Once the OPPE/FPPE program is fully designed and implemented, an oversight committee must ensure that the various steps of the process occur as expected and that practitioners adhere to the procedures. An ineffective (but common) approach to program oversight is having the medical staff quality...
Technology now allows the possibility of teleproctoring, whereby a proctor can directly observe another practitioner in real time without being physically present. Typically, the activity involves proctors using live video to observe practitioners from remote locations.
It is common to say, “Let’s train someone by having them do something they have never done before so they get experience.” I guess we come from this background of “see one, do one, teach one,” so if we jump and throw them in, they will learn that way.
Increasingly, organizations are implementing policies for evaluating older members of the medical staff—often for practitioners at age 70, or earlier if self-referral occurs. The policy may contain steps such as the following.
When the medical staff asks a department chair to assign physician proctors for a newly appointed medical staff member, he or she should delegate the responsibilities as follows:
Several non-physician reviewers from the hospital's quality department undertake audits both of the
Human nature contributes to bias by allowing us to use psychological “shortcuts” to reduce complexity and ambiguity in the world. We all wish that life were simpler, and our brains try to accommodate this wish by finding shortcuts to decisions by relying on past patterns of thinking. This...