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The National Institute for Occupational Safety and Health (NIOSH) B Reader Program provides the opportunity for physicians to demonstrate proficiency in the International Labour Office (ILO) system for classifying radiographs of pneumoconioses. We summarize trends in participation and examinee attributes and performance during 1987 to 2018.

The National Institute for Occupational Safety and Health B Reader Certification Program—An Update Report (1987 to 2018) and Future Directions