Radiology Scope of Practice Issues


Discussion

Scope of practice in radiology has historically focused on making sure that individuals performing radiological procedures have the requisite training and education to ensure quality exams.  Since the inception of the Consumer-Patient Radiation Health and Safety Act of 1981, 35 states license, regulate or register radiographers; 28 states license radiation therapists; and only 22 states license nuclear medicine technologists.  Thirteen states do not require licensure of any kind for persons who perform or plan medical imaging examinations and radiation therapy treatments.  Congress has introduced legislation (S.1197 and H.R. 1214, known as the RadCARE Act) aimed at providing minimum standards for personnel performing diagnostic radiology and radiation oncology services. 

Some states have developed scope of practice laws with respect to nurse practitioners and physician assistants that would allow for the performance of diagnostic procedures.  In addition, academic programs for radiologist assistants are being developed to stem workforce shortages in radiology.  These specially trained and certified, advanced-practice radiologic technologists may perform additional studies attracting greater numbers to the field. 

ACR Position

  • The ACR strongly believes that any personnel performing radiology services must have the appropriate level of education and training to provide quality services to patients.  
  • The ACR also strongly believes that only qualified physicians should interpret radiological exams.  
  • The ACR will continue to work with state legislators to pass radiologic technologist and medical physicist licensure laws in an effort to enhance patient care.  
  • The ACR Council recently supported a joint statement made with the American Society of Radiologic Technologists outlining the roles and responsibilities of a new professional position, the Radiologist Assistant.  This year, the Montana legislature passed House Bill 501 paving the way to develop the Radiologist Assistant based on guidelines adopted by the American College of Radiology and the American Society of Radiologic Technologists.  
  • The ACR supports Congressional efforts to require appropriate standards for persons performing radiology procedures.

Contact

For further information on radiology scope of practice issues, please contact Ariel González at the ACR offices (800) 227-5463, ext. 4488.