Licensure & Medical Staff Privileges

Urology researchers work out a problem on an erasable board

If your appointment includes any clinical practice component (including practice of a health profession in clinical trials), you will be expected to obtain and maintain in good standing medical staff membership and clinical privileges at the University of Michigan Hospital and Health Centers.

A comprehensive credentialing process is performed to evaluate an applicant's education, training, experience, current competence, licensure and certification, and ability to perform any privileges requested. Medical Staff members are expected to review and comply with Medical Staff bylaws, policies, and procedures, and to participate in their departments' peer review, patient safety and quality improvement activities, including ongoing focused professional practice evaluation.

Once appointed, Medical Staff members must maintain their licensure, certification, and clinical privileges in good standing. If your ability to provide clinical care is delayed beyond your start date due to certain circumstances, such as a lack of licensure, immigration status, credentialing, privileging, provider enrollment, your salary may be adjusted accordingly until you are able to provide clinical care.

Adverse action in licensure or medical staff privileges may result in suspension or termination of Medical Staff membership and/or disciplinary action up to and including termination of your employment. Additionally, suspension or termination of medical staff privileges for any reason may result in withholding of all pay (or all pay related to their clinical appointment).

Any changes in your health status that could adversely affect your ability to practice medicine must be reported to the Office of Clinical Affairs. Upon reasonable request of the Executive Committee or Clinical Affairs, you must be willing to submit to a physical examination, drug and alcohol screens and other assessments as specified in the Medical/Dental Staff Bylaws or other institutional polices and procedures, acceptable to the Credentials Committee or the Executive Committee on Clinical Affairs, should this be considered necessary.

If you are ever under investigation by any regulatory agency (e.g., the State of Michigan Department of Consumer and Industry Services), you must agree to immediately inform both your appointing Clinical Department and the Medical Staff Office of the agency involved, the basis for the complaint, and when it becomes known, the final resolution or outcome.