What is the required level of radiologist supervision for a radiologist assistant?
Radiologist supervision of R.R.A.-performed procedures is assumed. The ARRT test-development and education requirements for certification assume that the level of supervision for entry-level R.R.A.s will be at the direct level for clinical procedures. Direct supervision (the definition of which is based upon that of the Centers for Medicare & Medicaid Services [CMS]) is defined as the radiologist present in the radiology facility and immediately available to furnish assistance and direction throughout the performance of the procedure, but not required to be present in the room when the procedure is performed. The assumption of a specific level of supervision is intended to assist in the development of entry-level certification requirements. The actual level of radiologist supervision for an R.R.A. in practice will depend upon the R.R.A.s experience as well as state, institutional, and employer requirements. Best practice for all exams requiring consent includes the radiologist meeting
