Ask the expert: Can I develop a single FPPE policy for the entire medical staff?
Credentialing Resource Center Connection, November 8, 2007
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Avoid a "one-size-fits-all" mentality when structuring your organization's approach to FPPE. Although such an approach may make your policy simpler, it creates unnecessary work for physicians who don't require as much review. Although hospitals should develop FPPE plans for each individual situation, all FPPE's should have the same goal: to provide the medical staff with the information it needs to ensure the competency of the physician under review.
For example, a newly trained resident who had a closely monitored training period may not require the same amount of proctoring as a physician who is coming off a five-year sabbatical during which he or she has not provided any patient care. Although your FPPE policy should include guidelines for proctoring methods and amounts of proctoring necessary, best practice dictates that the organization develops a unique proctoring plan for each physician that is appropriate for his or her situation.
This advice was taken from Measuring Physician Competency: How to Collect, Assess, and Provide Performance Data, second edition, by Robert Marder, MD, Mark Smith, MD, Marla Smith, MHSA, and Vicki Searcy, CPMSM, available here.
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