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The Hospital Defendant
It is said that 'doctors bury their mistakes.' At one time that may have been more true than in modern times, and when the original peer-review privileges case came out, it seemed as if it may have been more possible to bury culpable behavior in peer-review. That is not the case in 2007.
In general, when one attains a license to practice medicine, there is no state-placed limit on what a practitioner may do. An ophthalmologist could, theoretically, perform kidney transplants. The hospital credentialing process is the internal hospital governance that defines and sets individual physicians' scope of practice. Once a practitioner has been 'credentialed,' a term of art referring to this quality control mechanism, that practitioner may practice within the limited scope of the grant of privileges.
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