4-13. A CLOSER LOOK AT THE X-RAY TECHNOLOGIST
a. The radiologist relies on the skill and expertise of the radiographer to provide
the baseline data needed to make an accurate interpretation of diagnostic tests. In
addition, the radiologist relies on the radiographer to execute correct procedures for
radiological intervention and treatment. It is the radiologist who determines the dosage
for the treatment of a specific tumor. But, it is the radiographer who sets up the
b. Besides taking radiographs, radiographers are now involved in a number of
specialized imaging modalities such as computerized tomography, magnetic resonance
imaging, ultrasonography, angiography and special procedures. X-ray technologists
have to make decisions that affect the radiological examination. In the civilian setting,
advanced degrees in nuclear medicine technology (the equivalent of the 91W MOB)
and diagnostic medical sonography are offered in addition to a basic degree in
radiologic technology. Initiatives are underway in the military to establish advanced
training in the imaging modalities to keep up with the ever-increasing sophistication of
the radiographer's role.
c. While military radiographers are not generally named as defendants in
lawsuits, their actions can contribute to legal action against the government. As for
civilian radiographers, they can be named, though not usually as sole defendants in a
job-related incident. (The plaintiffs and their lawyers go after the "deep pockets," those
with the malpractice insurance to cover hefty settlements.) Thus, if the incident occurs
in a hospital, it is more likely that the hospital and radiologist would be named as
defendants. In a private office, the radiologist and/or radiology group would probably be
named. Even if the radiographer is not named, however, his or her actions can cause
legal action to be brought against the radiologist, and/or the hospital under the
respondeat superior doctrine. The radiologist may be liable for negligent acts of the
radiographer, provided that an employer-employee relationship exists and the negligent
act was committed within the scope of employment. According to Dr. Albert Bundy,
direct liability of the radiographer is a potential reality, "since plaintiffs and attorneys are
constantly searching for new frontiers of medical liability."12
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