Licensure or registration of personnel

(a) Staff of the hospital shall be licensed or registered in accordance with applicable state laws and shall provide care according to the requirements of their respective practice Acts. (b) Each student who is participating in a recognized training program to become a physician or a non-physician practitioner may be allowed to carry out patient care responsibilities under the supervision of their instructor as a part of their training. Physicians and other practitioners serving as instructors shall be appropriately licensed or registered and shall have been granted appropriate clinical privileges if required by the medical staff bylaws. Each hospital that allows student training shall authorize and limit student patient care activities through approved policies and procedures.