DA Form 5441-46. Evaluation of Clinical Privileges - Pulmonary Disease

DA Form 5441-46 is used to evaluate clinical privileges in the field of Pulmonary Disease. This form plays a vital role in assessing and establishing the qualifications and requested privileges for medical professionals specializing in diagnosing and treating pulmonary disorders.

The form consists of sections where the pulmonary specialist provides personal and professional details, including licenses, certifications, and qualifications specific to pulmonary disease practice. It requires outlining the requested clinical privileges, covering areas such as respiratory assessments, pulmonary interventions, and critical care management.

Key fields in this form include the pulmonary specialist's identification information, requested clinical privileges, and supporting documentation showcasing their expertise in pulmonary medicine. Accurate completion of this form is crucial to ensure that the practitioner is granted privileges aligned with their proficiency in diagnosing and treating pulmonary conditions.

Application Example: A pulmonologist joining a military medical facility would use DA Form 5441-46 to request clinical privileges. By accurately completing the form and providing necessary documentation, the practitioner's proficiency in respiratory assessments and critical care interventions 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 5441-47, 5441-48, 5441-49, and 5441-5 are related forms intended for different clinical privilege evaluation processes.