The primary activity of the committee is to review the training and
experience of physicians who seek to work in private non-hospital
treatment facilities and provide a recommendation whether the physician
should be privileged to do so. Additionally, the committee is available,
at the request of a Regional Health Authority, to provide
recommendations whether a physician should be granted specific Level 2
or 3 privileges.
BYLAW 18(7) HEALTH CARE FACILITIES CREDENTIALLING COMMITTEE
The Chair and members of the Committee shall be appointed annually by the Council.
1. a Specialist from each of the following disciplines: General
Surgery; Obstetrics & Gynaecology; Internal Medicine and
The membership shall consist of:
2. three General Practitioners;
3. one Chief Executive Officer of a Health District; and
4. additional members as required.
1. For the purpose of making recommendations to the District Board,
the Committee may assess the qualifications, training and experience of:
1. new registrants of the College of Physicians and Surgeons of
Saskatchewan applying for privileges in Health Care Facilities of
100-beds, or less;
2. registered practitioners moving from one location to another and applying for privileges in a Health Care Facility;
3. members of the Medical Staff of a Health Care Facility as part of a Health Care Facility Assessment;
4. members of the Medical Staff of any Health Care Facility, upon request by the District Board.
5. any physicians requesting this service for self-assessment or reassessment.
2. Carry out Health Care Facility Assessments upon receipt of a request from a District Board.
1. Physicians' Privileges
The Committee in making recommendations shall take the following factors into consideration:
1. the qualifications, training and medical experience of the physicians;
2. the physical facilities available;
3. the backup personnel available, i.e. physicians, nurses, laboratory and x-ray technicians, physiotherapists, and others;
4. location of the Health Care Facility; and,
5. transport facilities available.
The Committee makes recommendations for privileges as they apply
to elective procedures only. The applicants and District Boards are
advised physicians must be given every opportunity to deal with an
emergency to the best of his/her knowledge, training and ability.
Applicant-physicians are required to complete the prescribed
application in a form approved by the Committee and present it to the
Committee or its designate.
A provisional list of recommended privileges
(to Level 1 only) is forwarded to the District Board and physician
based on the documented postgraduate training and experience presented
by the applicant. When applicants request privileges beyond Level 1, and
appropriate documentation of formal training and experience is
available, provisional privileges up to Level II, may be recommended by
the Committee or its designate.
Applicants applying for privileges beyond the Level II category,
or privileges that are not consistent with the guidelines, may be
required to meet with the Committee, to review their requests for
The provisional lists of recommendations are presented to the
next regular meeting of the Committee for review, modification, and/or
ratification. The final recommendation of the Committee shall be
communicated to the District Boards and the physicians involved.
2. Health Care Facility Assessments
Health Care Facility Assessments are carried out by a
subcommittee of the Committee. The Health Care Facility Assessment Team
members who are not members of the Committee.
Health Care Facility Assessments may be carried out at the request of a District Board.
District Boards requesting assessments will be required to
complete documentation relating to facilities, personnel, and any other
The Assessment Team appointed to carry out the assessment may make recommendations with respect to:
1. privileges of individual physicians;
2. medical staff changes;
3. facility improvements;
4. ancillary staff;
5. equipment, etc.;
6. any other relevant matter.
The Assessment Team reports to the Committee and subsequently to
the Registrar. The final written assessment report is communicated to
Board after approval by the Registrar.
1. The Chair reports to the Registrar.
2. The Committee will provide minutes to the Registrar who may distribute these minutes to the Council for information.
The Committee will meet at the call of the Chair.