Ask the expert: Who should be responsible for proctoring costs?

In most organizations, the hospital or parent institution incurs the cost of proctoring. In some locales, however, the medical staff treasury pays. It is also reasonable to require the physician under review to cover proctoring costs. Where this is the practice, you should clearly state in the medical staff bylaws that this financial burden is placed on physicians whose performance raises competency questions. A number of institutions require the physician under review to share the cost of proctoring, with a portion borne by the hospital and a portion by the doctor.