Sample Medical Staff Bylaws Language on General Medical Staff Membership Requirements

Sample medical staff bylaws language on general medical staff membership requirements

Qualifications for Membership.

Only practitioners who meet the following criteria shall be eligible to apply for membership to the Medical Staff: physicians with Doctor of Medicine or Doctor of Osteopathy degrees, dentists, or podiatrists who holda current professional license to practice in the State of Texas, as well as a current Texas Department of Public Safety (DPS) narcotics license and Federal Drug Enforcement Agency (DEA) controlled substance certificate*, professional liability insurance in the amount specified by the Board, who can document their background, experience, training, judgment, individual character and demonstrated clinical competence, health status, adherence to the ethics of their profession, and ability to work with others professionally and cooperatively as necessary to fulfill the essential functions of Medical Staff membership and perform the clinical privileges requested with sufficient competence to assure the Medical Staff and Board of Trustees that any patient they treat in the Hospital will receive a high quality of patient care. No practitioner may be entitled to membership on the Medical Staff or to exercise clinical privileges in the Hospital merely by virtue of licensure to practice in this or any other state, or of membership in any professional organization, or of privileges at another hospital.No practitioner may be a member of the Medical Staff or hold clinical privileges if he/she is included on the List of Parties Excluded from Federal Procurement and Non-procurement Programs.

*Pathologists are exempt from holding DPS and/or DEA certificates if these licenses are not required for their practice.

In documentation of experience and training, effective October 2, 2007, physicians and podiatrists applying for initial appointment to the Medical Staff must show completion of an ACGME, AOA, or Council on Podiatric Medical Education approved residency that meets the following criteria. Physicians and podiatrists applying to the Medical Staff must have completed (or are in the last six (6) months of and subsequently complete) an approved residency program of at least three (3) years duration in the specialty in which clinical privileges are held or are being requested. Dentists are not required to complete a residency but must provide documentation of any post-graduate training. In lieu of the above, evidence of clinical experience in an accredited hospital or medical center may be submitted, together with documentation as to fields of work, duties, and responsibilities. This evidence will be submitted to the Credentials Committee for review with recommendation to the MEC and to the Board for final decision.

Source: Hill Country Memorial Hospital in Fredericksburg, Texas. Published with permission.