“B” Reader

An Overview

A knowledgeable team of NIOSH certified “B” Readers are standing by to provide you expert reviews of chest radiographs for the presence of occupational lung disease. Our range of expertise spans from epidemoiological evaluations, surveillance, to worker monitoring programs involving many types of pneumoconosis (lung disease that is often – but not always – caused by inhalation of dust in mines.) This certification is mandatory for physicians who classify chest radiographs for certain federal surveillance projects, such as the NIOSH Coal Workers’ X-ray Surveillance Program, the Asbestos Medical Surveillance Program, and industry-sponsored medical screening programs.

OSHA’s Final Rule on Respirable Crystalline Silica Standards

A new rule from OSHA taking effect in September may require individuals who work in construction, general industry and maritime, and the hydraulic fracturing industries to have chest x-ray reads by a NIOSH certified B-Reader.

OSHA’s final rule to protect workers from exposure to respirable crystalline silica requires engineering controls to keep workers from breathing silica dust.

Read more on the new silica standards

Code of Ethics

  • The B Reader’s primary commitment is to serve the welfare and best interests of patients, workers, and society by striving to classify chest radiographs as accurately as possible
  • B Readers shall uphold the standards of professionalism, be honest and objective in all professional interactions, and strive to report individuals or enterprises that they know to be deficient in character or competence, or engaging in fraud or deception, to appropriate entities
  • B Readers shall recognize the limitations of chest radiograph classifications, and shall not make clinical diagnoses about pneumoconioses based on chest radiograph classification alone
  • When a contemporary chest radiograph is classified, the B Reader shall either take responsibility for assuring to the extent feasible that the examined individual is promptly notified of all clinically important findings or must be assured that another appropriate party is taking that responsibility
  • B Readers shall respect the law; the rights of patients, other health professionals, and clients; and shall safeguard medical information and other confidences within the constraints of the law
  • B Readers shall continue to study and apply advances or changes to the International Labour Office International Classification of Radiographs of Pneumoconioses as specified by the NIOSH B Reader Program
  • In providing expert medical testimony, B Readers shall ensure that the testimony provided is unbiased, medically and scientifically correct, and clinically accurate
  • B Readers shall recognize and disclose any conflicts of interest in the outcome of a chest radiograph classification. B Readers shall not accept compensation that is contingent upon the findings of their chest radiograph classifications or the outcome of compensation proceedings or litigation for which they undertake readings
  • B Readers shall not advertise or publicize themselves through any medium or forum of public communication in an untruthful, misleading, or deceptive manner.
  • B Readers shall promptly report to the NIOSH B Reader Program any revocation or suspension of a medical license, voluntary relinquishment of a medical license or conversion to inactive status, or the voluntary surrender of a medical license while under investigation.