Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 127.000 - Licensing Of Mammography Facilities
Requirements
Section 127.011 - Requirements of the Responsible Physician
Universal Citation: 105 CMR 127.000 MA Code of Regs 127.011
Current through Register 1531, September 27, 2024
(A) Responsible Physician Qualifications A physician shall be qualified to be designated as a Responsible Physician if he or she holds a current Massachusetts license issued by the Board of Registration in Medicine and is in compliance with applicable regulations issued by the Board of Registration in Medicine, including 243 CMR 2.07(24)(g).
(B) Responsible Physician Duties The Responsible Physician shall be responsible for:
(1) Establishing and maintaining an ongoing
quality assurance program in accordance with
105 CMR
127.018;
(2) Establishing a Quality Assurance
Procedures Manual as specified in
105 CMR
127.018(B);
(3) Conducting and documenting an annual
review of the Quality Assurance Procedures Manual;
(4) Ensuring that test equipment and
materials as specified in the Quality Assurance Procedures
Manual are available to perform quality control tests and to record
and interpret results;
(5) Ensuring
that staffing and scheduling are arranged so that adequate time is available to
perform quality assurance tests and to record and interpret results;
(6) Ensuring that a designated individual
oversees the radiation protection program for employees, patients, and other
individuals in the surrounding area;
(7) Ensuring that records concerning employee
qualifications, mammography technique and procedures, quality assurance,
safety, and protection are properly maintained and updated in the
Quality Assurance Procedures Manual;
(8) Evaluating the Mammography Radiologic
Technologist's performance during the first three months of employment and
annually thereafter;
(9) Ensuring
that:
(a) Mammography Radiologic Technologists
meet mammography training and continuing education standards as defined in
105 CMR
127.012; and,
(b) A Mammography Radiologic Technologist is
selected to be the quality assurance technologist, who is personally
responsible for maintaining mammography quality and performing the quality
assurance tests defined in
105 CMR 127.019(C)(1)
through (4), and (10), the results of which
are reviewed at least quarterly by the Responsible
Physician;
(10) Ensuring
that:
(a) All Medical Physicists meet
mammography training and education standards of
105 CMR
127.013;
(b) A designated Medical Physicist
establishes and evaluates the equipment quality assurance program;
and
(c) All Medical Physicist's
reports and results are reviewed by the Responsible Physician within a
reasonable time of completion of the tests however in any case no longer than
30 days of completion of the tests;
(11) Ensuring that the Responsible Physician
and Interpreting Physician meet mammography training and education standards
outlined in 105 CMR 127.011 and
127.014;
(12) Ensuring that an ongoing program to
assess the quality of mammographic interpretation is implemented; and
(13) Ensuring that the Interpreting Physician
is complying with the reporting requirements of
105 CMR
127.020(B).
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