Department of Radiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 East 16th Avenue, B-125, Aurora, CO 80045, USA.
Pediatr Radiol. 2012 Nov;42(11):1316-21. doi: 10.1007/s00247-012-2456-5. Epub 2012 Aug 2.
Physician credentialing is a complex process driven by the demand for quality improvement in health care. In the U.S., the Joint Commission Standard of 2007 has tied hospital accreditation to credentialing through mandated use of the Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE).
To assess pediatric interventional radiologists' knowledge of how institutions grant them privileges.
Members of the Society for Pediatric Interventional Radiology (SPIR) were sent a web-based survey regarding credentialing.
Of 122 members from 19 countries, 81 (66%) responded, and of these 81, 59 (73%) were familiar with their hospital's privileging process. Of 49 U.S. respondents and 32 non-U.S. respondents, 37 (76%) and 17 (53%), respectively, stated that interventional radiology credentialing was different from diagnostic radiology credentialing. Of the 49 U.S. respondents, 24 (49%) reported an OPPE, and of the 32 non-U.S. respondents, 8 (25%) reported an ongoing evaluation. The U.S. OPPE is performed at shorter intervals than its international equivalent.
Four years after the Joint Commission defined the FPPE and OPPE, separate credentialing of pediatric interventional radiology from pediatric diagnostic radiology is more likely in the U.S. than internationally, and U.S. pediatric interventional radiologists are more likely to have a defined ongoing professional evaluation and to be evaluated every 6 months or more frequently. There are many SPIR members who do not know how they obtain privileges and/or are not knowingly subject to an OPPE. This lack of knowledge may affect future education of interventional radiologists as well as the definition of pediatric interventional radiology practices within individual institutions.
医师认证是一个复杂的过程，其驱动力是医疗保健质量改进的需求。在美国，2007 年联合委员会的标准将医院认证与认证挂钩，要求使用重点专业实践评估（FPPE）和持续专业实践评估（OPPE）。
评估儿科介入放射医师对机构授予其特权的了解程度。
向儿科介入放射学会（SPIR）的成员发送了一份关于认证的网络调查。
在来自 19 个国家的 122 名成员中，有 81 名（66%）做出了回应，其中 59 名（73%）熟悉其医院的授权程序。在 49 名美国受访者和 32 名非美国受访者中，分别有 37 名（76%）和 17 名（53%）表示介入放射学认证与诊断放射学认证不同。在 49 名美国受访者中，有 24 名（49%）报告了 OPPE，而在 32 名非美国受访者中，有 8 名（25%）报告了持续评估。美国的 OPPE 间隔时间比国际等效评估更短。
在联合委员会定义了 FPPE 和 OPPE 四年后，美国儿科介入放射学的认证与儿科诊断放射学的认证更有可能分开，而且美国儿科介入放射医师更有可能进行明确的持续专业评估，并且每 6 个月或更频繁地进行评估。有许多 SPIR 成员不知道他们如何获得特权，也不知道他们是否受到 OPPE 的约束。这种缺乏知识可能会影响介入放射学家的未来教育，以及各个机构内儿科介入放射学实践的定义。
