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Ask the expert: Which individuals can formally recommend a bylaws amendment?

Credentialing Resource Center Connection, March 27, 2008

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Most medical staffs allow any member to suggest or submit a proposed bylaw amendment. If the bylaws committee meets regularly (as opposed to an ad hoc committee that meets periodically, for example, every two years to thoroughly review and update the bylaws), then usually the suggested change would go to that committee for consideration. The bylaws committee would then make a recommendation on the proposal to the medical executive committee (MEC). If the staff does not have a bylaws committee, then the suggested change could go directly to the MEC for discussion.

Some bylaws require the MEC to vote positively to recommend the amendment before it goes to the entire medical staff. Others prefer that every proposed amendment be brought forward to the entire medical staff with either a positive or negative MEC recommendation for passage. In either scenario, it is good practice for the MEC to communicate its view of the amendment proposal to the entire staff prior to any vote.

This week's answer is from The Greeley Company Guide to Medical Staff Bylaws, by Todd Sagin, MD, JD and Joseph Cooper, MD, available here.

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