On April 1, 2022, the LANA exam committee announced an updated exam and a new exam content outline for candidates. This exam update includes an increase in the number of questions, moving from 120 questions to 130. Of these questions, 110 are scored and 20 are pretest material. With this increase in questions, the total time allotted has also increased by 30 minutes to 2.5 hours (150 minutes total). Please check out the <a href="https://clt-lana.org/uploads/LANA%20Candidate%20Information%20Booklet%20(CIB)%202022.pdf" target="">Candidate Information Booklet</a>. The new exam content will begin on August 1, 2022; the outline is available now on the <a href="https://clt-lana.org/">LANA website</a>. LANA exams taken between now and August 1st remain the same, using the current exam content outline, available <a href="https://clt-lana.org/exam-outline">here</a>. Additionally, both exam outlines are attached to this email for your comparison.For information regarding the current and updated exam content outlines please click on the <a href="https://clt-lana.org/exam-outline" target="">certification tab</a> on our website.

New Exam Content Outline and New Exam Form begins August 1, 2022

LANA ANNOUNCES NEW ELIGIBILITY REQUIREMENTS TO BEGIN JANUARY 1, 2022 <span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The LANA Board of Directors is pleased to announce increase standards to the eligibility requirements to begin <span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">1/1/2022<span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">. Details below:<span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">A Candidate Must:<ul><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Provide a copy of a current and unrestricted U.S. state or <span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">international professional license<span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> or registration as a Registered Nurse (RN), Occupational Therapist (OT), Certified Occupational Therapy Assistant (COTA), Physical Therapist (PT), Physical Therapist Assistant (PTA), Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Doctor of Chiropractic (DC), Massage Therapist (MT), or Certified Athletic Trainer (CAT/ATC). Massage Therapists who do not hold a current unrestricted state license or registration (or international equivalent) must be certified by the National Certification Board for Therapeutic Massage and Bodywork OR provide documented evidence of having successfully completed a curriculum containing a minimum of 500 hours of soft tissue massage, from an accredited institution.</li><li>Provide proof of successful completion of a LANA qualified instructional course in Complete Decongestive Therapy (CDT) course work from no more than four consecutive or cumulative courses from one training program.&nbsp;</li></ul><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">&nbsp;&nbsp;&nbsp;&nbsp;<span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">&nbsp;The coursework provided by the training school must meet the following requirements:<ol><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">45 hours (⅓ of 135 hours) delivered: in-person or asynchronous remote or synchronous remote or a combination of in-person, asynchronous remote, and/or synchronous remote</li><li>90 hours&nbsp; (⅔ of 135 hours) delivered: in-person or synchronous remote or a combination of in-person and synchronous remote</li><li>In-person assessment by the program director or program instructor of psychomotor skills MUST occur in the same physical space; remote assessment will NOT be accepted. The assessment must include the following:</li></ol><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Skill check covering a minimum of:<ol><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Upper and lower extremity MLD including pathways and truncal rerouting</li><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Upper and lower extremity bandaging&nbsp;</li><li>Case-based practical examination to include but not limited to: &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; <span style="background-color: transparent; font-size: 11pt; font-family: Arial; color: rgb(0, 0, 0); font-style: italic; font-variant-numeric: normal; font-variant-east-asian: normal; white-space: pre-wrap;">	</li></ol><ul><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Student is expected to demonstrate their knowledge, skills, and abilities by critically reasoning through a medical case, followed by MLD and bandaging of that patient</li><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The completion certificate(s) must indicate that the student has successfully completed the training program AND passed the in-person assessment.</li><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">ALL required candidate submissions, which includes professional license, course certificate and, if needed, transcripts and academic records with the originals, must be submitted in English only.&nbsp; Non-English document submissions must be translated to English and completed by a professional translation service and/or credential evaluation service (preferably, with NACES membership - (<a href="https://www.naces.org/"><span style="font-size:11pt;font-family:Arial;color:#1155cc;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">https://www.naces.org/</a><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> ).</li></ul>Program Certificate: <span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">&nbsp;The completion certificate(s) should include:<ol><li><span style="font-size:11pt;font-family:Arial;color:#000000;background-color:transparent;font-weight:400;font-style:italic;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Name of Certificant&nbsp;</li><li>Successful completion of CDT Include date and method of instruction&nbsp;</li><li>Indication that the student has successfully completed the training program</li><li>Indication that the student passed the in-person assessment. Include date and location</li><li>Source of CEU approval with the number of hours</li></ol>

NEW ELIGIBILITY REQUIREMENTS TO BEGIN JANUARY 1, 2022

Dear Colleagues, <span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The LANA Board has devoted over 20 years to promoting standards for the certification of healthcare professionals in the field of lymphology. We are highly committed and engaged to ensuring lymphedema therapists receive high-quality education and patients with lymphedema and/or related disorders receive evidence-based treatment.&nbsp;<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">We are disappointed to learn that some members of the lymphedema community and some lymphedema training programs are questioning LANA’S credibility by spreading misinformation related to the revised eligibility requirements that LANA released on November 1, 2021. We would like to clarify any misunderstandings and urge professional, open communication.<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Due to the COVID-19 pandemic, most lymphedema training programs requested modifications to the LANA eligibility requirements to allow an increase in remote&nbsp; learning. The LANA Board, in partnership with the American Cancer Society (ACS), spent more than a year reviewing LANA’s eligibility requirements to identify options. <span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The process, which was mediated by two independent consulting firms, included a survey to LANA therapists, instructors, and school directors, a thorough review of recent literature on remote and virtual learning, a virtual workshop hosted by the ACS and attended by school Directors, and approved by a vote of the full LANA board. The culmination of this process resulted in the identification of options that would allow for flexibility in the delivery of high-quality educational content for the training programs and therapists.<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">LANA’s current standards include 135 hours of training, with 45 hours of home learning and 90 hours of in-person training. On January 1, 2022, the core eligibility requirements will change in the following ways:<ul><li><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">45 hours of learning can occur either in the original format (home learning) or in-person.&nbsp;</li><li><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">90 hours can now be taught in-person (in a classroom setting) or synchronously remote (real-time teaching with an instructor, in a virtual classroom).&nbsp;</li><li><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:700;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">In-person skill check assessing manual lymphatic drainage and compression bandaging, and case-based practical examination</li></ul><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">The most significant changes in the eligibility requirements are the synchronous remote teaching option and in-person skills assessment. The in-person skill assessment is intended to ensure the competency of therapists when treating patients, whether the educational content was delivered in-person or in a synchronous remote environment.&nbsp;<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">On behalf of the Executive Committee, I encourage you to read, in full detail, the revised eligibility requirements on the LANA’s website (<a href="https://clt-lana.org/"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#1155cc;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">https://clt-lana.org/</a><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#1155cc;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">).<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Please contact Katina Kirby, Executive DIrector, at <a href="mailto:admin@clt-lana.org"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#1155cc;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">admin@clt-lana.org</a><span style="font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;"> with further questions or comments.<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Sincerely,&nbsp;&nbsp;<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">Paula Stewart, MD, CLT-LANA<span style="font-size:11pt;font-family:Calibri,sans-serif;color:#201f1e;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;">LANA President

A message from Paula Stewart, President of LANA

In this unprecedented era of Covid-19 we have all been challenged. LANA has received communications from many lymphedema training programs describing innovations in their courses that have been shaped by the Covid pandemic and need for social distancing.In response to these necessary adjustments to providing training for Lymphedema therapists, LANA has commissioned a job analysis survey through Prometric/SMT. In this survey we hope to answer fundamental questions regarding the current essentials of Lymphology and needs of our lymphedema therapists in providing care to patients.At this time, our original criteria for LANA examination eligibility remains in place. LANA will continue to require 135 hours of training with 1/3 study and book learning 2/3 or 90 hours of hands‐on training.All candidates who wish to apply to take the LANA exam should review the <a href="https://www.clt-lana.org/uploads/2017/3.%20LANA%20Candidate%20Information%20Booklet%20(CIB)%201.3.17.pdf">Candidate Information Booklet (CIB)</a> and the <a href="https://www.clt-lana.org/uploads/2013/LANA_Exam_content_outline_Nov_2013.pdf">Exam Content Outline</a>.A CANDIDATE MUST:1. &nbsp; 	Possess a current and unrestricted U.S. state professional license or registration or equivalent Canadian provincial or territorial license or registration as a Registered Nurse (RN), Occupational Therapist (OT), Certified Occupational Therapy Assistant (COTA), Physical Therapist (PT), Physical Therapist Assistant (PTA), Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Doctor of Chiropractic (DC), Massage Therapist (MT), or Certified Athletic Trainer (CAT/ATC). Massage Therapists who do not hold a current unrestricted state license or registration (or Canadian equivalent) must be certified by the National Certification Board for Therapeutic Massage and Bodywork OR provide documented evidence of having successfully completed a curriculum containing a minimum of 500 hours of soft tissue massage, from an accredited institution.&nbsp;2. &nbsp; 	Provide proof of successful completion of qualified instructional course in Complete Decongestive Therapy (CDT) course work (consisting of 1/3 theoretical instruction and 2/3 practical lab work and documentation of 135-classroom hours) from no more than four consecutive or cumulative courses from one training program. Practical lab work is defined as real-time instruction with an instructor present. An instructional video that a student watches during home study would NOT be counted as part of the expected 2/3 practical lab work. Proof is accepted in the form of a computer certificate or letter from the school director.&nbsp;3. &nbsp; 	Provide proof of basic science requirement completion consisting of 12 credit hours (i.e. four, three-credit courses or three, four-credit courses which equal 192 clock hours) of college level human anatomy, physiology, and/or pathology from an accredited college or university. Copy of transcript must be submitted with application form. (Note: a three-credit course meets three hours per week for 16 weeks for a total of 48 clock hours). Science courses taken within a massage therapy curriculum do not count toward the required hours. **Note: The science requirement is automatically met by those who provide current unrestricted state licenses or registrations from the following disciplines: RN, OT, COTA, PT, PTA, MD, DO, DC, and MT trained in Canada in a 2200-hour program. These individuals should not submit transcripts.&nbsp;For more detailed information regarding LANA’s Training Program Standards please click on <a href="https://www.clt-lana.org/uploads/2020/LANA%20Policy%20%20Procedures%20Manual.docx">LANA’s Policies &amp; Procedure Manual </a>(Roman numeral I, p. 53)

LANA’s Educational Policy Reminders for Candidates & Training Programs

LANA is very excited to announce that you are now able to schedule and sit for your exam from the safety of your home.&nbsp; Working with our exam administration partner, Prometric, we have implemented a remote proctoring solution that is now available to all candidates immediately.&nbsp; You will need a camera, microphone, quiet and well-lit room, and clean area if you wish to utilize this testing solution. Simply follow the registration instructions previously emailed to you and click or ask for the remote proctored option. To prepare for your exam session you will: •	<a href="https://www.prometric.com/sites/default/files/2019-10/PrometricProUserGuide.pdf" target="_blank">CLICK HERE</a> to review the ProProctor User Guide in preparation for your exam. •	Carefully read the Remote Proctoring Regulations listed below and adjust your testing environment accordingly. •	PRIOR to your exam launch, <a href="https://rpcandidate.prometric.com/" target="_blank">CLICK HERE</a> to install the ProProctor Application and perform a System Check Some testing sites are open, following CDC guidelines. For a list of open sites please visit: https://www.prometric.com/site-openings If you are looking to schedule a new appointment, you can search for available appointments on our website, www.iqttesting.com. If you have any questions, please do not hesitate to contact us.

REMOTE PROCTORED TESTING IS NOW AVAILABLE

Covid -19&nbsp; Hardship Recertification Extension - LANA is waiving the 6-month late fee for recertifications that were due by the end of 2020. In addition, CLT-LANAs may earn up to 10 free LANA continuing education hours in 2021 towards their 2014-2020 recertification. (normally contact hours after expiration period do not get counted). Recertifications received between July 1- 12/31/2021 that were due in 2020 will be charged a late fee of $50 (normally $100).<div>LANA has been made aware of emails sent out from SMT testing company regarding recertification. Please disregard - they are inaccurate. You may check when your certification is due for renewal through the LANA website under "Find a Therapist" or under your account.</div>

Recertification: Important Information Regarding CLT-LANA Renewals

Certificate v Certification

​Join Lympha Press Chief Medical Officer Dr. Karen Herbst and other thought leaders on the first Monday of every month to discuss the latest research on lymphedema, lipedema, CVI, and wounds. This month, Dr. Jaime Schwartz will be joining us to discuss lipedema.​​This webinar is intended for participation by medical professionals only. No medical advice will​ be dispensed and the content is for educational purposes only.​​

Research Roundtable

​Do patients ever return to the clinic because they were not successful managing their chronic edema at home? Join us for this webinar as we explore compression options in depth so you can feel more confident in identifying a successful edema management plan that suits each individual patient.​

Webinar 06-06-2023 Compression Today & Tomorrow! Is there a perfect solution for your patient? With Melissa Witbeck

The LANA office will be closed Monday 6/12 through Tuesday 6/20/2023. All exam and recertification applications will be reviewed when we return. Thank you for your patience. 

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