Fluoroscopy is an x-ray based technique that allows continuous imaging of an instrument, a body part or a dye as each is used during a diagnostic or treatment procedure. In a fluoroscopy procedure, an x-ray is passed through the body and the images transmitted to a monitor so that movement can be detected and evaluated. Significant levels of ionizing radiation, however, may injure both the patient and the practitioner if safety precautions are not maintained. Image quality and diagnostic utility may also be affected by the capabilities of the professional carrying out the technique.

Following two years of intensive discussions, regulatory revisions to 105 CMR 120.400 X-rays in the Healing Arts, were approved by the Public Health Council (PHC) and published in the MA register on March 2, 2012.  The MDPH Bureau of Environmental Health’s Radiation Control Program (RCP) worked with the MDPH Office of the General Counsel, the MDPH Bureau of Health Care Safety and Quality’s Board of Registration of Physician Assistants (BORPA), the Board of Registration in Medicine (BORIM), the Massachusetts Association of Physician Assistants (MAPA) and other stakeholders to review educational requirements to authorize physician assistants (PAs) to perform fluoroscopic procedures in Massachusetts. The regulations establish the educational and credentialing requirements necessary for PAs to perform fluoroscopic procedures.

The revised regulations allow PAs to perform fluoroscopic procedures as delegated by their supervising physicians only after completion of rigorous didactic and supervised clinical training. PAs will also be required to pass an examination provided by the American Registry of Radiologic Technologists (ARRT). These measures will ensure that practicing PAs understand how to accurately and safely utilize fluoroscopy.  The specific RCP regulations are found at 105 CMR 120.405(K). In addition, regulations developed under the Board of Registration of Physician Assistants may be found at 263 CMR 5.04 and 263 CMR 5.08.

Further information on the new regulatory changes and educational requirements may be found below.


MDPH RCP regulations:

BORPA regulations:

BORIM regulations: 243 CMR 2: Licensing and The Practice of Medicine  pdf format of 243 CMR 2: Licensing and The Practice of Medicine
doc format of                             243 CMR 2: Licensing and The Practice of Medicine

Link to AART: https://www.arrt.org/

This information is provided by the Radiation Control Program within the Department of Public Health.