DAFORMFILLABLE.COM | DA FORM 5441-54 Fillable – Army Pubs 5441-54 PDF – DA FORM 5441-54 is a critical document used in the military healthcare system. Officially titled “Evaluation of Clinical Privileges – Thoracic Surgery”, this form plays a vital role in assessing the clinical competencies and privileges of thoracic surgeons within the U.S. Army. This form was issued on February 1, 2004, and remains an active component of the Army’s regulatory framework. It is mandated by AR 40-68, ensuring that all evaluations meet stringent standards.
DA FORM 5441-54 – Evaluation Of Clinical Privileges – Thoracic Surgery
| Form Number | DA Form 5441-54 |
| Form Title | Evaluation Of Clinical Privileges – Thoracic Surgery |
| Form Date | 02/01/2004 |
| Form Proponent | TSG |
Purpose and Importance
The primary purpose of DA FORM 5441-54 is to evaluate the clinical skills and privileges of thoracic surgeons. This evaluation is essential for maintaining high standards of care and ensuring that surgeons are competent in their specialized field. The form helps in:
- Assessing clinical performance: Ensuring that surgeons meet the required standards.
- Granting privileges: Determining which procedures and responsibilities a surgeon is authorized to perform.
- Maintaining records: Keeping detailed records of evaluations for future reference.
Structure and Content of the Form
DA FORM 5441-54 is structured to capture comprehensive information about a surgeon’s qualifications and performance. The form includes sections for:
- Personal information: Details about the surgeon being evaluated.
- Clinical competencies: Specific skills and procedures the surgeon is assessed on.
- Evaluator comments: Observations and assessments from the evaluating authority.
- Approval and signatures: Final approval from the relevant medical board or authority.
Compliance and Privacy
This form is classified as UNCLASSIFIED and has a distribution restriction code A, meaning it is approved for public release and distribution is unlimited. It is only produced in electronic media, as indicated by footnote 42. Additionally, the form requires a Privacy Act Statement as per AR 340-21, ensuring that all personal information is handled according to privacy regulations.
Using DA FORM 5441-54
To effectively use DA FORM 5441-54, medical personnel must be familiar with the prescribing directive AR 40-68. This regulation outlines the procedures for evaluating and granting clinical privileges, ensuring that all evaluations are conducted uniformly and fairly.
SEO Considerations for DA FORM 5441-54
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Conclusion
DA FORM 5441-54 – Evaluation Of Clinical Privileges – Thoracic Surgery is an essential tool in the U.S. Army’s medical evaluation system. It ensures that thoracic surgeons are thoroughly evaluated and authorized to perform specific medical procedures, maintaining high standards of care within military healthcare facilities. Understanding and correctly utilizing this form is crucial for both medical practitioners and administrative personnel involved in the credentialing process.
By adhering to the guidelines and maintaining accurate records, the military healthcare system can continue to provide exceptional care to its service members, ensuring their health and well-being.
DA FORM 5441-54 Fillable – Army Pubs 5441-54 PDF DOWNLOAD
