ADDENDUM I TO POSITION PAPER ON THE BNL MARSHALL ISLAND PROGRAM (DATED DECEMBER lst, 1978) Dr. Wyzen of the DOE has asked for amplification of the role of the BNL resident physician under each of the options listed in the basic position paper. Dr. Conard and 1 feel the role of the resident physician under Option A (the detection and treatment of radiation-related pathology in exposed and con- trol populations) should be outlined as follows: 1. The resident physician's (RP) primary responsibility is to function as the on-site coordinator of the BNL program. He is responsible, in addition, for _the supervision of the daily follow-up and treatment of the exposed and control groups in the basic research protocol for radiation-related diseases. Additional responsibilities under Option B: (A-plus the care and follow- up of patients in the exposed and control groups found to have non-radiationrelated diseases, e.g., diabetes) would include: i. As in A - plus the medical follow-up and treatment as indicated for those specific conditions found in ancillary studies as part of the BNL field surveys, é.g., diabetes. : Additional responsibilities under Option C: (A and B - plus medical care for all low-level radiation exposed patients who have already gone through full screening - irrespective of findings of disease, e.g., people living on Bikini - April 1978) would include: 1. As in A and B - plus screening, people examined on Bikini (April 1978). 13 follow-up and treatment for the 137