The role of disability supervisor has a considerable measure of administrative responsibility
and,under the authority of his or her immediate supervisor, has a major role in planning and directingthe disability operations of the agency.
At times, the supervisormay also engage in the technical job of making determinations.
The essential functions of the medical consultant's job include the following tasks:
Performing a full professional evaluationof the case, including the assessment of residual function capacity and, in the case
of mental impairments, performing functions as prescribed in 404.1523a and 416.920a.
Assisting examiners, as necessary, in determining whether proposed development seems likely to provide
sufficient detail about the applicant's impairment to complete the case to the extent
necessary for a disability determination.
Judgingcollectively with the examiner whether:
recontactwith the applicant's physician is indicated;
contactshould be made with other agencies, hospitals, institutions, etc.; and
a consultative examination (CE) should be purchased, including specialty examinations or specific tests deemed necessary.
Making physician to physician contactsto obtain or clarify medical evidence, as needed.
The medical consultant is equally responsible with the examiner for insuring that:
the case is fully documented;
all significantfacts are reflected in the determination;
conflicting evidence is reconciled;
the conclusionreached is sound and rational;
the weightgiven to the evidence is explained;
the reasoning and thought processfollowed in evaluating the evidence are reflected; and
the effect of the impairment(s)on the applicant's work capacity is clearly indicated.
The DDS will conduct necessary on-the-job medical trainingof adjudicative personnel to:
assure uniform understandingof instructions containing medical content, and
eliminate deficienciesin the application of disability evaluation standards, guides, and procedures suggested
by cases returned following subsequent reviews, and first-hand observations.
In addition to the training of individual examiners, periodic formal trainingof the entire examiner staff will be performed.
A medical consultant, preferable the chief medical consultant, will participate in
the DDS's professional relations program.