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Thank you for your interest
in St. Mary’s
Hospital. Pursuant to Board policy all individuals seeking
appointment to the Medical and Dental Staff of St. Mary’s
Hospital are asked to complete the Application Request Form.
Applications may be mailed to applicants after consideration
of criteria, which include but are not, limited to the following:
- Are licensed to practice in the State of Connecticut, or
licensure has been applied for and is pending.
- Have actively practiced their relevant clinical specialty
or been in training for at least 18 months of the past 24
months.
- Have established or plan to establish an office and residence
in the commuting area of the hospital or can document coverage
with practitioners who do.
- Presently have privileges in an accredited hospital so
that current references regarding your performance as a staff
member can be evaluated.
- Have a current DEA (Drug Enforcement Administration) number
or is pending.
- Maintain professional liability insurance with a minimum
amount to be determined by each clinical department.
- Are Board certified or eligible (i.e. have completed an
approved training program) in your specialty.
- Agree to participate in Medical Staff activities such
as attending meetings or committees as defined by the Bylaws
and Medical Staff rules and procedures.
I agree with the above and would like to submit a request for an application.
Upon receipt of the Application Request Form the
information will be reviewed and an application may be sent to me.
Completed applications will be reviewed by the
Credentials and Executive Committees of the Medical Staff.
If all required information is received promptly, you can expect
the processing to take approximately three months. Following
these steps, the final decision is made by the Board of Directors.
Click here for the Application Request Form
Revised 06/16/99
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