Medical Staff

Ask the expert: Who should be responsible for proctoring costs?

Medical Staff Leader Connection, October 18, 2007

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In most organizations, the hospital or parent institution incurs the cost of proctoring. In some locales, however, the medical staff treasury pays. It is also reasonable to require the physician under review to cover proctoring costs. Where this is the practice, you should clearly state in the medical staff bylaws that this financial burden is placed on physicians whose performance raises competency questions. A number of institutions require the physician under review to share the cost of proctoring, with a portion borne by the hospital and a portion by the doctor.

Proctoring and Focused Professional Practice Evaluation: Practical Approaches to Verifying Physician Competence, by Robert J. Marder, MD, Mark A. Smith, MD, MBA, FACS; and Todd Sagin, MD, JD, published by HCPro, Inc., uses a combination of principles, case studies, and practical tools to help you develop a fair, cost-effective, and standardized process for managing physician competency data.



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