Credentialing Standards

Membership on the medical staff shall be limited to professionally competent physicians who meet, and continue to meet, the specific requirements in education and training, licensure, and demonstration of the provision of a high quality of care.

Education & Training:
Medical Staff members are required to meet, minimally, standards of education and training as defined below:

• Successful completion of U.S. based medical/dental school or a World Health Organization recognized foreign medical/dental school with current, unrestricted certification by the Education Commission of Foreign Medical Graduates.
• Successful completion of an Accreditation Council of Graduate Medical Education (ACGME) approved post-graduate training program in the physician's practice specialty.
• Current board certification in the physician's practice specialty, unless such requirement is waived by the Board of Managers and accepted by the Board of Directors. Special consideration is based upon the Applicant's specific area of expertise, special competence, and experience. For a recent graduate with less than one-year post-graduate training, board certification must be obtained within 5 years of membership or, with no more than two unsuccessful attempts at board certification, whichever comes first.

Licensure:
Medical staff members are required to provide evidence of licensure as follows:

• Current unrestricted licensed to practice medicine or dentistry in all states in which the physician or dentist practices
• Current unrestricted federal and state controlled substance registrations in all states in which the physician or dentist practices

High Quality of Care:
Medical Staff members are required to meet the highest standards of quality. Demonstration of that performance is required as follows:

• Satisfactory demonstration of professional medical liability history and professional medical liability coverage to meet the requirements of the Board of Managers.
• Absence of significant disciplinary, or other sanctions as demonstrated via queries to the National Practitioner Data Bank.
• Satisfactory demonstration of current clinical competency through peer references.
• Satisfactory demonstration of current clinical competency through former and/or current work history references.
• Ability to meet specific criteria for delineation of clinical privileges.
• Satisfactory demonstration of professional and harmonious interaction with others in an institutional setting.

The Nemours Foundation reserves the right to limit membership in any or all divisions of the medical staff of the Alfred I. duPont Hospital for Children to Nemours-employed professionals. Nemours exercises this right in order to assure quality of care, management efficiencies and/or such other purposes as it may determine are in its best interests.