The purpose of this policy is to provide the Facility Credentials Committee and/or Medical Executive Committee with a tool to evaluate the clinical competence of an Advanced Practice Provider (APP) seeking clinical privileges to perform a procedure for which such Advanced Practice Provider’s current training and experience do not immediately indicate current competence. Proctoring provides an opportunity for objective evaluation of an Advanced Practice Provider's clinical competence to perform a procedure, including the technical and cognitive skills utilized in the performance of the procedure, by the sponsoring and/or the supervising physician(s) who holds current privileges to perform the procedure(s) for which proctoring is being requested. Successful completion of a proctoring program helps to ensure that Advanced Practice Provider seeking clinical privileges at a Atrium Health facility practice in a safe manner, within the standard of care for their specialty and/or subspecialty.
The Facility Credentials Committee and/or Medical Executive Committee may recommend proctoring for any Advanced Practice Provider seeking clinical privileges, including the following:
Advanced Practice Providers may only be proctored by Concurrent Proctoring, i.e. the physician proctor actually observes the Advanced Practice Provider’s work. This method is used so that the medical staff will have first‐hand knowledge necessary to assure that the Advanced Practice Provider is competent.
Proctoring by Simulation is based on actual patient scenarios and images; the new training tool provides valuable experience performing procedures, without compromising patient safety.
Benefits of proctoring by simulation for the physician include:
It is noted that proctoring by simulation may only be obtained through Carolinas College of Health Sciences.
The development of an appropriate proctoring program should take into account the following factors:
In the event that requests for clinical privileges by an Advanced Practice Provider's applicant or existing Advanced Practice Provider, suggest that proctoring would be appropriate, the applicable Department Chief shall recommend the terms of the proctoring, including the type of proctoring, the number of cases required, the length of the proposed program, the names of the proctor(s), and any other details or requirements specific to the procedures to be proctored. The Permission to be Proctored Request Form for the Advanced Practice Provider attached to this Policy should be used. The Chief of the Department shall recommend a suitable proctoring program prior to the commencement of the proctoring. The recommendation of the Chief will be forwarded to the Facility Credentials Committee and/or the Facility Medical Executive Committee for action; however, proctoring shall commence after Chief recommendation.
Upon completion of the proctoring program, the proctoree will submit completed proctoring report forms for all required procedures, as well as, an updated Delineation of Privileges Form requesting the procedure to the Department Chief.
After evaluation of the completed proctoring program and related reports, the Department Chief shall submit a report to the Facility Credentials Committee and/or Medical Executive Committee indicating whether the proctoree should:
This information will be submitted to the Facility Credentials Committee and/or Medical Executive Committee for its review and recommendation.
Requests are processed in the order they are received. A Medical Staff Services Teammate will be in contact with you after your file has been assigned. If you have any questions or have not heard from us, please email us at MSSproviderREQ@AtriumHealth.org.