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How are Transfusion Services documenting peer review of Medical Director competence? |
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The Medical Director of a University Transfusion Service is revisiting the idea of "Medical Staff Peer Review." She reports that, "for many departments, quantifiable rate indicators have been identified to compare physicians and cases for review (such as infection rates, return to the OR, DVT prophylaxis, unsigned or late dictations, etc.). There is on-site support for data mining to generate hard data, and it is supplemented by random and targeted chart audits. Identifying mechanisms for peer review in smaller clinical divisions, such as clinical pathology, is more challenging -particularly when individuals areas are staffed by only 1-2 faculty." She asks: "How are transfusion medicine services meeting the challenge of documented peer review?" The following comments have been received. ADDENDA June 8, 2007 1. According to Dr. Ronald E. Domen, Professor of Pathology, Medicine, and Humanities at Penn State University College of Medicine (attribution used with permission), the Division of Clinical Pathology at Penn State has five clinical pathologists who provide service responsibilities on a rotational basis in Transfusion Medicine. In the past, they have used a 360-type of evaluation tool where technologists, nurses, and clerical personnel can evaluate the attendings. This evaluation tool does not really address the medical knowledge aspects of what they do, but it attempts to assess things like communication skills, interpersonal interactions, etc.; and, it has been made a part of their overall annual review within the department. The institution is talking about a peer-review process to address competency of the faculty - - sort of a "maintenance of competency" approach - - and they have begun the discussion in Clinical Pathology as to how they might do this; but, nothing has been formulated to date. For example, they have discussed the possibility of requiring each physician to oversee a certain number of apheresis procedures each year in order to remain "competent." Dr. Domen would be interested as to what others are doing in this regard. |
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Please submit comments to the e-Network Forum. Ira A. Shulman, MD W. Tait Stevens, MD |
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