DETROIT MEDICAL CENTER DEPARTMENT OF EMERGENCY MEDICINE DELINEATION OF PRIVILEGES IN EMERGENCY MEDICINE Applicant Name: ________________________________________________________________________ PLEASE PRINT

Applicants for appointment must request core privileges and either Level One, Level Two or Level Three privileges as described below. (Please select only one of the levels). All applicants for appointment must have an M.D. or a D.O. and be currently licensed to practice medicine in the State of Michigan. Initial applicants for appointment are required to submit three letters of reference from currently licensed physicians who are acquainted with the applicant’s current professional status, medical practice and involvement in the field of Emergency Medicine. Effective July 1, 2009, all new applicants to the DMC will be required to be board certified or in the active certification process in their practice specialty. QUALIFICATIONS FOR: A.

B.

1 of 7

LEVEL ONE: 1.

Successful completion at WSU (Wayne State University) of the second year of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited residency program in Emergency Medicine and continued matriculation with that program.

2.

Additionally, Level One Qualification requires successful completion of an Advanced Cardiac Life Support (ACLS) course, and Advanced Trauma Life Support (ATLS) course (if routinely caring for acutely injured patients) and a Pediatric Advanced Life Support (PALS) course (if routinely caring for pediatric patients