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Ask the expert: When must residents be credentialed and privileged?

Credentialing Resource Center Connection, January 29, 2009

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When they work outside of their residency program. Typically, residents are not granted privileges. Instead, they function under the auspices of a residency program. If a house staff physician works as a licensed independent practitioner outside of the residency program, such as when covering the emergency room, he or she must be credentialed and privileged.

Principles of risk management suggest that all trainees who have patient contact should have some sort of credentials review, specific statements regarding the limits of what they can do, and documented supervision. This can be delegated per contract. The hospital also may have employee health requirements, such as TB testing, that these trainees must meet.

This week’s question and answer is from The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, by Kathy Matzka, CPMSM, CPCS.

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