G Credentials of General/Trauma Surgeons Level I and Level II

Section 515 Section 515.APPENDIX G   Credentials of General/Trauma Surgeons Level I and Level II List each surgeon by name Check appropriate categories regarding trauma care experience and operating room privileges Signed by CEO/Hospital Administrator Surgeon Name T = Trauma Surgeon G = General Surgeon Two years post-residency trauma care experience Independent OR privileges 20 hrs. for every two years trauma-related CME Signature Hospital CEO/Administrator Typed Name Hospital CEO/Administrator Date