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

Current through Register 1525, July 5, 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).