( d ) The Medical Staff Office will oversee the process of gathering and verifying relevant information . The Medical Staff Office will also be responsible for confirming that all relevant information has been received .
( e ) Appointment terms will not extend beyond three years . 5 . C . 2 . Processing Applications for Reappointment :
( a ) The Medical Staff Office will forward the application to the relevant department chair / section chief and the application for reappointment will be processed in a manner consistent with applications for initial appointment . The process outlined in Section 3 . B of this Manual reflecting a streamlined and traditional approach may be followed for reappointment as well .
( b ) Additional information may be requested from the applicant if any questions or concerns are raised with the application or if new privileges are requested .
5 . C . 3 . Conditional Reappointments :
( a ) Recommendations for reappointment may be subject to an applicant ’ s compliance with specific conditions . These conditions may relate to behavior ( e . g ., professional code of conduct ) or to clinical issues ( e . g ., general consultation requirements , proctoring , completion of CME requirements ). Recommendations for reappointment and the renewal of clinical privileges may be for less than the full appointment term in order to permit closer monitoring of a member ’ s clinical performance , professional conduct , and ongoing qualifications for appointment and privileges .
( b ) A recommendation for conditional reappointment or reappointment for a period of less than the full appointment term does not , in and of itself , entitle a member to request a hearing or appeal .
( c ) If questions or concerns are being addressed at reappointment or in the event the applicant for reappointment is the subject of an investigation or a hearing at the time reappointment is being considered , a conditional reappointment for a period of less than the full appointment term may be granted pending the completion of that process .
5 . C . 4 . Potential Adverse Recommendation :
( a ) If the Credentials Committee or MEC is considering a recommendation to deny reappointment or to reduce clinical privileges , the committee chair will notify the member of the possible recommendation and invite the member to meet prior to any final recommendation being made .
4877-0873-6192 , v . 3 36