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Clinical Competence in Diagnostic Esophagogastroduodenoscopy

HEALTH AND PUBLIC POLICY COMMITTEE*
[+] Article and Author Information

▸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 third in a series being published as a position of the American College of Physicians. It was authored by Katherine L. Kahn, M.D., and Robert S. Wigton, M.D., and was developed for the Clinical Privileges Project Steering Committee by the Clinical Privileges Subcommittee on Gastroenterology: Daniel Ellis, M.D., Chairman; James L. Achord, M. D., (representing the American College of Gastroenterology); Sidney Cohen, M.D., (representing the American Gastroenterological Association); Katherine L. Kahn, M.D.; and Jack A. Vennes, M.D. (representing the American Society of Gastrointestinal Endoscopy). 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.; 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 ACP Statements on Clinical Competence," which appeared on pages 588-9 of the October issue.


© 1987 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1987;107(6):937-939. doi:10.7326/0003-4819-107-6-937
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This excerpt has been provided in the absence of an abstract.

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 Health Organizations 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

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