Many professional designations in the United States take the form of post-nominal letters.
Organizations in the United States involved in setting standards for certification include the American National Standards Institute (ANSI) and the Institute for Credentialing Excellence (ICE).
Additionally, many jurisdictions grant some or all judges the right to use postnominal letters, which they generally employ in lieu of "Esq."
", except for the a Presiding Judges of the Family, Civil, Criminal, and General Equity Parts in a vicinage (entitled to the letters "P.J.F.P.
Board of Certification in Emergency Medicine American Association of Physician Specialists May be restricted by state licensure.