DAFORMFILLABLE.COM | DA FORM 5441-44 Fillable – Army Pubs 5441-44 PDF – DA FORM 5441-44 is an essential document utilized in the evaluation of clinical privileges specifically for the field of otolaryngology. This form, which was published on February 1, 2004, plays a critical role in maintaining high standards within the medical community by ensuring that otolaryngologists meet the necessary criteria for clinical practice. This article will provide an informative overview of DA FORM 5441-44, its purpose, and its significance in the healthcare system.
DA FORM 5441-44 – Evaluation Of Clinical Privileges – Otolaryngology
Form Number | DA Form 5441-44 |
Form Title | Evaluation Of Clinical Privileges – Otolaryngology |
Form Date | 02/01/2004 |
Form Proponent | TSG |
Overview of DA FORM 5441-44
Purpose and Use
DA FORM 5441-44, officially titled Evaluation Of Clinical Privileges – Otolaryngology, is designed to assess the qualifications and competencies of otolaryngologists. This evaluation is crucial for granting clinical privileges, ensuring that practitioners are adequately trained and experienced to provide high-quality care.
Key Information
- Pub/Form Number: DA FORM 5441-44
- Pub/Form Date: 02/01/2004
- Pub/Form Title: Evaluation Of Clinical Privileges – Otolaryngology
- Pub/Form Proponent: The Surgeon General (TSG)
- Pub/Form Status: Active
Prescribing Directive
The prescribing directive for DA FORM 5441-44 is AR 40-68, which outlines the standards and procedures for granting clinical privileges to healthcare providers within the military.
Importance of DA FORM 5441-44
Ensuring Competence
The primary function of DA FORM 5441-44 is to ensure that otolaryngologists possess the necessary skills and knowledge to perform their duties effectively. By systematically evaluating their clinical privileges, the form helps maintain a high standard of care within the medical field.
Compliance with Regulations
This form requires a Privacy Act Statement as per AR 340-21, ensuring that personal data is handled in compliance with privacy regulations. Additionally, the form is classified as UNCLASSIFIED and is approved for public release, meaning its distribution is unrestricted.
Structure and Content of DA FORM 5441-44
Sections of the Form
DA FORM 5441-44 is divided into several sections that cover different aspects of the evaluation process. These sections typically include:
- Personal Information: Details about the practitioner being evaluated.
- Qualifications: Educational background and professional training.
- Experience: Clinical experience and areas of expertise.
- Competency Assessment: Evaluation of specific skills and procedures relevant to otolaryngology.
- Recommendations: Final recommendations regarding the granting of clinical privileges.
Electronic Media and Distribution
The form is produced solely in electronic media, indicated by the footnote 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA. This facilitates easy access and distribution within the healthcare community. The form’s Distribution Restriction Code A denotes that it is approved for public release, with unlimited distribution.
Compliance and Updates
Privacy and Security
DA FORM 5441-44 includes a Privacy Act Statement to ensure compliance with privacy laws, safeguarding the personal information of healthcare providers.
Changes and Updates
While no superseding or rescinding authority is listed, it is important for users to stay updated on any changes to the form or its prescribing directives to ensure continued compliance and relevance in its application.
Conclusion
DA FORM 5441-44 – Evaluation Of Clinical Privileges – Otolaryngology is a critical tool in maintaining the quality and safety of healthcare services provided by otolaryngologists. By thoroughly assessing the qualifications and competencies of practitioners, this form helps uphold the standards of medical practice within the military healthcare system. Understanding its structure, purpose, and the regulations governing its use is essential for healthcare administrators and providers involved in the evaluation process.
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