California Orthopaedic Association

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  • Home
  • About COA
    • Origin & History
    • Mission
    • Bylaws
    • COA Board of Directors – Committee Chairs – Roster
    • Advertising
    • Staff
    • Contact/Forms
  • Membership
    • Join COA
    • Members
    • COA Member Directory
    • Member Discounts
    • Residents
    • Job Bank
    • Expense Form
  • Annual Meeting/QME Course
    • 2025 Annual Meeting/QME Course
    • Print CME Certificates
    • Future Meetings
    • Past Annual Meetings & QME Courses

Fluoroscopy Certification in California

Did you know that California is only one of a few states that require surgeons to take and pass a fluoroscopy test prior to being able to use fluoroscopy during surgery.  California has a very paper-driven manual process that can take 6 months to get through and receive your certification.   COA has been urging the Radiologic Health Branch to modernize the process or look for other ways for surgeons to meet this requirement, but to-date the system has not been updated.

Temporary Fluoroscopy Permit

In 2021, COA sponsored legislation that was passed and signed into law requiring the Radiologic Health Branch to implement a Temporary Fluoroscopy Permitting Process to avoid delays in surgeons getting into practice. It’s a 12-month temporary permit while you get scheduled to take the state-mandated fluoroscopy test. Click to learn more about the temporary fluoroscopy process.

The test is not specialty-specific and is heavily weighted towards testing your knowledge of physics.  Even though orthopaedic surgeons have a high pass rate, it’s a tough test, so be well-prepared.

Resources to Help you Prepare to Take the Test

The Process:
Preparing to Take the Radiography Supervisor’s or Fluoroscopy Certification Test?

What to Study?
Radiation Safety Fluoroscopy – UC San Diego
FluoroSafety.com

Practice Tests:
FluoroPrep.com

Other Radiation Safety Tools:
Dose Reduction Reference Card
Radiation Protection Reference Card
RHB Improves Communications with Surgeons

Questions regarding the status of an application should be directed to the Radiologic Health Branch:  Certification Support Unit: Email Address: RHBCSU@cdph.ca.gov | Phone: (916) 327-5106. Our e-mails and voicemail messages are reviewed daily, and we will respond within 1-2 business days.

Other questions should be directed to COA:  admin@coa.org  Phone: 916-454-9884

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Upcoming COA Events

  • Thu
    16
    Apr
    2026
    Sun
    19
    Apr
    2026

    2026 Annual Meeting/QME Course

    Hilton Santa Barbara Beachfront Resort


Annual Meeting/QME Course

2026 Annual Meeting
Hilton Santa Barbara Beachfront Resort
April 16 – 19, 2026

Upcoming COA Events

  • Thu
    16
    Apr
    2026
    Sun
    19
    Apr
    2026

    2026 Annual Meeting/QME Course

    Hilton Santa Barbara Beachfront Resort

Get in Touch With Us

California Orthopaedic Association
1246 P Street
Sacramento, CA 95814

Phone: 916-454-9884
Fax: 916-454-9882
Email: admin@coa.org

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