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At least 19 recordsLinked to original sources
PubMed1991

How completely internal medicine residents at a New York State teaching hospital met the expectations of a credentialing protocol.

The authors conducted a two-year prospective study (1988-1990) to determine whether internal medicine residents at a multi-facility teaching hospital in New York State could meet the expectations of a formal credentialing protocol and receive independent privileges in a timely manner. The study group consisted of 38 first-year residents separated into two subgroups. Subgroup I, seven categorical and 11 preliminary residents, entered the residency program July 1, 1988; subgroup II, seven categorical and 13 preliminary residents, joined the residency July 1, 1989. During the first three months of the 1988-89 academic year, subgroup I showed minimal compliance, obtaining only 11% of the total privileges available. However, subgroup II, working under a protocol that underwent major revisions related to monitoring the credentialing process, showed significant improvement, with 90% of all required privileges credentialed within the first quarter of 1989-90. The findings suggest that a minimal rate of residents' compliance can be improved dramatically by the development of a structured protocol that includes stringent monitoring of the entire credentialing process and formal, regular feedback to the housestaff regarding their progress.

Clinical Competence↗
PubMed1989

Credentialing: a current perspective and legal background.

This article reviews the development of physician credentialing for hospital privileges over the last 30 yr. Important developments are discussed in the admitting and clinical privilege areas. The second part of the article considers the legal aspects to credentialing and the avenues for challenging credentialing denials. Finally, a generic credentialing form for physicians is presented for use by health care organizations.

Credentialing↗
PubMed1988

Falsification of clinical credentials by physicians applying for ambulatory-staff privileges.

As part of a quality-assurance program, we reviewed the clinical credentials listed on applications from 773 physicians applying for clinical positions in the Humana MedFirst national ambulatory care program between March 1 and December 31, 1986. In 39 applications (5.0 percent), physicians presented false clinical credentials: 27 physicians (3.5 percent) gave false information about their residency, 10 (1.3 percent) falsely reported board certification, and 2 (0.3 percent) provided false information about both residency and board certification. There was no significant difference between the falsification rates among graduates of U.S. medical schools and those among graduates of foreign medical schools, or among those in the various medical specialties. Falsification was more common among physicians recruited locally than among those recruited nationally, and was significantly more common among applicants who graduated before 1970. Because of this sample included only applicants for ambulatory privileges within a single organization, the findings may be of uncertain generalizability to groups of physicians applying for other classes of privileges in other institutions. We conclude that in applying for some clinical privileges, physicians present inaccurate clinical credentials more frequently than might be expected.

Certification↗
PubMed1990

Credentialing protocols used by internal medicine residency programs in New York State.

In the fall of 1988, the Association of Program Directors in Internal Medicine established a New York State (NYS) Task Force to assess the impact of the "Report of the New York State Ad Hoc Advisory Committee on Emergency Services--Supervision and Residents' Working Conditions." Fifty-eight of the 62 NYS internal medicine residencies were surveyed in 1989 and 21 provided copies of their credentialing protocols. Analysis of these protocols identified eight essentials of a viable credentialing protocol, including five present in a majority of the examined protocols. The study produced a master list of procedures with a corresponding range of certification criteria and confirmed most programs had undergone parallel development of remarkably similar protocols, suggesting that a uniform credentialing system was possible and warranted further study.

Credentialing↗
PubMed1990

Medical specialty credentialing in the United States.

Specialty boards serve the function of defining qualifications and issuing credentials to assure the public of the specialist's preparation and skill. Over the past 72 years, 23 such boards have been approved and now issue 31 different types of general specialty certificates and 57 types of subspecialty credentials. For 50 years, the American Board of Medical Specialties has encouraged a system of recertification to demonstrate that the certified specialist has maintained skill and has incorporated the new knowledge associated with advancing medical science. Presently, 17 of the 23 boards are committed to time-limited certificates requiring recertification every seven to ten years, and others are currently planning such a process. New methods of performance assessment are being used for recertification processes. In addition to recertification, the other major change in specialty credentialing is the number of subspecialty certificates sought and authorized. The numbers have increased dramatically during the past 20 years and reflect the advances in science as well as new styles of practice. As a consequence, some specialties are moving toward accreditation without certification to improve training, even if there is no authorized type of certification. Another consequence of subspecialty proliferation is concern about fragmentation of medical care and its effect on the costs of health care.

Certification↗
PubMed1990

Credentials and skills required for hospital food and nutrition department directors.

The perceptions of hospital administrators, food and nutrition department directors, and management dietetic educators were compared with respect to the credentials and administrative skills required for a director of a food and nutrition department in a hospital with 300 beds or more. Questionnaires were mailed to the director of food and nutrition services and the vice president of hospital operations at 132 hospitals in five midwestern states. Fifty-six questionnaires were mailed to all educators on the 1986 to 1988 membership list of the Foodservice Systems Management Education Council. Response rates of directors, administrators, and educators were 68%, 53%, and 82%, respectively. The questionnaire consisted of three parts. Part one addressed credentials required; part two required participants to rank 14 skill categories in order of importance; and part three focused on facility descriptors and credentials of participating administrators and directors. Findings of the survey indicate that the minimum qualifications for department directors were registered dietitian status, at least a bachelor's degree in food and nutrition, and work experience in foodservice systems management. Although administrators ranked foodservice management skills higher than nutrition skills, they ranked nutrition skills significantly (p less than .001) higher than did directors or educators. These findings may guide career development of practitioners who aspire to department director positions.

Attitude of Health Personnel↗
PubMed1975

The dietitian and credentialing.

The meaning and ramifications of credentialing and accreditation have direct and powerful implications for the professional dietitian. There is also intense interest on the part of the public, as it views each profession's role in providing health care, as to the quality and expense ot that care. Each dietitian's analysis of the direction our Association must take in accreditation and credentialing is mandatory to the growth of nutritional care and its responsiveness to the needs of the American people. Issues have been presented and reviewed in this article. Some proposals for change have been suggested. By no means is the issue of accreditation or credentialing static among the health professions. New studies are being started routinely. New ideas and issues are continually being proposed and analyzed. What is good today for the practitioner and the public may be non-functional tomorrow. However, it seems certain that changes are imminent. It is imperative that each member of The American Dietetic Association assume an active role in the decisions that will be made for the future of each of us.

Accreditation↗
PubMed1992

Credentialing in laparoscopic surgery: a survey of physicians.

Laparoscopic surgery is now established as a major advance in modern surgery. Assurance of adequate training and credentialing is still a significant problem. Using laparoscopic cholecystectomy as an example, a survey was conducted to assess what criteria surgeons deem necessary for training and credentialing in a laparoscopic procedure. One hundred and forty-nine questionnaires were completed by surgeons from academic and private practice. A total of 110 (74%) surgeons consider that a course involving a hands-on animal lab should be required. Ninety-two (84%) of them answered that a preceptorship also should be required (average of 6.42 as surgeon and 5.86 as assistant). Ninety-nine (66%) responders believe that a surgeon should serve a probationary period (average of 11.6 cases) with review of morbidity, prior to being given full privileges. No statistical difference was found when comparing the answers of academic surgeons with private practitioners or between surgeons who had performed laparoscopic cholecystectomy and those who had not.

Cholecystectomy↗
PubMed1991

Education and credentialing of the gynecologic laser surgeon.

Gynecologic laser surgery involves the use and understanding of a number of different wavelengths (lasers) and their delivery systems. The educated laser surgeon understands the pros and cons of all the practical wavelengths, their tissue reactions, and their safety features. The laser surgeon may use a colposcope, hysteroscope, laparoscope, or laser handpiece in surgery. Few gynecologists have acquired the necessary expertise to perform laser surgery during residency training. For this reason, attendance at courses that include hands-on laboratory experience has been mandatory. Hospitals, not course directors, credential surgeons to perform laser operations in their operating rooms. The credentialing committee of the hospital must decide which surgeons have been properly trained for laser surgery. Objective criteria have been offered in this chapter in the effort to make the task easier and more fair. As the number of laser surgeons grows, the need for training courses may decrease, because if laser surgery is learned during the residency years, the demand for postgraduate training will decrease. On the other hand, since surgical laser evolution continues, the training center will continue to offer a valuable educational experience.

Credentialing↗
PubMed1990

Certification in nephrology: credentialing issues.

Credentialing with certification does not ensure pay raises or well-known initials, but it does verify personal knowledge and skills needed to practice in a specialty area. This documentation of special knowledge is a starting point for nursing to take control of its practice and for its members to become autonomous and collaborative practitioners. Unification and standardization of the present system will only bring more power and prestige to the credentials. Documenting quality patient care delivered by certified nephrology nurses is the next step in the nephrology field. Lastly, nurses need to unite and support each other during the certification process as it evolves into a well-respected institution.

Certification↗
PubMed1988

Credentialing in dermatologic surgery.

Dermatologic surgeons' rights to perform surgery are being and will be challenged more and more. Some methods of peer review and credentialing are suggested and the specialty is urged to move ahead with formal planning for more training in the surgical aspects of dermatology.

Credentialing↗
PubMedDate not supplied

Mandatory education and credentialing for dental assistants: is it the answer to the manpower crisis?

One reason for the nationwide shortage of dental assistants is lack of professional recognition. This lack of recognition stems from the fact that, unlike dentistry and dental hygiene, dental assisting has no nationally standardized, mandatory requirements for education and credentialing. Dentists acknowledge that the lack of professional recognition is a reason dental assistants frequently give for leaving the profession, as well as a barrier for potential assistants who might enter the profession.

Credentialing↗
PubMed1979

AHA looks at nurse credentialing.

AHA's National Conference on Categories or Nursing Practice explores the weaknesses and strengths of the credentialing system and the ramifications of proposed changes.

Accreditation↗