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PubMedDate not supplied

Reciprocity, credentials, or the same old politics?

In Wyoming--and in view of the ADA's policy, probably throughout the United States--dentists and dental hygienists are dissatisfied with current licensing procedures. That is not to imply that state licensing boards should be eliminated. They should continue to oversee licensure and perform their other important functions. Accreditation involves strict requirements for dental schools. In turn, the schools require their students to pass the National or Regional Board Examinations, or both. That seems sufficient to ensure professional competence of new graduates. The dental schools should be permitted to act as the principal screening mechanism; successful completion of their requirements should be sufficient for licensure, after the other requirements are met. We urge the Wyoming Board of Dental Examiners and other state boards to adopt new standards for licensure, with successful completion of National Board examinations and any of the Regional Board examinations as the standard.

Attitude of Health Personnel↗
PubMed2002

Medical staff appointment and delineation of pediatric privileges in hospitals.

The review and verification of credentials and the granting of clinical privileges are required of every hospital to ensure that members of the medical staff are competent and qualified to provide specified levels of patient care. The credentialing process involves the following: 1) assessment of the professional and personal background of each practitioner seeking privileges; 2) assignment of privileges appropriate for the clinician's training and experience; 3) ongoing monitoring of the professional activities of each staff member; and 4) periodic reappointment to the medical staff on the basis of objectively measured performance. This statement examines the essential elements of a credentials review for initial and renewed medical staff appointments along with suggested criteria for the delineation of clinical privileges. Sample forms for the delineation of privileges can be found on the American Academy of Pediatrics Web site (http://www.aap.org/visit/cmte19.htm). Because of the differences in individual hospitals, no one method for credentialing is universally applicable. The medical staff of each hospital must, therefore, establish its own process based on the general principles reviewed in this statement. The issues of medical staff membership and credentialing have become very complex, and institutions and medical staffs are vulnerable to legal action. Consequently, it is advisable for hospitals and medical staffs to obtain expert legal advice when medical staff bylaws are constructed or revised.

Child↗