COMPETENCY of Members of International Society of Bariatric Plastic Surgeons( Based on guidelines of American College of Surgeons)
A surgeon should acquire and maintain competence in all six necessary general competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. A responsible surgeon should demonstrate competence in the following areas:
A.Patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of good health
Medical knowledge of established and evolving biomedical, clinical, and cognate (for example, epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
Practice-based learning and improvement that involves investigation and evaluation of a surgeon’s patient care, appraisal and assimilation of scientific evidence, and improvements in patient care
Interpersonal and communication skills that result in effective information exchange and effective interaction with patients, their families, and other health care professionals
Professionalism manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population
Systems-based practice, manifested through actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively utilize system resources to provide care that is of optimal value
Maintenance of these competencies requires a commitment to lifelong learning through self-study, formal continuing medical education, and periodic assessment.
B. Commitment to Scientific Knowledge and Research
The surgeon should base care on the best available scientific evidence and should seek and give consultation appropriately. Responsible surgeons should uphold scientific standards, promote research, and create new knowledge and strive for the appropriate use of this knowledge and these findings.
C. Commitment to Maintain Fitness
The surgeon should maintain a satisfactory level of mental and physical fitness. A surgeon who becomes temporarily impaired by illness or injury, chemical dependence, fatigue, or other conditions that affect surgical judgment or performance should arrange for a qualified colleague to assume his or her clinical responsibilities until the impairment has been resolved.
D. Eligibility to Perform Surgical Procedures
The responsible surgeon’s eligibility to perform a surgical procedure is based upon the surgeon’s education, training, experience, and demonstrated proficiency. The surgeon should be a member in good standing of the department or service through which privileges are to be recommended. The granting and continuation of surgical privileges should be based upon the staff member’s qualifications and upon a record of appropriate performance as evaluated by an established peer review mechanism and medical audit process.
Surgeons are expected to study and evaluate new procedures and to become knowledgeable of and proficient with advances that are appropriate. Technical skill alone is insufficient to qualify a surgeon to perform new procedures. Procedural skills should be acquired within the context of in-depth knowledge about the disease to be treated.
E. Educational Requirements
Only qualified surgeons can deliver high-quality surgical care to the sick and injured patient. Qualified surgeons are those physicians who have completed a surgical residency/fellowship and who maintain continuing education and proficiency in their specialty.
Some hospitals permit arrangements through which a staff member can achieve surgical privileges under the tutelage of a qualified surgeon in the operating room without serving in a formal, organized, accredited residency training program.
F. Confining Practice within a Specialty
Qualification of a surgeon as a specialist carries the commitment and responsibility to conduct a surgical practice that conforms to his or her defined specialty. The appropriate surgical specialty board recognized by the ASBPS or ISBPS or his/her National Plastic Surgical Society determines a surgeon’s scope of practice. Procedures performed are dictated by the guidelines set by a specialty board. Performing procedures outside of the field defined by a specialty board mandates that the surgeon obtain additional education and experience, as well as any appropriate certification. ISBPS may take action against members to revoke their membership who misrepresent themselves or who engage in surgical procedures outside their scope of practice as previously described or who falsely advertise their training, certification, or experience and revoke their membership.