Medical Staff Application and Reappointment

MEDICAL STAFF REFERENCE DOCUMENTS

• Medical Staff Categories
• Board Certification Requirements (Effect 9/25/12)
• Medical Staff By-Laws
• Medical Staff Eligibility and Qualifications
• Credentials Manual
• Medical Staff Self Study Education (Password Required)
• Medical Staff Self Study Orientation (Password Required)

INITIAL MEDICAL STAFF APPLICANTS   

Initial Credential Timeline (Initial Applicants)  

Current providers seeking reappointment, please scroll down to Reappointment Section

1.  Choose Medical Staff Category

Review category definitions in Medical Staff Bylaws (above)

• Active Status (>25 patients per year with admitting privileges)
• Courtesy Status (<25 patients per year with admitting privileges)
• Consulting (Consult only; no admitting or attending privileges)
• Affiliate (Member only; no clinical privileges)
• Locum Tenens (Maximum 90 dates of coverage)

2.  Select Checklist

Select and print the corresponding checklist for the medical staff category you are requesting initial appointment.

• Initial Checklist for Active, Courtesy, Consulting Applicants
• Initial Checklist - Affiliate Applicants
• Initial Checklist - Locum Tenens for Current Medical Staff Member

3.  Complete Initial Medical Staff Application Documents

Refer to the selected checklist (above) for documents to complete, based upon category selected.

• Request for Medical Staff Application (For Active, Courtesy and Consulting applicants only)
• Additional Medical Staff Initial Application Documents

REAPPOINTMENT APPLICANTS

For current Medical Staff members requesting reappointment.    

1.  Select Checklist

Select and print the corresponding checklist for the medical staff category you are requesting reappointment.

• Reappointment Checklist - Active, Courtesy, Consulting Medical Staff Members
• Reappointment Checklist - Affiliate Medical Staff Members

2. Complete Reappointment Application Documents

• Medical Staff Reappointment Documents

Submit Completed Documents to:

Medical Staff Services Department

Baptist Health Paducah

2501 Kentucky Avenue, Paducah, KY 42003

Phone 270-575-2854/ 8454

Fax 270-575-8338

Contact a Medical Staff Services Representative:  EMAIL