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Clinical Competence in Continuous Arteriovenous Hemofiltration

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▸Requests for reprints should be addressed to Linda Johnson White, Director; Department of Scientific Policy, American College of Physicians, 4200 Pine Street; Philadelphia, PA 19104.

*This paper is the eighth in a series being published as a position of the American College of Physicians. It was authored by Jeffrey L. Carson, M.D., and was developed for the Clinical Privileges Project Steering Committee by the Clinical Privileges Subcommittee on Nephrology: Richard J. Kahn, M.D., Chairman; Thomas F. Ferris, M.D. (representing the American Society of Nephrology); Paul L. Kimmel, M.D.; Robert J. Rubin, M.D.; and Stanley Goldfarb, M.D. Members of the Clinical Privileges Project Steering Committee were Eugene A. Hildreth, M.D., Chairman; Whitney W. Addington, M.D.; James A. Cowan, M.D.; William E. Golden, M.D.; William A. Reynolds, M.D.; James S. Roberts, M.D.; Sankey V. Williams, M.D.; and Linda L. Blank (Consultant). This paper was approved by the Health and Public Policy Committee on 25 March 1987 and the Board of Regents on 30 March 1987.This series will be published, along with other privilege delineation guidelines, in a collection, the availability of which will be announced later. The collection will include the "Guide to the Use of American College of Physicians Statements on Clinical Competence" which appeared on pages 588 to 589 of the October 1987 issue.

AMERICAN COLLEGE OF PHYSICIANS; Philadelphia, Pennsylvania

© 1988 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1988;108(6):900-902. doi:10.7326/0003-4819-108-6-900
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The selective granting of clinical staff privileges to physicians is one of the primary mechanisms used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Hospitals requires that the granting of initial or continuing medical staff privileges be based on assessments of applicants against professional criteria that are specified in the medical staff bylaws. Physicians themselves are thus charged with identifying the criteria that constitute professional competence and with evaluating their peers on the basis of such criteria. Yet the process of evaluating a physician's knowledge and competence is often constrained by the evaluator's own


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