( 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 periodically with the MEC and the Board about the performance of its residents or trainees , patient safety issues , and quality of patient care and must work with the MEC to assure that all supervising physicians possess clinical privileges commensurate with their supervising activities .
( b ) A physician in training at the fellowship level may request clinical privileges in an area for which they have already completed residency training if they can demonstrate that all necessary eligibility criteria as set forth in this Manual have been met . Requests for such clinical privileges will be reviewed in accordance with the initial credentialing process outlined in this Manual .
( c ) Physicians who are in a residency training program and who wish to moonlight ( outside of the training program ) will be granted specific privileges as set forth in this Manual . A resident who is moonlighting must comply with the institutional and program training requirements . Failure to comply with these requirements or
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