DAFORMFILLABLE.COM | DA FORM 5441-51 Fillable – Army Pubs 5441-51 PDF – DA FORM 5441-51 is a crucial document used in the evaluation of clinical privileges for neurosurgeons within the U.S. Army Medical Department. This form ensures that neurosurgeons meet the required standards and are competent to perform specific neurosurgical procedures. This article delves into the details of DA FORM 5441-51, providing a comprehensive understanding of its purpose, usage, and importance.
DA FORM 5441-51 – Evaluation Of Clinical Privileges – Neurosurgery
| Form Number | DA Form 5441-51 |
| Form Title | Evaluation Of Clinical Privileges – Neurosurgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
What is DA FORM 5441-51?
DA FORM 5441-51, titled “Evaluation of Clinical Privileges – Neurosurgery,” is a standardized form used by the Army to assess the qualifications and competencies of neurosurgeons. It was published on February 1, 2004, and remains an active form under the proponent TSG. The form is part of the prescribing directive AR 40-68, which governs the credentialing and privileging of health care personnel.
Purpose of DA FORM 5441-51
The primary purpose of DA FORM 5441-51 is to evaluate the clinical privileges of neurosurgeons. This involves assessing their ability to perform various neurosurgical procedures safely and effectively. The evaluation process helps maintain high standards of medical care within military medical facilities and ensures patient safety.
Components of DA FORM 5441-51
DA FORM 5441-51 includes several sections designed to capture detailed information about a neurosurgeon’s qualifications:
- Personal Information: This section includes the neurosurgeon’s name, rank, and other identifying details.
- Training and Experience: Details about the neurosurgeon’s educational background, residency, and any specialized training they have undergone.
- Clinical Competence: A thorough assessment of the neurosurgeon’s clinical skills, including specific procedures they are qualified to perform.
- Performance Evaluation: Reviews from supervisors and peers, assessing the neurosurgeon’s performance in clinical settings.
- Additional Comments: Space for additional remarks or notes that may be pertinent to the evaluation process.
Usage and Importance
Ensuring Competence and Safety
DA FORM 5441-51 is used primarily by credentialing committees within military medical facilities. These committees review the form to ensure that neurosurgeons have the necessary skills and experience to be granted clinical privileges. By doing so, they help ensure that only qualified professionals are allowed to perform neurosurgical procedures, thereby maintaining high standards of patient care and safety.
Compliance and Regulation
The form is also used to ensure compliance with military regulations, specifically AR 40-68. This regulation outlines the procedures for credentialing and privileging health care providers within the Army. By adhering to these guidelines, military medical facilities can maintain their accreditation and ensure that they are providing the highest level of care to their patients.
Key Considerations for DA FORM 5441-51
Privacy and Security
As DA FORM 5441-51 contains sensitive information, it is subject to the Privacy Act Statement (AR 340-21). This means that all personal data must be handled with care and protected against unauthorized access. The form is classified as UNCLASSIFIED, but it is still crucial to ensure that it is used and stored securely.
Distribution and Accessibility
The form is only produced in electronic media, making it easily accessible to authorized personnel. It is approved for public release, with distribution code A, meaning that distribution is unlimited. This ensures that all relevant parties can access the form as needed.
Conclusion
DA FORM 5441-51 – Evaluation of Clinical Privileges – Neurosurgery plays a vital role in maintaining the quality and safety of neurosurgical care within the U.S. Army Medical Department. By thoroughly evaluating the qualifications and competencies of neurosurgeons, this form helps ensure that only highly skilled professionals are granted clinical privileges. Understanding and utilizing this form correctly is essential for maintaining high standards of medical care and ensuring compliance with military regulations.
DA FORM 5441-51 Fillable – Army Pubs 5441-51 PDF DOWNLOAD
