Pennsylvania Requirements for the Safe Use of Medical Fluoroscopy

Per Commonwealth of Pennsylvania, Environmental Protection Standards, Title 25, Section 221.16, it is the responsibility of the X-ray registrant to ensure that the individual who operates an X-ray system is adequately trained in the safe use of the equipment. Training shall include the 18 specific topics listed in the regulations and continuing education is required for all operators of fluoroscopic equipment.

What training topics does Pennsylvania require?

Basic Properties of Radiation
Units of Measurement
Sources of Radiation Exposure
Methods of Radiation Protection
Biological Effects of Radiation Exposure
X-ray Equipment
Imaging Recording and Processing
Patient Exposure and Positioning
Procedures
Quality Assurance Program
Dose reduction, monitoring and recording procedures
Units of measurement and dose, such as dose-area product values, CT dose index and air kerma
Factors affecting fluoroscopic outputs
High-level control options
Dose management including dose reduction techniques, monitoring and recording
Principles and operation of fluoroscopic X-ray systems
Fluoroscopic and fluorographic outputs of each mode of operation
Applicable State and Federal regulations.

Recommended Training for Fluoroscope Operators in PA:

Training Phase	Operators performing “High Risk” procedures	Operators performing “Low Risk” procedures
Initial training	Advanced Training Program	Basic Training Program
Ongoing training	Annual Training for Individuals Who Use Fluoroscopic Equipment (every 2 years)	Annual Training for Individuals Who Use Fluoroscopic Equipment (every 4 years)

This program is also approved for MOC and SA-CME credit...

This program is also approved for Self-Assessment CME (SA-CME) credit by most American Board of Medical Specialties (ABMS) members including the American Board of Internal Medicine, American Board of Radiology, American Board of Surgery and American Board of Physical Medicine and Rehabilitation. Click here for more details on MOC for ABMS member boards.

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