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On Departments Affected: All Departments I. Page 1 of 23 PURPOSE To assure that the hospital, through the activities of its medical staff, assesses the ongoing professional practice and competence of its medical staff, conducts professional practice evaluations, and uses the results of such assessments and evaluations to improve professional competency, practice, and care. This policy covers all medical staff members as identified in the Medical Staff ByLaws. The term physician will be u.

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