title: How completely internal medicine residents at a New York State teaching hospital met the expectations of a credentialing protocol.
abstract: The authors conducted a two-year prospective study (1988-1990) to determine whether internal medicine residents at a multi-facility teaching hospital in New York State could meet the expectations of a formal credentialing protocol and receive independent privileges in a timely manner. The study group consisted of 38 first-year residents separated into two subgroups. Subgroup I, seven categorical and 11 preliminary residents, entered the residency program July 1, 1988; subgroup II, seven categorical and 13 preliminary residents, joined the residency July 1, 1989. During the first three months of the 1988-89 academic year, subgroup I showed minimal compliance, obtaining only 11% of the total privileges available. However, subgroup II, working under a protocol that underwent major revisions related to monitoring the credentialing process, showed significant improvement, with 90% of all required privileges credentialed within the first quarter of 1989-90. The findings suggest that a minimal rate of residents' compliance can be improved dramatically by the development of a structured protocol that includes stringent monitoring of the entire credentialing process and formal, regular feedback to the housestaff regarding their progress.
authors.affiliation: Department of Medicine, Millard Fillmore Hospitals, Buffalo, NY 14209.
authors.forename: T F
authors.initials: TF
authors.lastname: Gabryel
authors.forename: M A
authors.initials: MA
authors.lastname: Brierley
authors.forename: J F
authors.initials: JF
authors.lastname: Izzo
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003406:Credentialing / Q000592:standards*; D004282:Documentation; D005246:Feedback; D006746:Hospital Bed Capacity, 500 and over; D006784:Hospitals, Teaching / Q000592:standards*; D006801:Humans; D007388:Internal Medicine / Q000193:education* / Q000592:standards; D007396:Internship and Residency / Q000592:standards*; D008504:Medical Staff Privileges / Q000592:standards*; D009518:New York; D011446:Prospective Studies; D013997:Time Factors