Oral exam

Oral examination


  1. 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.


  1. 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 (FCMT) 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.


FCMTs who fail to recertify after 5 years need to step down to C/CMT status and can obtain FCMT 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 FCMT again.