This week, CRC Daily covers medical staff leadership and governance. When new medical staff leaders step into their new roles, one of the many duties they take on is playing a part in the credentialing process. Although a physician has been on your medical staff and has gone through the credentialing process as an applicant, it is a mistake to assume that he or she understands the behind-the-scenes workings of credentialing.

This month we explore the answer to a seemingly straightforward question. Should medical staff leadership positions be elected (by the organized medical staff) or appointed (by the hospital administration)? Depending on the culture of your organization and its medical staff, this question is either easily answered (rarely) or the subject of great discussion and debate (commonly). The good news is that your organization ultimately decides how it will be answered. There are no accreditation prescriptions in this area. The bad news is that there is no one size fits all answer. Even in the same organization, different variations of answers to this question may exist. Each organization decides for itself.

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