Provide Care On Lpch Patients In Specific Areas Of Shc
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4Privileges in Physical Medicine & Rehabilitation Service
SAMPLE
Required Qualifications
Successful completion of an ACGME or AOA-accredited residency/fellowship in physical medicine
Education/Training
and rehabilitation or foreign equivalent training.
AND
Current certification or active participation in the examination process leading to certification in
Physical Medicine and Rehabilitation by the American Board of Phys Medicine and Rehab or by
the American Osteopathic Board of Physical Medicine and Rehabilitation or foreign equivalent
training/board.
OR
Documentation or attestation of the provision of inpatient care or consultative services for at least
100 physical medicine and rehabilitation patients as the attending physician (or senior resident)
during the past two years.
In accordance with Hospital Sedation Policy and completion of the SHC sedation exam taken
Additional Credentialing
every 2 years
Criteria (Initial and
Reappointment)
Use of Fluoroscopy Equipment- Valid Radiology Supervisor and Operator Certificate or
Fluoroscopy Supervisor and Operator Permit Required
Teaching appointment to work in SHC outpatient clinics
Membership and privileges at LPCH to admit, treat patients 14 years old and younger
Clinical Experience (Initial) .
Current certification or active participation in the examination process leading to certification in
Spinal cord injury
physical medicine and rehabilitation by the American Board of Physical Medicine & Rehabilitation
medicine; Pain
or the American Osteopathic Board of Rehabilitation Medicine.
management; Nerve blocks;
Motor point blocks;
Electrodiagnostic
procedures;
Interventional spine and
ACGME accredited Pain Management Fellowship or Spine Fellowship with documentation of a
minimum 50 cases within the past year (need to submit documentation log).
intradiscal therapies;
Radiofrequency Lesioning
of Medial Branch Nerves
(lumbar, thoracic);
Radiofrequency Lesioning
of Medial Branch Nerves
Published: 12/23/2013
Page 1 of 5
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