Understanding the Role of Hospital Privileges for Doctors: Intent and Responsibilities

The term 'hospital privileges' often creates confusion regarding the roles within a hospital environment. While hospital administrations are primarily responsible for day-to-day operations and employee management, the granting of hospital privileges is a distinct process managed by the medical staff.

Management of Hospital Privileges

Hospital privileges are an acknowledgment that a doctor possesses the necessary training and skills to perform specific medical tasks. These privileges are highly specific and are not interchangeable between different specialties. For instance, a doctor privileged to perform pediatric care cannot treat adult patients under normal circumstances, unless in dire emergencies.

The process of granting hospital privileges is rigorous and involves a thorough review of the applicant's credentials, training, experience, any previous lawsuits, and disciplinary actions. This ensures that only competent and qualified doctors are granted the necessary privileges to care for patients in a given facility.

For new doctors, a provisional privileging period is common, during which a senior member of the staff oversees and evaluates the care provided. After the first year, a full set of hospital privileges is typically granted, although the medical staff continues to monitor each practitioner's performance and provide feedback on an annual basis.

Hospital Administration vs. Medical Staff

There has been a concerning trend among hospital boards, many of which are influenced by business rather than healthcare professionals, to take over the process of granting hospital privileges. However, this shift is problematic. Hospital administrators often lack the medical knowledge and motivation needed to effectively oversee and improve the care provided by these healthcare professionals.

Doctor's Obligations and Privileges

Doctors who are granted hospital privileges must adhere to the hospital's rules, regulations, policies, and procedures. These may include consulting responsibilities in the emergency room (ER) and fulfilling other medical duties as assigned.

A synopsis of typical hospital privileges includes:

Parking Pass: A non-reserved parking pass to ensure convenient access to the hospital. Discounted Treatment Rates: A reduced rate for treating the doctor and their spouse. Staff Area Access: Privileged access to a staff-only area to rest or change, which may include access to a coffee machine. Cafeteria Discount: A nominal discount at the hospital cafeteria for the doctor and their spouse. Staff Seating Area: A designated seating area for staff in the cafeteria for meal breaks. Library and Internet Access: Unrestricted access to the hospital library and internet resources. Conference Room Use: Permission to use the hospital's conference room or auditorium for medical conferences specific to their specialty. Laundry Service: Free laundry service for the lab coat and scrubs to maintain proper attire. Transportation: Free transportation for official, non-commercial meetings, such as medical council events or educational conferences.

In return for these privileges, doctors are expected to perform their regular duties, ensuring efficient and effective healthcare delivery. While the value of these privileges as standard operating procedures (SOPs) is not exceptionally high, their convenience is significant in enhancing the overall working conditions and patient care.

Conclusion

The granting of hospital privileges to doctors is a critical component of ensuring high-quality healthcare. It is a process that requires thorough evaluation and oversight to maintain the highest standards of medical practice. Doctors must be aware of their responsibilities and the value they receive in return for their contributions to the healthcare facility.