( d) If the Credentials Committee recommends that individuals from different specialties be permitted to request clinical privileges, the Credentials Committee will develop recommendations regarding:
( 1) the appropriate education, training, and experience necessary to perform the clinical privileges in question;
( 2) the clinical indications for when the procedure is appropriate to be performed by individuals in a different clinical specialty;
( 3) the manner of addressing the most common complications that arise, which may be outside of the scope of the clinical privileges that have been granted to the requesting individual;
( 4) the extent( time frame and mechanism) of focused monitoring and supervision that should occur if the privileges are granted in order to confirm competence;
( 5) the manner in which the procedure would be reviewed as part of the Hospital’ s ongoing and focused professional practice evaluation activities( which may include assessment of both long-term and short-term outcomes for all relevant specialties); and
( 6) the impact, if any, on emergency call responsibilities.
( e) The Credentials Committee will forward its recommendations to the MEC, which will review the matter and forward its recommendations to the Board for final action.
( f) Once the above steps have been completed, specific requests from eligible individuals may be processed.
4. A. 7. Physicians and Other Practitioners in Training:
( a) Physicians and other practitioners in training, including but not limited to medical students, residents, advanced practice nurses, and physician assistants in training programs(“ trainees”), will not be granted clinical privileges or appointment to the Medical Staff or the Advanced Practice Provider Staff. The program director, clinical faculty or attending staff member will be responsible for the direction and supervision of the on-site or day-to-day patient care activities of each trainee, who will be permitted to perform only those clinical functions set out in curriculum requirements, affiliation agreements, or training protocols. The director of the applicable training program will be responsible for verifying and evaluating the qualifications of each trainee. The program director or committee must communicate at least annually with the MEC and the Board about the performance of its residents or trainees, patient safety issues, and quality of patient care and must
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