DAFORMFILLABLE.COM | DA FORM 5441-33 Fillable – Army Pubs 5441-33 PDF – DA FORM 5441-33 is an essential document utilized within the military healthcare system to evaluate clinical privileges specifically for urology. This form ensures that medical professionals have the necessary qualifications and competencies to perform urological procedures and provide patient care effectively. Below is a detailed examination of this form, its purpose, and its application.
DA FORM 5441-33 – Evaluation Of Clinical Privileges – Urology
| Form Number | DA Form 5441-33 |
| Form Title | Evaluation Of Clinical Privileges – Urology |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5441-33
Pub/Form Number: DA FORM 5441-33
Pub/Form Date: 02/01/2004
Pub/Form Title: Evaluation of Clinical Privileges – Urology
Pub/Form Proponent: TSG
Pub/Form Status: ACTIVE
Prescribed Forms/Prescribing Directive: AR 40-68
Footnotes: Requires Privacy Act Statement (AR 340-21), Item Only Produced in Electronic Media
Security Classification: UNCLASSIFIED
Distribution Restriction Code: A – Approved for public release; distribution is unlimited
Pub/Form IDN: 990001
Pub/Form PIN: 081274
Purpose of DA FORM 5441-33
The DA FORM 5441-33 is used to assess the clinical skills and qualifications of urologists within the military. It is part of a broader system to ensure that healthcare providers maintain the highest standards of medical care and are capable of performing their duties safely and effectively.
Key Components of the Form
Personal Information and Credentials
The form begins with sections to capture personal details of the medical professional, including name, rank, and contact information. This is followed by sections for recording educational background, certifications, and licenses, ensuring that only qualified individuals are considered for clinical privileges.
Evaluation Criteria
The core of DA FORM 5441-33 involves a detailed evaluation of various clinical competencies. Evaluators assess the individual’s proficiency in a range of urological procedures and patient management scenarios. The evaluation criteria are comprehensive, covering both surgical and non-surgical aspects of urology.
Key evaluation areas include:
- Diagnostic procedures
- Surgical skills
- Patient management
- Emergency response
- Ethical practices
Each competency is rated based on performance during practical examinations and clinical practice, ensuring a thorough assessment of the medical professional’s capabilities.
Importance of the Form
DA FORM 5441-33 is crucial for maintaining high standards in military healthcare. By rigorously evaluating urologists, the military ensures that only those with proven skills and knowledge are granted the privilege to practice. This process protects patient safety and enhances the overall quality of care.
Privacy and Distribution
Given the sensitive nature of the information, the form requires a Privacy Act Statement as outlined in AR 340-21. Additionally, DA FORM 5441-33 is produced solely in electronic media, facilitating easier distribution and storage while maintaining confidentiality.
Regulatory and Directive Compliance
The form is prescribed by AR 40-68, which outlines the requirements and procedures for granting clinical privileges within the military healthcare system. Compliance with this directive ensures that all evaluations are conducted uniformly and meet established standards.
Accessibility and Public Release
The distribution restriction code for this form is A, meaning it is approved for public release and distribution is unlimited. This ensures transparency and allows for widespread access to the form for all relevant stakeholders.
Conclusion
DA FORM 5441-33 – Evaluation of Clinical Privileges – Urology plays a vital role in ensuring that military urologists are highly qualified and capable of providing exceptional care. By adhering to stringent evaluation criteria and maintaining comprehensive records, the military healthcare system upholds its commitment to excellence and patient safety. This form is an indispensable tool in the continuous effort to deliver top-tier medical services within the military.
Understanding and utilizing DA FORM 5441-33 effectively ensures that healthcare professionals are well-equipped to meet the challenges of their roles, ultimately enhancing the quality of care provided to military personnel and their families.
DA FORM 5441-33 Fillable – Army Pubs 5441-33 PDF DOWNLOAD
