The American Academy of Family Physicians (AAFP) believes that each specialty society should maintain responsibility for recommending, implementing, maintaining and evaluating privileging policies for its members. The AAFP also believes that privileging should be based on documented training and/or experience, demonstrated abilities and current competence, and, whenever possible, be evidence based. Physician privileging should allow for any and all combinations of competencies in adult, pediatric, and obstetric care in both the inpatient and outpatient setting. All medical staff members should recognize that overlap occurs between many specialties and that no one department "owns" or has exclusive rights to any particular privileges. Family physicians should have access to their patients in all areas of a health care facility, including special/critical units through appropriate privileging.
Recognizing that on rare occasions minimum quotas (or numbers) may be required in specific privileging instances where insufficient data exists, the AAFP believes that a consensus opinion of experts from within the specialty may be necessary until such time as an evidence-based recommendation is available. (1995) (2018 COD)