<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.32.10.12" title_num="10" subtitle_num="32" chapter_num="10" heading="Request for Radiologist Assistant to Perform Advanced Procedures.">
  <paragraph num="A.">
    <text>Eligibility. The Board may grant a radiologist assistant permission to perform one or more of the procedures specified in Regulation .11E of this chapter based on the following criteria:</text>
    <paragraph num="(1)">
      <text>Evidence of satisfactory completion of an adequate number of cases for the procedure being requested; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Level of supervision of the radiologist assistant, as specified by the radiologist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Request. The radiologist or radiation oncologist and radiologist assistant shall jointly request approval to perform a special procedure by submitting a letter that includes the following information:</text>
    <paragraph num="(1)">
      <text>Special procedures requested; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Documentation of satisfactory completion of an adequate number of cases of the procedure.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Training and Experience. Documentation of successful completion of cases of a procedure may include:</text>
    <paragraph num="(1)">
      <text>Cases submitted to ARRT for registration as a registered radiologist assistant; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Other cases performed under the supervision of a radiologist or radiation oncologist who is present and observing the procedure.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Board Approval.</text>
    <paragraph num="(1)">
      <text>Except as provided in §D(2) of this regulation, a licensed radiologist assistant may not perform any of the procedures specified in Regulation .11E of this chapter until the Board or its designee has approved the special procedure request submitted by the radiologist or radiation oncologist and radiologist assistant.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A licensed radiologist assistant may perform a procedure for training purposes under the direct supervision of a radiologist who is:</text>
      <paragraph num="(a)">
        <text>Physically present with the patient and the radiologist assistant; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Observing the performance of the procedure by the radiologist assistant.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>