• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Gastroenterology
 

Gastroenterology

on

  • 368 views

 

Statistics

Views

Total Views
368
Views on SlideShare
308
Embed Views
60

Actions

Likes
0
Downloads
0
Comments
0

1 Embed 60

http://www.reseauprosante.fr 60

Accessibility

Categories

Upload Details

Uploaded via as Microsoft Word

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Gastroenterology Gastroenterology Document Transcript

    • RENOWN REGIONAL MEDICAL CENTER DELINEATION OF PRIVILEGES GASTROENTEROLOGY SECTIONBASIC EDUCATION: M.D. or D.O.MINIMAL FORMAL TRAINING:Successful completion of a post-graduate residency program in Internal Medicine followed by afellowship in Gastroenterology. Applicant must be Board Certified/or Board Eligible inGastroenterology. These training programs must be ACGME approved.BOARD CERTIFICATION:Those applicants who are not board certified at the time of application but who have completed theirresidency or fellowship training within the last five years shall be eligible for Medical Staff appointment.However, in order to remain eligible, those applicants must achieve board certification in their primaryarea of practice within five (5) years from the date of completion of their residency or fellowshiptraining.REQUIRED PREVIOUS EXPERIENCE:The successful applicant must be able to demonstrate that he or she has provided inpatient orconsultative services for at least 24 patients during the past 12 months.____ Core Privileges in Gastroenterology (CR.GI) Privileges include admission, work up and diagnosis of patients of all ages presenting with illnesses, injuries, and disorders of the stomach, intestines and related structures such as the esophagus, liver, gallbladder, and pancreas, including the provision of consultation. These privileges do not include the following special requests.SPECIAL REQUESTS:These procedures require additional documentation.____ Flexible Sigmoidoscopy (45.24B) Documentation of training and at least 30 cases.____ Colonoscopy (45.25) Documentation of training and at least 140 cases with at least 30 polypectomy cases.____ ERCP (51.10) Documentation of training and at least 150 cases with at least 25 Sphincterotomy cases.____ Esophagogastroduodenoscopy (45.13) Documentation of training and at least 130 cases.____ Esophageal dilation (42.92) Documentation of training and at least 25 cases.Gastroenterology Delineation of PrivilegesApproved: 07/98Revised: 01/07 Page 1 of 4
    • ____ Liver biopsy____ Percutaneous (50.11) Documentation of training and at least 20 cases.____ PEGS (43.11) Documentation of training and at least 15 cases.____ Arterial Cannulation (38.91) Documentation of training and at least 10 cases.____ Central Venous Cannulation (38.93) Documentation of training and at least 10 cases._____ Placement of expandable Intraluminal Stents (Including Biliary) Documentation of training and at least 10 cases._____ EUS: Submucosal Abnormalities Documentation of training at least 40 cases. For competence in imaging both mucosal and submucosal abnormalities, a minimum of 100 supervised cases is recommended. For comprehensive competence in all aspects of EUS a minimum of 150 supervised cases, of which 75 should be pancreatiobiliary and 50 EUS- guided FNA is recommended.______ EUS: Pancreaticobiliary Documentation of training and at least 75 cases. For competence in imaging both mucosal and submucosal abnormalities, a minimum of 100 supervised cases is recommended. For comprehensive competence in all aspects of EUS a minimum of 150 supervised cases, of which 75 should be pancreatiobiliary and 50 EUS-guided FNA is recommended._____ Celiac Blocks (05.31) Comprehensive training or letter from the Program Director._______ MODERATE (CONSCIOUS) SEDATION ANALGESIAThis protocol shall assist in determining the competence of non-anesthesiologists (M.D./D.O./D.D.S./D.M.D.) todirect moderate sedation/analgesia for procedures performed at the hospital. This protocol endorses the ASAGuidelines for Sedation and Analgesia by Non-anesthesiologists and ASA Physical Status Classes I-IV indetermining appropriate candidates for moderate sedation.QUALIFICATIONS/CRITERIA 1. Eligibility: An individual must meet one of the following prerequisite criteria: • Have completed an ACGME/AOA residency or oral surgery residency. • Have attained ABMS Board Certification. • Maintain a current ACLS Certificate. 2. Training/Experience in Sedation/Analgesia. In addition to A.1, one of the following is required. • Formal Training: Specialized training in anesthesiology, if attained in an accredited program, as confirmed by the program director. Eligible Oral Surgeons are deemed to have special training in sedation when a current anesthesiology permit is maintained. • Hospital/Privileges: The physician’s approved privileges from a hospital listing sedation/analgesia privileges, or verification of it from the physician responsible forGastroenterology Delineation of PrivilegesApproved: 07/98Revised: 01/07 Page 2 of 4
    • clinical review (Chairman/Chief/Medical Director). • Clinical Proficiency: Review of educational and self-assessment materials documenting ability to supervise sedation/analgesia, to include pharmacology, timely intervention and adverse occurrences. 3. Self-Assessment Proficiency : The applicant will possess proficiency as follows: • Pharmacology : Familiarity with the pharmacology, contraindications, agonists, and antagonists used for sedation/analgesia; familiarity with pharmaceutical contraindications and adverse results of agonists and antagonists (use appendix D of this Policy). • Didactic Review: Completion of the following: o RRMC Guidelines/Protocol for Moderate Sedation/Analgesia for Procedures. o Summary of ASA Guidelines for Sedation and Analgesia by Non- anesthesiologists. • Successful completion of moderate sedation post test, which evaluates knowledge of pharmacology and didactic review.Mentoring and ReappointmentOngoing proficiency is required to maintain privileges. Mentor reports for concurrently performed invasiveprocedures may be accepted to document initial proficiency.MENTORING AND ELEVATION TO ACTIVE STAFFMembers are eligible to request elevation to Active Staff, consistent with the Bylaws and Credentialing Policies of the Medical Staff.All physicians requesting elevation will have a minimum of ten charts reviewed by their mentor. Medical Records will pull thesecharts at the request of the mentor. Mentor Report Forms will be used to evaluate each chart. These forms are available in MedicalStaff Services and in Medical Records and should be turned in to Medical Staff Services upon completion.REAPPOINTMENT/CURRENT CLINICAL COMPETENCE:All members of the Department of Medicine are reappointed every two years in accordance with the Bylaws and CredentialingPolicies of the Medical Staff. Since reappointment is an affirmation of good clinical practice, each applicant for reappointment shallprovide evidence of 10 patient contacts. If an applicant has not had 10 patient contacts at Renown Regional Medical Center, theapplicant will be asked to provide evidence of 10 patient contacts at another local, JCAHO accredited hospital. The facility will bequeried to ascertain whether or not the physician is in good standing. If the applicant can not provide evidence of 10 patientcontacts at a local hospital, the physician will be asked to submit in writing, his or her reasons for wanting to remain on the medicalstaff. The Department will consider these reasons, and if sufficient, the applicant will be recommended for reappointment. TheGastroenterology Section requires the following: 10 EGDs, 10 colonoscopies, 5 polypectomies, 10 ERCPs, and 3 sphincterotomies._______________________________________ ____________________Applicant Date_______________________________________ _____________________Chief, Gastroenterology Section Date_______________________________________ _____________________Chief, Department of Internal Medicine DateGastroenterology Delineation of PrivilegesApproved: 07/98Revised: 01/07 Page 3 of 4
    • Date of Recommendation by the Credentials & Privileges Committee: _______________Date of Recommendation by the Executive Committee: _______________Date of Approval by the Board of Governors: _______________Gastroenterology Delineation of PrivilegesApproved: 07/98Revised: 01/07 Page 4 of 4