By the end of this educational event learners should be able to:
 

• Recognize and respond to practitioner's health, competency, and conduct concerns that may impact patient safety.
• Apply Medical Staff bylaws, peer review principles, and performance-monitoring tools to evaluate practitioner qualifications and performance.
• Distinguish the roles of Medical Staff leaders, the MEC, Well-Being Committee, and Board in credentialing and corrective action processes.
• Identify reporting and information-sharing obligations arising from practitioner health, peer review, and disciplinary matters.
• Implement appropriate strategies for addressing unprofessional conduct while maintaining compliance with applicable legal and governance requirements.
• Apply principles of fair process, progressive discipline, and due process when evaluating practitioner performance and conduct concerns.
• Differentiate clinical competence issues, disruptive behaviors, impairment concerns, and professional conduct violations to determine appropriate leadership responses
• Describe the legal roles and responsibilities of the self-governing organized medical staff and explain their impact on quality of care.
• Examine the structure of the organized medical staff and identify key processes related to credentialing, privileging, and peer review.
• Analyze the legal roles, responsibilities, and limitations of medical staff leaders to apply effective leadership practices within the organized medical staff.