Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.05 - Trauma Center Designation and Verification Standards
Section 30.08.05.04 - Medical Staff

Universal Citation: MD Code Reg 30.08.05.04
Current through Register Vol. 51, No. 19, September 20, 2024

PARC

I

II

III

ED

A. Credentialing Process. Each physician and Advanced Practice Professional (APP) shall be credentialed by the hospital for the appropriate specialty, including trauma care.

E

E

E

E

E

B. Delineation or Reevaluation of Privileges:

E

E

E

E

NA

(1) The trauma physicians and APPs shall be limited to those with demonstrated skills, commitment, experiences, and interest in trauma care.

E

E

E

E

NA

(2) The trauma medical director shall serve on the medical staff as the trauma chief of service.

E

E

E

E

NA

(3) Appointment and reappointment to the trauma admitting or consulting staff shall be coordinated by the trauma medical director and based on the following criteria:

E

E

E

E

NA

(a) Maintenance of good standing in the primary specialty;

E

E

E

E

NA

(b) Evidence of the required continuing medical education in trauma, including:

(i) For general surgeons taking trauma calls evidence of 16 hours of trauma-related CME credits a year;

E

E

E

E

NA

(ii) Over a 2-year period, half of the CME hours shall be obtained outside the hospital and be recognized by a national accrediting body;

E

E

D

D

NA

(iii) ATLSTM which may be counted in required CME credits; and

E

E

E

E

NA

(iv) Physician CME credits shall be documented in accordance with hospital policy.

E

E

E

E

NA

(c) Documented attendance at Trauma QM meetings, as those meetings are institutionally defined, of no less than monthly averaged over 12 months;

E

NA

NA

NA

NA

(d) Documented attendance at Trauma multidisciplinary meetings, Morbidity and Mortality (M and M) rounds, or hospital peer-review conference that deal with the care of injured patients; and

NA

E

E

E

NA

(e) Satisfactory performance in managing trauma patients based on performance assessment and outcome analysis.

E

E

E

E

NA

Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.