DI 39518.010 Utilization of Staff -- DDS
Regulations 20 CFR 404.1520a; 404.1523a; 404.1546; 416.920a and 416.946
A. Operating policy - disability supervisor's role
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.
B. Operating policy - medical consultant's role
1. Essential functions
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.
2. Case review
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.
3. Medical training
a. New examiner training
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.
b. Periodic training
In addition to the training of individual examiners, periodic formal trainingof the entire examiner staff will be performed.
4. Professional relations
A medical consultant, preferable the chief medical consultant, will participate in the DDS's professional relations program.