DAFORMFILLABLE.COM | DA FORM 5441-48 Fillable – Army Pubs 5441-48 PDF – DA FORM 5441-48, titled Evaluation Of Clinical Privileges – Oral & Maxillofacial Surgery, is a crucial document used by the United States Army to assess and document the clinical competencies and privileges of practitioners in the field of oral and maxillofacial surgery. This form ensures that all professionals meet the required standards and qualifications to provide the highest level of care.
DA FORM 5441-48 – Evaluation Of Clinical Privileges – Oral & Maxillofacial Surgery
| Form Number | DA Form 5441-48 |
| Form Title | Evaluation Of Clinical Privileges – Oral & Maxillofacial Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5441-48
Publication Details
- Pub/Form Number: DA FORM 5441-48
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation Of Clinical Privileges – Oral & Maxillofacial Surgery
- Pub/Form Proponent: The Surgeon General (TSG)
- Pub/Form Status: ACTIVE
- Prescribed Forms/Prescribing Directive: AR 40-68
- Security Classification: UNCLASSIFIED
- Distribution Restriction Code: A – Approved for public release; distribution is unlimited
- Pub/Form IDN: 990001
- Pub/Form PIN: 081289
Footnotes and Production
The form requires a Privacy Act Statement as per AR 340-21, ensuring that all personal information is handled with the utmost confidentiality. Additionally, DA FORM 5441-48 is only produced in electronic media, making it accessible and easy to distribute.
Purpose and Importance of DA FORM 5441-48
Ensuring Clinical Competency
The primary function of DA FORM 5441-48 is to evaluate the clinical privileges of practitioners in oral and maxillofacial surgery. This evaluation process is critical for maintaining high standards of medical care within the Army. By thoroughly assessing each practitioner, the Army ensures that only those with the necessary skills and knowledge are granted privileges to perform complex surgical procedures.
Compliance with AR 40-68
The form is prescribed by AR 40-68, which outlines the standards for the credentialing and privileging of healthcare providers. This regulation ensures that all evaluations are conducted uniformly and adhere to the highest standards of medical practice.
Key Sections of DA FORM 5441-48
Personal and Professional Information
The form begins with sections to capture the practitioner’s personal and professional information. This includes their name, rank, medical specialty, and other relevant details. Accurate documentation of this information is essential for maintaining comprehensive records.
Clinical Privileges Requested
In this section, the practitioner lists the specific clinical privileges they are requesting. This can include various surgical procedures and treatments specific to oral and maxillofacial surgery. Each requested privilege must be supported by the practitioner’s training and experience.
Evaluation and Recommendations
Evaluators, typically senior medical officers or supervisors, use this section to assess the practitioner’s competencies. They provide detailed feedback on the practitioner’s skills, knowledge, and performance. Based on this evaluation, they make recommendations regarding the granting of clinical privileges.
Final Approval
The final section of the form is for official approval. This includes signatures from the evaluating officers and the final approving authority, ensuring that all evaluations are thoroughly reviewed and validated.
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Conclusion
DA FORM 5441-48 – Evaluation Of Clinical Privileges – Oral & Maxillofacial Surgery is an essential document for maintaining high standards of medical care within the Army. By comprehensively evaluating the skills and competencies of practitioners, the form ensures that only qualified individuals are granted the necessary privileges to perform specialized surgical procedures. Understanding and utilizing this form correctly is vital for practitioners and evaluators alike, ensuring that all evaluations are thorough, accurate, and in compliance with Army regulations.
DA FORM 5441-48 Fillable – Army Pubs 5441-48 PDF DOWNLOAD
