Вы находитесь на странице: 1из 1

This I Believe…

Proposal for a Revision in The William W.


Backus Hospital Medical Staff Bylaws
Dennis Slater, MD

Not long ago there were two clinical administrators the bylaw revision on February 5th, 2018, which then will
that supervised the conduct of The William W. Backus be presented to the medical staff at the quarterly staff
Hospital physicians: the Chief of Clinical Services and meeting for debate and a final vote.
the Medical Director. The administrative bureaucracy
has grown and a host of clinical administrators are Current bylaw 4.B. Selection of Department Chiefs.
supervising physicians: the Medical Director, the Director Proposed change in bylaw 4.B. Selection of
of Quality and Safety, the Director of the Intensive Care Department Chiefs and Directorships
Unit, the Director of Cancer Services, the Vice President of Current bylaw 4.B.2(b) When a vacancy arises in
Medical Affairs, and the Hospital President, to name a few. a contracted position, the hospital administration, in
consultation with the medical executive committee, will
In 2016 the hospital administration established a new propose a process to select the department chief. Such a
position – the Chief of Medicine. This was a part-time process may include a search committee appointed by the
salaried position, similar to the Chief of Surgery, with a president of the medical staff, VPMA, and the hospital
lengthy list of responsibilities and notably elevated above president.
the “chiefs” of the various divisions within medicine and Proposed change in bylaw 4.B.2(b) When a vacancy
surgery. The Medical Executive Committee requested, arises in a contracted position, the hospital administration,
and the hospital agreed, to an ad hoc committee of in consultation with the medical executive committee, will
physicians in the Department of Medicine to interview propose a process to select the department chief, medical
candidates and make formal written recommendations. director, medical director of quality and safety, medical
After the administration selected their favorite candidate, director of the intensive care unit, medical director of
the Medical Executive Committee was asked for a vote cancer services, and medical director of the palliative care
of approval. team. Such as process may include a search committee
appointed by the president of the medical staff, the
The process of including the medical staff through its
VPMA, and the hospital president.
representative organ, the Medical Executive Committee,
in selecting administrative leaders affords legitimacy to Current bylaw 4.B.3(c) In the case of a contracted
leadership. The exact process may vary with the specific department chief position, the members of the
position, but some process requiring input and a vote department may hold a vote of no confidence, but
of confidence by the Medical Executive Committee is removal may only be effectuated by the board, with input
crucial. Presently none of our administrative leaders from the hospital medical staff leadership, in accordance
except for the aforementioned Chief of Medicine and the with the terms of his or her contract.
Hospital President (consenting post ad hoc to an interview Proposed change in bylaw 4.B.3(c) In the case of
and vote by the MEC!) has had a vote of support from a contracted department chief or medical directorship,
the Medical Executive Committee. the members of the relevant department or the medical
staff may hold a vote of no confidence, but removal may
Therefore, I propose a revision of the hospital bylaws
only be affected by the board, with input from the hospital
4.B., 4.B.2(b), 4.B.3(c) detailed below. The revision was
medical staff leadership, in accordance with the terms of
discussed at the Medical Executive Committee meeting
his or her contract. g
on October 2nd, 2017, and again on February 5th, 2018.
The Medical Executive Committee voted for approval of

- 34 - O P E N JO URNAL • W I NTE R 2018