DAFORMFILLABLE.COM | DA FORM 5441-10 Fillable – Army Pubs 5441-10 PDF – DA FORM 5441-10, officially titled Evaluation Of Clinical Privileges-Psychiatry, is a crucial document used in the evaluation and assessment of clinical privileges for professionals in the field of psychiatry within the U.S. Army. This form is utilized to ensure that psychiatrists meet the necessary standards and qualifications to provide clinical care. Below is a comprehensive guide to understanding the purpose, usage, and significance of DA FORM 5441-10.
DA FORM 5441-10 – Evaluation Of Clinical Privileges-Psychiatry
| Form Number | DA Form 5441-10 |
| Form Title | Evaluation Of Clinical Privileges-Psychiatry |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose of DA FORM 5441-10
The primary purpose of DA FORM 5441-10 is to systematically evaluate the clinical competencies of psychiatrists. This evaluation is essential for maintaining high standards of mental health care within the military. The form is designed to document the specific privileges granted to a psychiatrist, ensuring they are qualified to perform particular procedures and provide specific types of care.
Key Features of DA FORM 5441-10
1. Publication and Status
- Pub/Form Number: DA FORM 5441-10
- Pub/Form Date: 02/01/2004
- Pub/Form Status: ACTIVE
This form has been in active use since February 1, 2004, ensuring that psychiatric professionals are continuously evaluated against the latest standards.
2. Proponent and Directive
- Pub/Form Proponent: TSG (The Surgeon General)
- Prescribed Forms/Prescribing Directive: AR 40-68
The Surgeon General is the primary proponent of this form, with the prescribing directive being AR 40-68, which outlines the standards and procedures for clinical privileges in the military.
3. Privacy and Distribution
- Footnotes: 14-REQUIRES PRIVACY ACT STATEMENT (AR 340-21)
- Dist Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
The form requires a Privacy Act statement to ensure that the personal information of the evaluated psychiatrists is protected. Additionally, the form is approved for public release, making it widely accessible.
4.Media and Classification
- 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
- Security Classification: UNCLASSIFIED
DA FORM 5441-10 is only available in electronic media, facilitating easy access and submission. It is classified as unclassified, indicating no special handling requirements.
Usage and Submission of DA FORM 5441-10
1. Filling Out the Form
The form must be completed by a designated evaluator who assesses the psychiatrist’s competencies in various clinical areas. The evaluator must be qualified and familiar with the psychiatrist’s work and performance.
2. Evaluation Criteria
The evaluation criteria include a detailed assessment of the psychiatrist’s abilities to diagnose, treat, and manage psychiatric conditions. The form covers various aspects of psychiatric care, ensuring a comprehensive evaluation.
3. Submission and Review
Once completed, the form is submitted electronically to the appropriate department for review. This submission ensures that the psychiatrist’s clinical privileges are documented and any necessary actions are taken based on the evaluation results.
Importance of DA FORM 5441-10
DA FORM 5441-10 plays a vital role in maintaining the quality and integrity of psychiatric care within the U.S. Army. By systematically evaluating psychiatrists, the form helps ensure that only qualified professionals are granted clinical privileges, thereby safeguarding the mental health of service members.
Conclusion
In summary, DA FORM 5441-10 – Evaluation Of Clinical Privileges-Psychiatry is an essential tool for evaluating the competencies of psychiatrists within the military. With its structured evaluation criteria and electronic submission process, it ensures that the highest standards of psychiatric care are maintained. For anyone involved in the evaluation or assessment of clinical privileges in psychiatry, understanding and utilizing this form is crucial.
By adhering to SEO best practices, this article aims to provide comprehensive and accessible information about DA FORM 5441-10, making it a valuable resource for professionals and individuals seeking detailed insights into this important evaluation form.
DA FORM 5441-10 Fillable – Army Pubs 5441-10 PDF DOWNLOAD
