repeated annually, three business days after the ABR's March 2nd annual review.

Department of Medical Physics and Radiation Safety 4004 Worth Street,

Suite 200 Dallas, TX 75246 (214) 820-7133 (214) 820-8149 Fax www.BaylorScottandWhite.com

October 1, 2017 RE: Valerie Foreman, Mammography Continuing Experience Requirement To Whom It May Concern, For the record, Valerie Foreman has performed 61 mammography unit and 12 stereotactic biopsy unit surveys at 14 individual facilities in the Baylor Health Care System in 2017 as of September 30, 2017. Please consider this a full completion of her mammography continuing experience requirement for the calendar year 2017. Sincerely,

Angela P Bruner, PhD, DABR Director, Medical Physics & Radiation Safety, North Texas Division

Marcia Foster

Certificate of CompletionValerie Foreman, MS, DABR

In recognition of successful completion of the 8-hour GE Healthcare Digital Breast Tomosynthesis Mastery Training Program

Jessie Jacob, MD, MMMGE Chief Medical Officer, Women's Health

April 4, 2015

MAP ID Nos.

This document is copyright protected by the American College of Radiology. Any attempt to reproduce, copy, modify, alter or otherwise change or use this document without the express written permission of the American College of Radiology is prohibited.

K:\MammoMaster\Full App Pkg\FULL APPLICATION - Medical Physicist.doc Revised: 3/16/18

Each medical physicist who provides medical physics services at this facility must verify that they meet FDA requirements by completing a copy of this form. Please print and complete this form. Signature dates must be within one year from the date of the most recent medical physicist’s Annual Survey report. Original, electronic or faxed signatures are required and considered legally binding for this document. Stamped signatures are not acceptable. Complete all sections; an incomplete application will delay your accreditation.

PRIVILEGED and CONFIDENTIAL • PEER REVIEW Code of Virginia 8.01-581.17

PERSONNEL • MEDICAL PHYSICIST

1. Name: LAST NAME FIRST NAME MI DEGREE

2. ACR Membership ID#: (optional)

3. Initial qualifying date (earliest date qualified to do mammography physics. Medical physicists qualifying prior to the MQSA Interim Rules should check “prior to October 1, 1994.”):

prior to October 1, 1994 or specify date after October 1, 1994 / MO YR

INITIAL QUALIFICATIONS

4. Do you meet FDA requirements for initial qualifications for medical physicists? (complete ONLY the column that pertains to you)

FDA Requirements Initial Qualifications

(Master’s degree or higher)

Alternative Initial Qualifications must have met before April 28, 1999

(Bachelor’s degree) Qualified as a medical physicist under FDA's interim regulations and retained that qualification by maintenance of the active status of licensure, approval, or certification?

Not applicable 1No 2Yes

Board Certified by either the 1. American Board of Radiology (ABR) in Diagnostic Radiological

Physics* (alone or combined with another sub-specialty), Radiological Physics, Roentgen Ray or Gamma Ray Physics or X-Ray and Radium Physics, or

2. American Board of Medical Physics (ABMP) in Diagnostic Imaging Physics

*also, effective 2011, Diagnostic Medical Physics

Board Year Board Year

ABR ABR

ABMP ABMP

State licensed? 1No 2Yes 1No 2Yes

State approved? 1No 2Yes 1No 2Yes

Meet the following degree requirement in a physical science from an accredited institution?

Master’s degree or higher 1No 2Yes

Bachelor’s degree obtained before training and initial experience

1No 2Yes

Have no less than the following semester hours or equivalent of college undergraduate or graduate level physics?

20 semester hours or equivalent 1No 2Yes

10 semester hours or equivalent 1No 2Yes

Have the following contact hours of documented specialized training in conducting surveys of mammography facilities?

20 hours 1No 2Yes

40 hours 1No 2Yes

Have experience conducting surveys of at least one mammography facility and the following number of mammography units? (No more than one survey of a specific unit within a period of 60 days may be counted towards the total mammography unit survey requirement. If experience was acquired after April 28, 1999, it must be under the direct supervision of a qualified medical physicist).

10 units 1No 2Yes

20 units 1No 2Yes

MAP ID Nos.

This document is copyright protected by the American College of Radiology. Any attempt to reproduce, copy, modify, alter or otherwise change or use this document without the express written permission of the American College of Radiology is prohibited.

K:\MammoMaster\Full App Pkg\FULL APPLICATION - Medical Physicist.doc Revised: 3/16/18

New modalities: You must have received at least 8 hours of modality-specific training (e.g., full-field digital or screen-film) in surveying these systems before independently performing surveys on these systems. Have you received this training? (may be included in the above formal mammography education or obtained separately)

Full-field digital mammography (direct capture digital and/or computed radiography) 1No 2Yes Screen-film mammography 1No 2Yes Digital Breast Tomosynthesis (DBT) 1No 2Yes

CONTINUING EXPERIENCE

5. How many mammography facilities and units have you surveyed over the previous 24-month period?

# facilities: # units:

If less than 2 facilities and 6 units, are you in the process of requalifying?

1No 2Yes

CONTINUING EDUCATION

6. Have you earned at least 15 continuing education units in mammography in a 36-month period? (see FDA’s Policy Guidance Help System for acceptable subject areas)

1No 2Yes

If you answered “No”, are you in the process of requalifying?

1No 2Yes

I certify that the information provided in Section H is true and correct.

Executed on: DATE SIGNATURE OF MEDICAL PHYSICIST

8/31/2018

CAMPEP Commission on Accreditation of Medical Physics Education Programs, Inc.

Certificate of Medical Physics Continuing Education Credits ----Transcript----

Valerie Foreman 4614 Shamrock Drive Frisco, TX 75034 US

Participated in the following CAMPEP accredited educational program(s) and is awarded Medical Physics Continuing Education Credits (MPCECs) as designated

Program Title

Date Credits Earned

Category/SubCategory EA Title Credits

2018 AAPM Online Continuing Education

01/31/2018 Diagnostic Radiology: Mammography

1598-N Mammographic Surveys 1

2018 AAPM Online Continuing Education

01/31/2018 Diagnostic Radiology: Mammography

1607-N Mammography Update: Practical and Regulatory Issues for Medical physicists

1

2018 AAPM Online Continuing Education

01/31/2018 Diagnostic Radiology: Mammography

2408-N SBB vs. Mammography: Image Quality and Dose

1

2018 AAPM Online Continuing Education

01/31/2018 Diagnostic Radiology: Mammography

2516-N How does c-view image quality compare with conventional 2D FFDM?

1

59th AAPM Annual Meeting & Exhibition

08/02/2017 Diagnostic Radiology: Mammography

Advanced Breast Imaging: Stereotactic Breast Biopsy Updates and Contrast Enhanced Spectral Mammography

1

59th AAPM Annual Meeting & Exhibition

08/02/2017 Diagnostic Radiology: Mammography

Implementation of the 2016 ACR Digital Mammography Quality Control Manual

2

59th AAPM Annual Meeting & Exhibition

08/02/2017 Diagnostic Radiology: Mammography MamTomoMBI 1.5

60th AAPM Annual Meeting & Exhibition

07/31/2018 Diagnostic Radiology: Mammography Breast Imaging 2

60th AAPM Annual Meeting & Exhibition

07/31/2018 Diagnostic Radiology: Mammography

Breast Imaging and Interventions 2

AAPM 58th Annual Meeting 08/01/2016 Diagnostic Radiology:

Mammography DBT Physics Basic to Advanced 2

AAPM 58th Annual Meeting 08/02/2016 Diagnostic Radiology:

Mammography Digital Breast Tomosynthesis I 1.25

AAPM 58th Annual Meeting 08/02/2016 Diagnostic Radiology:

Mammography Digital Breast Tomosynthesis II 1

AAPM 58th Annual Meeting 08/02/2016 Diagnostic Radiology:

Mammography Digital Breast Tomosynthesis III 1

AAPM 58th Annual Meeting 08/01/2016 Diagnostic Radiology:

Mammography

Recent Advances in Virtual Tools for Validation of 3D4D Breast Imaging Systems TG234

1.5

Total Released Credits: 19.25

Department of Medical Physics and Radiation Safety 4004 Worth Street,

Suite 200 Dallas, TX 75246 (214) 820-7133 (214) 820-8149 Fax www.BaylorScottandWhite.com

October 3, 2018 RE: Valerie Foreman, Mammography Continuing Experience Requirement To Whom It May Concern, For the record, Valerie Foreman has performed 59 mammography unit and 9 stereotactic biopsy unit surveys at 9 individual facilities in the Baylor Health Care System in 2018 as of September 30, 2018. Please consider this a full completion of her mammography continuing experience requirement for the calendar year 2018. Sincerely,

Angela P Bruner, PhD, DABR Director, Medical Physics & Radiation Safety, North Texas Division

9/19/2019 OIG Search Results

https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Exclusions Search Results: Exclusions Search Results: IndividualsIndividuals

No Results were found for

Foreman , Valerie

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for yourdocumentation

Search Again

Search conducted 9/19/2019 10:10:04 AM EST on OIG LEIE Exclusions database. Source data updated on 9/6/2019 8:37:00 AM EST.

An official website of the United States government. Here's how you know >