DA Form 5441-18. Evaluation of Clinical Privileges - Physician Assistant

DA Form 5441-18 serves as a significant document for evaluating clinical privileges for Physician Assistants. This form is crucial for assessing and establishing the qualifications and requested privileges for certified physician assistants involved in delivering medical care under the supervision of physicians.

The form includes sections where the physician assistant provides personal and professional details, including certifications and qualifications specific to physician assistant practice. It requires outlining the requested clinical privileges, covering areas such as medical assessments, treatment procedures, and patient care.

Important fields in this form include the physician assistant's identification information, requested clinical privileges, and supporting evidence of their expertise in medical care. Accurate completion of this form is paramount to ensure that the physician assistant is granted privileges aligned with their proficiency in assisting physicians.

Application Example: A certified physician assistant joining a military medical facility would utilize DA Form 5441-18 to request clinical privileges. By accurately completing the form and providing necessary documentation, the physician assistant's proficiency in delivering medical care is evaluated, enabling the medical facility to grant appropriate privileges.

No additional documents are explicitly mentioned as required for filling this form.

Related Form: DA Form 5441-16, 5441-19, 5441-2, and 5441-20 are related forms intended for different clinical privilege evaluation processes.