Md. Code Regs. 30.08.05.04
PARC | I | II | III | ED | |
A. Credentialing Process. Each physician and Advanced Practice Professional (APP) shall be credentialed by the hospital for the appropriate specialty, including trauma care. | E | E | E | E | E |
B. Delineation or Reevaluation of Privileges: | E | E | E | E | NA |
(1) The trauma physicians and APPs shall be limited to those with demonstrated skills, commitment, experiences, and interest in trauma care. | E | E | E | E | NA |
(2) The trauma medical director shall serve on the medical staff as the trauma chief of service. | E | E | E | E | NA |
(3) Appointment and reappointment to the trauma admitting or consulting staff shall be coordinated by the trauma medical director and based on the following criteria: | E | E | E | E | NA |
(a) Maintenance of good standing in the primary specialty; | E | E | E | E | NA |
(b) Evidence of the required continuing medical education in trauma, including: | |||||
(i) For general surgeons taking trauma calls evidence of 16 hours of trauma-related CME credits a year; | E | E | E | E | NA |
(ii) Over a 2-year period, half of the CME hours shall be obtained outside the hospital and be recognized by a national accrediting body; | E | E | D | D | NA |
(iii) ATLSTM which may be counted in required CME credits; and | E | E | E | E | NA |
(iv) Physician CME credits shall be documented in accordance with hospital policy. | E | E | E | E | NA |
(c) Documented attendance at Trauma QM meetings, as those meetings are institutionally defined, of no less than monthly averaged over 12 months; | E | NA | NA | NA | NA |
(d) Documented attendance at Trauma multidisciplinary meetings, Morbidity and Mortality (M and M) rounds, or hospital peer-review conference that deal with the care of injured patients; and | NA | E | E | E | NA |
(e) Satisfactory performance in managing trauma patients based on performance assessment and outcome analysis. | E | E | E | E | NA |
Md. Code Regs. 30.08.05.04