New Privilege List - DI / Radiation Oncology - Sutter Medical Center

Sutter Medical Center, Sacramento
Department Of Diagnostic Imaging & Radiation Oncology - Delineation Of Privileges
NAME:
Request Privilege Appointment Requirements Proctoring Required
[ ] I. GENERAL DIAGNOSTIC IMAGING
All aspects of patient management, exclusive of those
listed below, which are within the generally recognized
scope of Radiological practice.
[ ] Stereotactic Breast Biopsy
Stereotactic localization of breast lesions involves the
use of dedicated radiographic equipment for targeting
radiopaque breast lesions for subsequent biopsy.
Stereotactic core needle type biopsy involves the use of
the same radiographic equipment for localizing and
subsequently performing percutaneous core needle type
biopsy of breast lesions.
Radiology Certificate Required
Basic understanding of radiographic equipment and
interpretation of mammographic abnormalities should be
documented by certification of the American Board of
Radiology and American College of Radiology,
respectively. Physicians should meet the qualifications
from the ACR standards for screening mammography
and diagnostic mammography and problem solving
breast evaluation and attest they meet Mammography
Quality Standards Act (MQSA) standards.
1. Specific experience and/or training may be
documented by either of the following means:
a. satisfactory completion of an accredited
residency program which includes a minimum
of twenty-five (25) stereotactic breast biopsy
procedures;– OR –
b. post graduate applicant should demonstrate
competency by:
1. Documentation of thirty (30) stereotactic
localization and/or breast biopsy
procedures with appropriate follow up
documentation,
– OR –
2. Documentation of involvement in twenty-five (25)
stereotactic localization and/or breast biopsy
procedures under the supervision of a qualified
physician preceptor and three hours of Category I
CME didactic instruction in stereotactic biopsy.
First five (5) cases
AND
Evaluations at 3, 6 &
12 Months.
NONE
Reappointment
Requirements
None
Minimum of
twenty-five (25)
cases in a two year
period.
Number
Performed
N/A
(Continued on next page)
• At least one half of these cases must be
performed at the equivalent level of the
primary operator.
Page 2 of 17
Note: Approval is subject to the terms of the hospital's exclusive contract for Radiology services, i.e., approval is for second opinion consultations only, it being understood that the
hospital's contracting Radiologists are primarily responsible for these services.