7.5 Reappointment Process7.5.1 Formal application for membership reappointment and/or privileges must be made atleast every two years.7.5.2 A reappointment application will be considered complete when all documents requestedand verifications are received by <strong>Medical</strong> <strong>Staff</strong> Services.7.5.3 Reappointment of a <strong>Medical</strong> <strong>Staff</strong> member and the clinical privileges to be granted uponreappointment will be based upon at least the following:A. the member's professional competence and clinical judgment in the treatment ofpatients,B. if the Practitioner has exercised the requested privileges with sufficient frequency toindicate current competence,C. his/her ethical practice and conduct,D. current <strong>Arkansas</strong> licensure,E. a statement from the Applicant that no health problems exist that could affecthis/her ability to perform the privileges requested,F. attendance at <strong>Medical</strong> <strong>Staff</strong> meetings and participation in staff affairs,G. evidence of participation in continuing medical education that relate, in part, toindividual clinical privileges,H. compliance with <strong>Bylaws</strong>, Rules and Regulations and policies/procedures of <strong>Medical</strong><strong>Staff</strong> and <strong>Arkansas</strong> <strong>Children's</strong> <strong>Hospital</strong>,I. cooperation with hospital personnel,J. relations with other practitioners, andK. general attitude toward patients, the hospital, and the public.This information will become a part of the permanent files of the hospital.7.5.4 Thereafter, the procedure provided in these <strong>Bylaws</strong> relating to requirements onapplications for initial appointment will be followed.7.5.5 Prior to scheduled meetings of the Credentialing Committee of the Board of Directors,the MSEC will review all pertinent information available on each practitioner scheduled for periodicappraisal, for the purpose of determining its recommendations for reappointment to the <strong>Medical</strong> <strong>Staff</strong>17
and for the granting of clinical privileges for the ensuing period, and will transmit its recommendations,in writing, to the Credentialing Committee. Where non-reappointment or a change in requested clinicalprivileges is recommended, the reason for the recommendation will be documented and therecommendation presented to the Board of Directors or its Executive Committee. (Refer to the Role ofthe Credentialing Committee of the Board of Directors for reappointment applications which must betaken to the Board of Directors or its Executive Committee.)7.6 Leave of AbsenceA member of the <strong>Medical</strong> <strong>Staff</strong>, who has been granted membership and privileges, must obtain avoluntary leave of absence (not to exceed one year) for reasons such as medical (See LicensedIndependent Practitioner <strong>Medical</strong> Leave of Absence Policy) or non-medical reasons such as study,military service, locum tenens status, or other valid causes, by submitting written notice, approved by therespective service chief, to the MSEC. Non-medical leaves of absence must be obtained if the leaveexceeds 90 days. A leave of absence will be reported to the Board of Directors upon receipt of suchrequest and recommendation of the MSEC.If there is a temporary interruption in the ability of the physician to carry out his/her privileges (e.g.extended acute illness, critical medical event, change in medical status) not requiring a <strong>Medical</strong> Leave ofAbsence, refer to Licensed Independent Practitioner <strong>Medical</strong> Leave of Absence Policy.7.6.1 While on a leave of absence, <strong>Medical</strong> <strong>Staff</strong> membership and privileges are suspended.7.6.2 If, during the Leave of Absence, the <strong>Medical</strong> <strong>Staff</strong> member’s 2-year reappointment is due,the <strong>Medical</strong> <strong>Staff</strong> member shall complete the reappointment process or be considered to have voluntarilyresigned.7.6.3 Termination of Leave of Absence: At the end of the leave of absence, or at any earliertime, the staff member may request reinstatement of his/her privileges and prerogatives by submitting awritten request to the MSEC.A. If the <strong>Medical</strong> <strong>Staff</strong> member has completed/maintained the reappointment process,the <strong>Medical</strong> Director or Chief of <strong>Staff</strong> may approve immediate reinstatement onbehalf of the MSEC.B. Failure to request reinstatement or provide the requested summary of activities,without sufficient cause, shall be considered a voluntary resignation of <strong>Medical</strong><strong>Staff</strong> membership and clinical privileges upon expiration of the leave of absenceexpired and the lapse of reappointment.C. If the leave of absence was for medical reasons, see Licensed IndependentPractitioner <strong>Medical</strong> Leave of Absence Policy.7.7 Resignations: Resignation from the <strong>Medical</strong> <strong>Staff</strong>, and the reason for such, shall be submitted inwriting to the respective service chief and the MSEC. The MSEC will forward a communication to theBoard of Directors in relationship to the resignation.18