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Guide for the Use of American College of Physicians Statements on Clinical Competence

[+] Article, Author, and Disclosure Information

▸Requests for information and 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 was authored by Eugene A. Hildreth, M.D., and Margaret Higgins Radany, MPP, with the Clinical Privileges Project Steering Committee: 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.

Ann Intern Med. 1987;107(4):588-589. doi:10.7326/0003-4819-107-4-588
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The American College of Physicians Statements on Clinical Competence set forth the minimum criteria necessary for competent performance of specific procedures and are intended to facilitate assessments of physician competence during the course of privilege delineation decisions. To use the statements optimally, the following factors should be kept in mind.

1. There are at least four pathways to procedural competence:

a. A physician who completes an accredited residency or fellowship program may achieve certification in the respective specialty, which implies that the physician's procedural skills and competence have been documented in writing. For example, the American Board of Internal Medicine


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