Moore W S, Treiman R L, Hertzer N R, Veith F J, Perry M O, Ernst C B
Department of Surgery, UCLA Center for the Health Sciences, 90024-1749.
J Vasc Surg. 1989 Dec;10(6):678-82. doi: 10.1067/mva.1989.16916.
This is a report by an ad hoc committee to the Joint Council of the Society for Vascular Surgery and the International Society for Cardiovascular Surgery (North American Chapter) concerning guidelines that hospitals may use or modify when judging individual applicants for hospital and operating room privileges in vascular surgery. The committee recognizes that the completion of training and obtaining a board certificate is testimony to the qualification but not necessarily the competence of an individual to practice vascular surgery. This report identifies three categories of applicant for privileges in vascular surgery; the surgeon who just completed training, the surgeon who completed training after 1984, and the surgeon who completed training before 1984. In addition, the committee recognizes the importance of periodic vascular surgery privileges renewal for established surgeons. Several pathways are defined for use by hospital privilege committees to evaluate the competence of an individual to be granted privileges in general vascular surgery. The ad hoc committee also has outlined a program for evaluation of established surgeons for renewing privileges in vascular surgery using a mechanism of case outcome audit. Finally, a review mechanism, potential corrective actions, and an appeals mechanism are also suggested. This report represents optimal criteria that may require modification by individual hospitals to meet local community needs and standards. It is the hope of the ad hoc committee that this report will help hospitals and practicing physicians improve the quality of care and treatment outcome in patients with vascular disease.
这是一个特别委员会提交给血管外科学会和国际心血管外科学会（北美分会）联合委员会的报告，内容涉及医院在评判血管外科医院及手术室特权的个人申请者时可能会使用或修改的指南。委员会认识到，完成培训并获得委员会认证证明了个人具备从事血管外科的资格，但不一定证明其具备相应能力。本报告确定了血管外科特权申请者的三类人员：刚完成培训的外科医生、1984年后完成培训的外科医生以及1984年前完成培训的外科医生。此外，委员会认识到定期更新在职外科医生血管外科特权的重要性。医院特权委员会可采用几种途径来评估个人获得普通血管外科特权的能力。特别委员会还概述了一个使用病例结果审核机制来评估在职外科医生更新血管外科特权的方案。最后，还建议了一个审查机制、可能的纠正措施及上诉机制。本报告提出了最佳标准，各医院可能需要根据当地社区需求和标准进行修改。特别委员会希望本报告能帮助医院和执业医师提高血管疾病患者的护理质量和治疗效果。
