APPENDIX B: Category 2( Traditional)
INITIAL APPLICATION CRITERIA FOR THE DESIGNATION OF APPLICANT FILES
The following criteria define a Category 2( Traditional) application:( 1) The final recommendation is adverse or with limitation;
( 2) The applicant is found to have experienced an involuntary termination of medical staff membership or has a current challenge or a previously successful challenge to licensure or registration;
( 3) With the past five( 5) years, applicant has had two or more malpractice cases filed or one final adverse judgment or settlement in a professional liability action in excess of fifty thousand dollars($ 50,000);
( 4) Applicant changed medical schools or residency programs, except for changes from PGY-1( internship) to a subsequent PGY-2 program or change in specialty, or has gaps in training or practice;
( 5) Applicant has changed practice affiliations more than three times in the past five( 5) years, excluding telemedicine and locum tenens practitioners;
( 6) Applicant has one( 1) or more reference responses that raise concerns or questions;
( 7) Discrepancy is found between information received from the applicant and references or verified information;
( 8) Applicant has an adverse National Practitioner Data Bank report related to behavior;
( 9) The request for privileges is not reasonable based upon applicant’ s experience, training, and demonstrated current competence, and / or is not in compliance with applicable criteria;
( 10) Applicant has potentially relevant physical, mental, and / or emotional health problems;
( 11) Other reasons as determined by a medical staff leader or other representative of the hospital which raise questions about the qualifications, competency, professionalism, or appropriateness of the applicant for membership or privileges.
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