BOX 4–1
The Mammography Workforce

Interpreting physician: Interprets mammograms. Initial training and qualifications: Must be a physician with a state license to practice medicine and must be board certified in diagnostic radiology by a Food and Drug Administration- (FDA-) approved body or have 3 months of formal training in mammography (although physicians who qualified under the interim regulations only needed two months). Must have a minimum of 60 hours of documented Continuing Medical Education (CME) in mammography (although physicians who qualified under the interim regulations only needed 40 hours), and have interpreted at least 240 mammograms under the direct supervision of an interpreting physician in the 6 months prior to qualifying. Continuing education: Must teach or complete at least 15 Category I CME hours in mammography every 36 months. Continuing experience: Must interpret a minimum of 960 mammograms every 24 months. The lead interpreting physician in a mammography facility has general responsibility for ensuring that a facility’s quality assurance program meets all of the requirements of Section 900.12(d) through (f). Each facility must also designate at least one audit interpreting physician to review and analyze the medical outcomes audit data. This individual is responsible for documenting the results, for notifying other interpreting physicians of their results and the facility aggregate results, and for documenting the nature of any follow-up actions.


Radiologic technologist (RT): Performs mammographic examinations and prepares films or digitized images for interpretation. Initial training and qualifications: Must be state licensed to perform general radiographic procedures, or have a general certification from an FDA-approved body to perform radiologic examinations. Must complete 40 hours of training specific to mammography, including performance of a minimum of 25 examinations under direct supervision (although technologists who qualified under the interim regulations did not need to perform 25 exams and the number of hours of mammography training was not specified). Continuing education: Must obtain 15 continuing education units every 36 months. Continuing experience: Must perform 200 mammograms every 24 months years.


Medical physicist: Surveys mammography equipment and oversees the equipment-related quality assurance practices of the facility. Initial training and qualifications: Must be board certified in an appropriate specialty area by an FDA-approved body, or be State licensed or approved for medical physics surveys of mammography facilities. Must have a master’s degree or higher in physical science with no less than 20 semester hours or equivalent of college undergraduate- or graduate-level physics. Must complete 20 hours of specialized training in conducting surveys of mammographic facilities. Must survey at least 1 mammography facility and a total of 10 mammography units. (Medical physicists who qualified under the interim regulations could continue to perform surveys under the final regulations with a bachelor’s degree in physical science and 10 semester hours of physics, provided they had 40 hours of training in surveys and had done surveys of at least one facility and 20 mammography units.) Continuing education: Must obtain 15 continuing education units every 36 months. Continuing experience: Must conduct surveys of two facilities and six units every 24 months.



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