Credentialing of emergency physicians: Support for delineation of privileges in invasive procedures

Autor: Edward A. Ramoska, Todd Warden, Alfred Sacchetti
Rok vydání: 1988
Předmět:
Zdroj: The American Journal of Emergency Medicine. 6:278-281
ISSN: 0735-6757
DOI: 10.1016/0735-6757(88)90017-4
Popis: The American College of Emergency Physicians states in its “Guidelines for Delineation of Clinical Privileges in Emergency Medicine” that a qualified emergency physician “performs such definitive treatment as falls within the physician’s competence.“’ The exact definition as to what treatments or procedures an emergency physician is competent to perform, though, remains nebulous. The resuscitation and stabilization of critical patients is one of the hallmarks of the emergency physician; yet in many institutions emergency physicians are granted very restricted clinical privileges. New emergency physicians or even entire groups of physicians may meet severe resistance from the hospital staff when requesting privileges for invasive procedures. Personal experience has shown this problem of credentialing to be most evident in institutions in which the style of emergency medicine changes abruptly from passive to active with the introduction of newer career emergency physicians. Why emergency physicians should undergo a different credentialing process from the remainder of the medical staff is unclear. Other generalists or specialists need only cite their completion of a residency or special course to be granted specific privileges, whereas emergency physicians may have to petition specific department chairmen for permission to perform invasive procedures. In other situations emer
Databáze: OpenAIRE