EXPECTATIONS FOR ATTENDING RADIOLOGISTS
Graduated & Progressive Responsibilities for Residents
Beth Israel Deaconess Medical Center
Department of Radiology
1. The attending radiologist has the ultimate responsibility for all diagnostic
and clinical decisions and implementation of those decisions for
patients on the Radiology services.
2. The attending radiologist is responsible for the supervision of all
medical care carried out by Radiology residents and other trainees
working on the Radiology service
3. Attending radiologists supervising the house staff are available at all
times throughout the year for guidance and supervision, regardless
of specialty assignment or rotation. There is no barrier preventing
discussion of clinical matters (and direct supervision when
necessary) at any time. Such discussion and supervision are not only
available they are encouraged. The attending physician is to make clear
to each trainee that it is only failure to seek guidance that will be
4. Attending radiologists are expected to behave in a professional manner at
all times in regard to trainee supervision.
5. All faculty members are expected to have received education in the signs
and consequences of fatigue and sleep deprivation.
• Attending Radiologists at BIDMC are appointed through BIDMC medical
• Attending Radiologists at BIDMC are expected to submit appropriate
documentation for re-credentialing as requested by the medical staff office
in a timely fashion.
• Attending Radiologists are expected to comply with all bylaws and policies
of the Medical Center.
• Attending Radiologists must have a full medical license issued by the
Board of Registration in Medicine, and to renew and maintain licensure at
1. The attending radiologist discusses, reviews, and participates in
the review of each case in conjunction with the residents.
2. The attending radiologist is responsible to sign off on all radiology
3. When the attending physician is `'off call" or signs out, that
attending is expected to clearly indicate to the trainee that they are
delegating coverage to another radiologist. The attending is
responsible to clearly communicate to the chief resident, trainee
and/ or the page operator who is the covering physician.
4. It is the responsibility of the attending radiologist to make sure the
trainee knows how to call for help or advice at all times. Radiology
attending staff supervision is available at all times. If a trainee has
any difficulty contacting an attending physician they should call
the program director, director of the clinical service, or department
5. The radiology attending directly supervises all procedures
performed by residents.
All residents are given the policies of the hospital, GME office and the
department. It is expected that residents will work within the medical center
Radiology residents have completed a minimum of a one-year internship prior to
the radiology residency.
All residents are expected be able to use the hospital computer and Internet to
research patient data and disease processes. In addition they must be able to
use POE for ordering medications and investigations, use the PACS to view
Xrays and the BIDMC Careweb system to look up pertinent patient data. They
need to be able to dictate reports depending on the service to which they are
Resident and faculty members have responsibility for teaching and
supervising medical students on the service. No clinical work (including
diagnostic evaluation) is performed by medical students without supervision
The attending physician is responsible to ascertain the level of training of a
resident. It is expected that trainees will assume increased patient care
responsibilities according to the level of training and experience. Progression in
the radiology program is contingent on demonstrated competence. The program
evaluates individual residents on a regular basis.
Faculty schedules are structured to provide residents with continuous supervision
and consultation. Residents rotate through the subspecialties services during
assigned blocks of the residency.
Lines of responsibility:
Junior Resident (PGY 2 & 3)
Senior Resident (PGY 4 or 5)
Chief Resident (PGY5)
Trainees rotate through the following specialty rotations:
Vascular and interventional
1. The Radiology attending physicians have the responsibility to assure that the
Radiology house officers carry out clinical duties in a competent manner.
Problems are reported to the program director and chairman, who will make
changes in assignment or in residency training as appropriate.
2. All first year Radiology residents (PGY-2) must have successfully
completed an internship. This provides the skills necessary to carry out the duties
of a first year Radiology.
3. Using evaluation reports from the attending physicians on resident
performance during each rotation the program director and department chairman
determine whether the resident is ready to take on the responsibilities of the next
Requirements for Co signatures and Documentation
It is expected that an attending radiologist will be present during all interventions
or procedures performed by residents.
Requirements for Co signatures and Documentation
Attending radiologists are expected to sign off on all radiological reports.
Schedules and coverage
On call schedules for attending physicians shall provide for 24-hour
supervision 7 days per week.
This may be immediately available or adequate supervision from a
reasonable distance within adequate time.
There is a clear chain of command in the event of emergency.
Attendings are expected to provide feedback to the Program Director
about the resident performance during the period of supervision.
Residents are expected to submit evaluations on the attending staff and