DAFORMFILLABLE.COM | DA FORM 5441-25 Fillable – Army Pubs 5441-25 PDF – DA FORM 5441-25 – Evaluation Of Clinical Privileges – General Medical Officer is a crucial document in the medical field, particularly for the United States Army. This form is designed to assess and document the clinical privileges of a General Medical Officer. Below, we will provide a comprehensive overview of this form, including its purpose, usage, and relevant regulations.
DA FORM 5441-25 – Evaluation Of Clinical Privileges – General Medical Officer
| Form Number | DA Form 5441-25 |
| Form Title | Evaluation Of Clinical Privileges – General Medical Officer |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Usage of DA FORM 5441-25
Overview of DA FORM 5441-25
DA FORM 5441-25 is officially titled “Evaluation Of Clinical Privileges – General Medical Officer.” It is used to evaluate the competencies and privileges of General Medical Officers within the Army Medical Department. This form ensures that medical officers meet the necessary standards and are qualified to perform specific clinical tasks and responsibilities.
Key Components of the Form
The form includes various sections that detail the specific clinical privileges granted to the medical officer. These sections evaluate the officer’s proficiency in different medical procedures and treatments. The evaluation process is critical for maintaining high standards of medical care within the Army.
Regulatory Guidance and Proponent
AR 40-68: Prescribing Directive
The usage of DA FORM 5441-25 is prescribed by AR 40-68, which provides comprehensive guidelines on the clinical quality management of the Army Medical Department. This regulation ensures that all evaluations are conducted uniformly and adhere to established standards.
Proponent and Status
The proponent for DA FORM 5441-25 is TSG (The Surgeon General), and the form is currently in ACTIVE status. This means it is up-to-date and in use across all relevant Army medical facilities.
Important Considerations
Privacy and Security
Given the sensitive nature of the information recorded on DA FORM 5441-25, it requires a Privacy Act Statement in accordance with AR 340-21. This ensures that all personal and medical data is handled with the utmost confidentiality and security.
Distribution and Accessibility
The form is classified as UNCLASSIFIED, making it approved for public release with unlimited distribution. It is produced solely in electronic media, facilitating easy access and completion by medical officers and evaluators.
Detailed Structure of DA FORM 5441-25
Sections and Evaluation Criteria
The form is structured to cover multiple areas of a General Medical Officer’s clinical capabilities. Each section must be thoroughly completed to provide a comprehensive evaluation. This includes assessments of procedural skills, diagnostic abilities, and overall clinical judgment.
Form Identification
For administrative purposes, DA FORM 5441-25 is identified by Pub/Form IDN 990001 and Pub/Form PIN 066556. These identifiers are essential for record-keeping and retrieval within the Army’s documentation system.
Changes and Updates
Historical Context
Since its publication date on 02/01/2004, DA FORM 5441-25 has undergone various updates to maintain its relevance and accuracy. While it has not been superseded or replaced by another form, it remains an integral part of the Army Medical Department’s quality assurance processes.
Continuous Improvement
The form is subject to continuous review and improvement to align with evolving medical standards and practices. This ensures that the evaluation criteria remain rigorous and relevant to current medical requirements.
Conclusion
DA FORM 5441-25 – Evaluation Of Clinical Privileges – General Medical Officer plays a vital role in maintaining the quality and competency of medical officers within the Army. By adhering to strict evaluation standards and regulatory guidelines, this form ensures that all General Medical Officers are adequately qualified to provide the highest level of medical care.
For those involved in the evaluation process or seeking to understand the form’s significance, it is essential to familiarize oneself with AR 40-68 and the Privacy Act requirements. Ensuring compliance with these regulations helps maintain the integrity and confidentiality of the evaluation process.
By understanding and utilizing DA FORM 5441-25 effectively, the Army Medical Department can continue to uphold its commitment to excellence in medical care and service.
DA FORM 5441-25 Fillable – Army Pubs 5441-25 PDF DOWNLOAD
