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On Being a Doctor |

Confronting the Bureaucracy

Rebecca D. Elon, MD, MPH
[+] Article and Author Information

From Erickson Health of Howard County, Columbia, MD 21044.


Requests for Single Reprints: Rebecca D. Elon, MD, MPH, 225 Wiltshire Lane, Severna Park, MD 21146; e-mail, Rebecca.Elon@Erickson.com.


Ann Intern Med. 2008;149(9):684-685. doi:10.7326/0003-4819-149-9-200811040-00013
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I was in transition, working to create a new practice. Part of this process involved changing hospital affiliations, so I applied for privileges at 2 community hospitals in neighboring counties. Our state health department has developed a uniform application for medical staff privileging that has eased the pain of having to collect all of those phone numbers, fax numbers, e-mail addresses, names of current program directors, old insurance carriers, and so forth for primary source verification on the application: What I gathered for one application, I could photocopy for the other. But there are still differences between the institutions in what is required for privileging.

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