15 Miss. Code. R. 12-32-3.2.2 - Qualifications of Surgeons on the Trauma Team
1. Basic to
qualification for trauma care for any surgeon is Board Certification in a
surgical specialty recognized by the American Board of Medical Specialties, the
Advisory Board for Osteopathic Specialties, the American Dental Association,
the Royal College of Physicians and Surgeons of Canada or other appropriate
foreign board. Many boards require a practice period. Such an individual may be
included when recognition by major professional organizations has been received
in their specialty. The board certification criteria apply to the general
surgeons, orthopedic surgeons, and neurosurgeons.
2. Alternate criteria in lieu of board
certification are as follows:
a. A Non-board
certified general surgeon must have completed a surgical residency
program.
b. He/she must be licensed
to practice medicine.
c. He/she
must be approved by the hospital's credentialing committee for surgical
privileges.
d. The surgeon must
meet all criteria established by the TMD to serve on the trauma team.
e. The surgeon's experience in caring for the
trauma patient must be tracked by the PI program.
f. The TMD must attest to the surgeon's
experience and quality as part of the recurring granting of trauma team
privileges.
g. The TMD, using the
trauma PI program, is responsible for determining each general surgeon's
ability to participate on the trauma team.
3. The surgeon is expected to serve as the
captain of the resuscitating team and is expected to be in the emergency
department upon arrival of the seriously injured patient to make key decisions
about the management of the trauma patient's care. The surgeon will coordinate
all aspects of treatment, including resuscitation, operation, critical care,
recuperation and rehabilitation (as appropriate in a Level II facility) and
determine if the patient needs transport to a higher lever of care. If
transport is required he/she is accountable for coordination of the process
with the receiving physician at the receiving facility. If the patient is to be
admitted to the Level II trauma center, the surgeon is the admitting physician
and will coordinate the patient care while hospitalized. Guidelines should be
written at the local level to determine which types of patients should be
admitted to the Level II trauma center or which patients should be considered
for transfer to a higher level of care.
4. The general surgery liaison, orthopedic
liaison, and neurosurgery liaison must participate in a multi-disciplinary
trauma committee and the PI process. Peer review committee attendance must be
greater than fifty percent (50%) over a year's period of time. General Surgery
physicians must be currently certified in ATLS; ATLS requirements are waived
for Board Certified Emergency Medicine and Board Certified General Surgery
Physicians, and it is desirable that they be involved in at least forty eight
(48) hours of trauma related continuing education (CME) every 3 years. As a
minimum, all other surgeons on the trauma team must participate in the
hospital's internal education plan.
Notes
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