Manual:
Hospital and Hospital Clinics
Chapter:
Medical Staff MS
Topic:
Education Expectations for Practitioners – Understanding the Accreditation Requirements
In addition to education required to maintain licensure and certifications, are there additional educational expectations for privileged practitioners?
Any examples are for illustrative purposes only.
Yes. Each practitioner privileged through the medical staff process is expected to participate in hospital-sponsored continuing education (see MS.12.01.01). Such education is based on performance improvement^ activities that focus, at least in part, on the nature of care, treatment, and services offered by the hospital. The organized medical staff, then, determines the curriculum and prioritizes the time frames for completion.
The organized medical staff also determines participation requirements, such as required hours or activities to be completed, the time frame for completing (e.g., annually, each reappointment cycle, etc.), and how participation is documented. Participation is also considered in decisions about reappointment to medical staff membership or renewal/revisions of individual clinical privileges.
Additional examples of hospital-sponsored education requirements for privileged practitioners may be found at:
Yes. Each practitioner privileged through the medical staff process is expected to participate in hospital-sponsored continuing education (see MS.12.01.01). Such education is based on performance improvement^ activities that focus, at least in part, on the nature of care, treatment, and services offered by the hospital. The organized medical staff, then, determines the curriculum and prioritizes the time frames for completion.
The organized medical staff also determines participation requirements, such as required hours or activities to be completed, the time frame for completing (e.g., annually, each reappointment cycle, etc.), and how participation is documented. Participation is also considered in decisions about reappointment to medical staff membership or renewal/revisions of individual clinical privileges.
Additional examples of hospital-sponsored education requirements for privileged practitioners may be found at:
- HR.01.05.03
- MM.09.01.01
^See also MS.05.01.01 and MS.05.01.03.
The organization's accreditation coordinator has access to the manual containing the full text of the standards referenced.
The organization's accreditation coordinator has access to the manual containing the full text of the standards referenced.
Last updated on January 02, 2025
with update notes of: Editorial changes only
First Published Date: February 16, 2022
Last Reviewed Date: February 16, 2022
Last Major Update: February 16, 2022