DAFORMFILLABLE.COM | DA FORM 5441-55 Fillable – Army Pubs 5441-55 PDF – DA FORM 5441-55 is a crucial document used within the medical and military community, specifically focusing on the evaluation of clinical privileges in orthopaedics. This form, prescribed under AR 40-68, ensures that medical professionals possess the necessary qualifications and skills to provide orthopaedic care.
DA FORM 5441-55 – Evaluation Of Clinical Privileges – Orthopaedics
| Form Number | DA Form 5441-55 |
| Form Title | Evaluation Of Clinical Privileges – Orthopaedics |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Overview of DA FORM 5441-55
DA FORM 5441-55, also known as the Evaluation Of Clinical Privileges – Orthopaedics, was established on February 1, 2004. This form plays a vital role in maintaining high standards in medical practice within military healthcare facilities. It is designed to evaluate and document the competencies of orthopaedic practitioners, ensuring they meet the required standards for clinical privileges.
Key Features and Specifications
Publication Details
- Pub/Form Number: DA FORM 5441-55
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation Of Clinical Privileges – Orthopaedics
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: ACTIVE
- Prescribed Forms/Prescribing Directive: AR 40-68
- Footnotes:
- 14: Requires Privacy Act Statement (AR 340-21)
- 42: Item Only Produced in Electronic Media
Distribution and Accessibility
The form has an unclassified security classification and is approved for public release. This means that its distribution is unlimited, making it accessible to all relevant parties who need to utilize it. The form is identified with Pub/Form IDN 990001 and Pub/Form PIN 081296.
Importance of DA FORM 5441-55 in Orthopaedics
Ensuring Competence and Quality
The primary objective of DA FORM 5441-55 is to ensure that orthopaedic practitioners in the military are thoroughly evaluated and deemed competent to perform their duties. This evaluation covers various aspects of orthopaedic care, including surgical skills, patient management, and adherence to medical protocols.
Compliance with AR 40-68
According to AR 40-68, which prescribes the use of this form, medical personnel must undergo regular evaluations to maintain their clinical privileges. This regulation underscores the importance of continuous professional development and accountability in medical practice.
Completing DA FORM 5441-55
Required Information
When filling out DA FORM 5441-55, it is essential to provide detailed information regarding the practitioner’s qualifications, experience, and specific areas of expertise in orthopaedics. The form requires input from both the practitioner and their supervising authority to ensure an objective and comprehensive evaluation.
Privacy and Security
Given the sensitive nature of the information, AR 340-21 mandates a Privacy Act Statement. This requirement ensures that all personal data is handled with the utmost confidentiality and security.
Conclusion
DA FORM 5441-55 is a pivotal tool in the military healthcare system, ensuring that orthopaedic practitioners are thoroughly evaluated and qualified to provide high-quality care. By adhering to the guidelines set forth in AR 40-68, this form helps maintain the standards of medical practice, ultimately contributing to the overall well-being of service members. Its unclassified status and unlimited distribution make it an accessible resource for all relevant parties, reinforcing its role in sustaining excellence in orthopaedic care.
DA FORM 5441-55 Fillable – Army Pubs 5441-55 PDF DOWNLOAD
