Md. Code Regs. 30.08.05.04
| PARC | I | II | III | ED | |
|---|---|---|---|---|---|
| A. Credentialing Process. Each physician and Advanced Practice Professional (APP) shall be credentialed by the hospital for the appropriate specialty, including trauma care. | E | E | E | E | E |
| B. Delineation or Reevaluation of Privileges: | E | E | E | E | NA |
| (1) The trauma physicians and APPs shall be limited to those with demonstrated skills, commitment, experiences, and interest in trauma care. | E | E | E | E | NA |
| (2) The trauma medical director shall serve on the medical staff as the trauma chief of service. | E | E | E | E | NA |
| (3) Appointment and reappointment to the trauma admitting or consulting staff shall be coordinated by the trauma medical director and based on the following criteria: | E | E | E | E | NA |
| (a) Maintenance of good standing in the primary specialty; | E | E | E | E | NA |
| (b) Evidence of the required continuing medical education in trauma, including: | |||||
| (i) For general surgeons taking trauma calls evidence of 16 hours of trauma-related CME credits a year; | E | E | E | E | NA |
| (ii) Over a 2-year period, half of the CME hours shall be obtained outside the hospital and be recognized by a national accrediting body; | E | E | D | D | NA |
| (iii) ATLSTM which may be counted in required CME credits; and | E | E | E | E | NA |
| (iv) Physician CME credits shall be documented in accordance with hospital policy. | E | E | E | E | NA |
| (c) Documented attendance at Trauma QM meetings, as those meetings are institutionally defined, of no less than monthly averaged over 12 months; | E | NA | NA | NA | NA |
| (d) Documented attendance at Trauma multidisciplinary meetings, Morbidity and Mortality (MandM) rounds, or hospital peer-review conference that deal with the care of injured patients; and | NA | E | E | E | NA |
| (e) Satisfactory performance in managing trauma patients based on performance assessment and outcome analysis. | E | E | E | E | NA |
Authority: Education Article, §13-509, Annotated Code of Maryland
Effective date: March 24, 1997 (24:6 Md. R. 488)
Regulation .03F amended effective June 4, 2007 (34:11 Md. R. 972)
Regulation .13A amended effective July 1, 2002 (29:12 Md. R. 933)
Regulation .13F amended as an emergency provision effective June 1, 2006 (33:15 Md. R. 1277); amended permanently effective October 23, 2006 (33:21 Md. R. 1679)
Regulation .15A amended effective July 1, 2002 (29:12 Md. R. 933)
Regulation .15B amended effective June 4, 2007 (34:11 Md. R. 972)
Regulation .17A amended effective July 1, 2002 (29:12 Md. R. 933)
Regulations .20 and .21 adopted as an emergency provision effective November 7, 1997 (24:25 Md. R. 1718); adopted permanently effective March 9, 1998 (25:5 Md. R. 371)
Regulation .20 amended effective July 1, 2002 (29:12 Md. R. 933)
Regulation .20D amended effective June 4, 2007 (34:11 Md. R. 972)
Chapter revised effective July 1, 2018 (45:9 Md. R. 463)
Regulation .03C amended effective July 21, 2025 (52:14 Md. R. 714)
Regulation .13A, B amended effective April 17, 2023 (50:7 Md. R. 302)