Complete Course for Medical Staff Leaders — Virtual


Credentialing, privileging, peer review, managing issues of behavior and health… and that’s just the beginning. Yet, none of this is taught in medical school or residency.

The Complete Course for Medical Staff Leaders is a program designed to equip you with the tools you will need to hit the ground running as a new leader!

Together, using real-world case studies, we’ll help you develop your skills and provide practical take-home tips and resources.

Dates & Times

November 12 - 13, 2020
1:00 – 4:30 PM ET
(includes Q&A + 15 minute break)

January 7 - 8, 2021
1:00 – 4:30 PM ET
(includes Q&A + 15 minute break)


Day 1

Challenges of Leadership Patient Safety Starts with YOU!

Tips for Effective Credentialing and Privileging

      • Align recruitment and credentialing
      • Catch issues up front!
      • Threshold criteria — raising the bar
      • Don’t process incomplete applications!
      • When it comes to references, follow the Golden Rule
      • Consider reappointment an educational opportunity
      • Privileging Advanced Practice Professionals
      • Privileging during the pandemic — Do you need temporary, disaster, emergency privileges, or all of the above?

Medical Staff Bylaws — Best Friend or Worst Enemy??  Review your bylaws to make sure you address:

      • Threshold eligibility criteria
      • Incomplete applications
      • Omissions and misstatements in applications
      • Collegial intervention and progressive steps
      • Administrative relinquishments
      • Precautionary suspensions
      • Investigations

Emergency Medical Treatment and Active Labor Act

      • EMTALA Basics for Medical Staff Leaders
      • “Why do I have to take call?” and other uncomfortable questions you may be asked!
      • Paying for call — is it legal?

The Peer Review Challenge

      • The Law for Peer Reviewers
      • Understanding OPPE and FPPE: How to make it work!
      • Tips, Tricks & Tools


Day 2 

Addressing a Quality Concern — Meet Dr. Bourne

      • See the Initial FPPE and OPPE processes in action!
      • Performance Improvement Plans for physicians
      • Can information be shared with an affiliated group that employs practitioners?

Practitioner Health and Aging

      • Know the warning signs
      • Options to address the late-career practitioner

Do’s and Don’ts for Dealing with Unprofessional Conduct

      • Progressive steps for professionalism
      • How to conduct a collegial intervention
      • Sexual Harassment — another kind of disruptive behavior

National Practitioner Data Bank — what’s reportable and what’s not??

The Wild World of Social Media — Three rules of thumb every Medical Staff Leader should know

Take-Home Checklist for Medical Staff Leaders

Who Should Attend?

      • Medical Staff Officers
      • Department Chiefs
      • Credentials Committee Members
      • MEC Members
      • Bylaws Committee Members
      • VPMAs, CMOs, and Medical Directors
      • Medical Staff Services Professionals
      • Quality/Performance Improvement Directors
      • Hospital Management
      • Hospital Counsel

Advance notification of any special needs will help us provide better service. Please notify us at least two weeks in advance of the program.


Our CME credits are through the University of Pittsburgh and NAMSS. More information will be provided over the next few weeks.

Seminar Disclaimer

HortySpringer Seminar Disclaimer Statement:

The information presented at these seminars and the supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances. No one should act or refrain from acting on the basis of any information presented at these seminars without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for any seminar or the use of the seminar materials.


Registration fee:

$695 Per Individual

Included With Registration Fee

  • Online Access to slide text, schedule, networking with other attendees, session replay available for 30 days, forms, letters, procedures, suggestions for policy elements and more.

Register Online