DA Form 5440-13 Delineation of Clinical Privileges-General Surgery

DA Form 5440-13 Delineation of Clinical Privileges-General Surgery

What Is DA Form 5440-13?

This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2004. The form, often mistakenly referred to as the DD Form 5440-13, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 5440-13?
A: DA Form 5440-13 is a form used for the delineation of clinical privileges in the field of general surgery.

Q: What is clinical privilege?
A: Clinical privilege refers to the authorization granted to a healthcare provider to perform specific medical techniques or procedures.

Q: What is general surgery?
A: General surgery is a medical specialty that focuses on performing surgical procedures on the abdominal area and other parts of the body.

Q: What is the purpose of DA Form 5440-13?
A: The purpose of DA Form 5440-13 is to outline and document the specific clinical privileges granted to general surgeons.

Q: Who uses DA Form 5440-13?
A: DA Form 5440-13 is used by the United States Army Medical Department for general surgeons within their healthcare system.

Q: How is DA Form 5440-13 used?
A: DA Form 5440-13 is used to establish, evaluate, and maintain the clinical privileges of general surgeons in accordance with Army regulations.

Q: What information is included in DA Form 5440-13?
A: DA Form 5440-13 includes information such as the surgeon's personal details, education, training, and specific clinical privileges granted.

Q: Can general surgeons have different clinical privileges?
A: Yes, the clinical privileges granted to general surgeons can vary based on their qualifications, experience, and training.

Q: Why is it important to document clinical privileges?
A: Documenting clinical privileges is important for maintaining accountability, ensuring patient safety, and providing a standard framework for healthcare providers.

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Form Details:

  • A 4-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date printable DA Form 5440-13 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5440-13 Delineation of Clinical Privileges-General Surgery

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