Abstract
Background
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).
Objective
To assess pediatric interventional radiologists’ knowledge of how institutions grant them privileges.
Materials and methods
Members of the Society for Pediatric Interventional Radiology (SPIR) were sent a web-based survey regarding credentialing.
Results
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.
Conclusion
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Donnelly LF (2007) Performance-based assessment of radiology practitioners: promoting improvement in accordance with the 2007 Joint Commission standards. J Am Coll Radiol 4:699–703
Steele JR, Hovsepian DM, Schomer DF (2010) The Joint Commission practice performance evaluation: a primer for radiologists. J Am Coll Radiol 7:425–430
Mendiratta-Lala M, Eisenberg RL, Steele JR et al (2011) Quality initiatives: measuring and managing the procedural competency of radiologists. Radiographics 31:1477–1488
Sidhu MK, James CA, Harned RK II et al (2007) Pediatric interventional radiology workforce survey summary. Pediatr Radiol 37:113–115
The Joint Commission (2010) Standards FAQ details. Available via http://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFaqId=213&ProgramId=1. Accessed 27 June 2012
Birkmeyer JD, Stukel TA, Siewers AE et al (2003) Surgeon volume and operative mortality in the United States. N Engl J Med 349:2117–2127
Murphy TP, Kuo MD, Benenati JF et al (2011) Society of Interventional Radiology position statement on the maintenance of credentials for image-guided interventions. J Vasc Interv Radiol 22:1353–1354
Conflicts of interest
The author declares no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Harned, R.K. Familiarity with current practices of granting and maintaining privileges in pediatric interventional radiology—a worldwide survey of the members of the Society for Pediatric Interventional Radiology (SPIR). Pediatr Radiol 42, 1316–1321 (2012). https://doi.org/10.1007/s00247-012-2456-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-012-2456-5