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How to fill out the Kettering Health Network Otolaryngology KMC & SYC online
This guide provides clear, step-by-step instructions for completing the Kettering Health Network Otolaryngology KMC & SYC form online. By following the outlined process, users can ensure that their applications are filled out accurately and comprehensively.
Follow the steps to fill out your application effectively.
- Press the ‘Get Form’ button to access the form and open it in your document handler.
- Begin by entering your full name in the ‘Applicant's Name’ field at the top of the form. Ensure this matches your legal documents.
- In the ‘Membership’ section, check the relevant boxes that pertain to your current qualifications and experiences, ensuring they align with the requirements for core privileges in otolaryngology.
- In the ‘Required Qualifications’ section, provide details about your education and training. This includes the completion of the ACGME or AOA-accredited residency programs. Documentation may be required.
- For the certification section, indicate whether you hold current certification or are actively participating in the certification examination for otolaryngology.
- In the ‘Clinical Experience (Initial)’ section, demonstrate your recent surgical experience, documenting at least 50 procedures performed in the last 12 months or concurrent relevant training.
- Next, complete the ‘Clinical Experience (Reappointment)’ section by providing evidence of your ongoing competence and results of professional practice evaluation over the last 24 months.
- Carefully review the list of core privileges and desired procedures and check the appropriate boxes indicating which privileges you are requesting.
- Complete any additional sections regarding special privileges or sedation administration, providing all required information and ensuring you meet the criteria outlined.
- Once all sections are completed, double-check your entries for accuracy. Save the changes, and prepare to submit the completed form.
- You may choose to download, print, or share the form as necessary after submission. Ensure you keep a copy for your records.
Start completing your Kettering Health Network Otolaryngology KMC & SYC form online today!
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Kettering Health Network is classified as a Level II trauma center, indicating it provides comprehensive trauma care. This designation means that the network is equipped to handle a wide range of traumatic injuries and has the necessary resources to deliver advanced medical treatment. The Level II trauma services complement the specialized offerings of Kettering Health Network Otolaryngology KMC & SYC, ensuring patients have access to complete care.
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