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Program Information

Fluoroscopy Training and Compliance - Experience of a Large Academic Institution


M Mahesh


M Mahesh*, Johns Hopkins Univ, Baltimore, MD

WE-B-213CD-3 Wednesday 9:00:00 AM - 9:55:00 AM Room: 213CD

Training of physicians performing fluoroscopy is key to patient and staff safety. In the absence of uniform regulations regarding credentialing of physicians performing fluoroscopy, various states have adopted/implemented regulations. State of Maryland requires a 4-hour initial training in fluoroscopy operations and safety and a one-hour refresher course on the same subject once every 2 years. This applies to all physicians performing fluoroscopy with exception to board certified radiologists. The implementation of a program to comply with such regulatory requirements in a large academic center (Johns Hopkins) and the challenges to ensure compliance of all physicians performing fluoroscopy is the focus of this presentation. Along with that, the process on how to prepare and comply for the Joint Commission’s sentinel event policy pertaining to prolonged fluoroscopy will be discussed. In addition, the presentation will also discuss process set in place to comply with regulatory requirements of monitoring personal radiation monitors, other training issues and radiation dose reduction strategies in fluoroscopy.

Learning Objectives:
1. To understand the credentialing and other requirements for physicians performing fluoroscopy.
2. To become familiar with the process set to comply with regulations at a large academic medical center.
3. To be able to utilize the information to implement similar process at other institutions.


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