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The whole physician credentialing business has grown out of hand. It's not about patient safety, it's about greed on the part of professional organizations. It used to be physicians satisfied a given number of review credits, called CMEs, to renew their license every year. But that's grown into having to be boarded, an expensive process which involves sometimes yearly reboarding depending upon your specialty. Then there is the addition of special credentialing for working in the ER, involving several different certifications. It's all about money, not patient safety.

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My frustration when I was still working was when we would have a locums physician trying to write orders in charts and they thought they had done everything they were supposed to, but the stupid computer system would not recognize them. Or we as Patient Placement RN’s would discover that we could not enter a new hospitalist as the attending on a record for the same reason…I was constantly trying to reach our internal credentials staff, who never answered the phone and often had no clue who was I talking about…

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