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Supporting Documents
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Supporting Documentation to be Submitted with Application

 

For applicants with five or more years of clinical experience in Cardiac, Thoracic or Vascular Surgery or CVT Critical Care:

 

      1.       Current curriculum vitae

 

2.       Letter of recommendation from the current supervising physician or most recent supervising             physician within the previous twelve-month period. The letter must attest to the applicant’s               competence and proficiency, the number of years of clinical experience in Cardiac, Thoracic or         Vascular Surgery or CVT Critical Care practice, and the approximate number of patient                     encounters* during the applicant’s association with the practice. Letter must be submitted on

       physician’s letterhead.

 

For applicants with fewer than five years of clinical experience in Cardiac, Thoracic or Vascular Surgery, CVT Critical Care:

 

1.       Current curriculum vitae

 

2.       Letter of recommendation from the current supervising physician or most recent supervising             physician within the previous twelve-month period, attesting to the applicant’s competence and         proficiency in the practice of Cardiac, Thoracic or Vascular Surgery or CVT Critical Care:  .               Letter must be submitted on physician’s letterhead.

 

3.       Certificate of Completion of a post-graduate training program in Cardiac, Vascular or Thoracic

       Surgery or CVT Critical Care that meets the guidelines as set forth by the joint task force of the         APACVS and the Society of Thoracic Surgeons. ~OR~ Letter of verification from the                         supervising physician attesting to applicant’s having had two years of full-time experience in the

       management and treatment of Cardiac, Vascular or Thoracic Surgical or CVT Critical Care

       patients. Letter must be submitted on physician’s letterhead.

 

     4.       Signed transcript of a minimum of 200 patient encounters* logged via the APACVS database                  ~OR~

      A copy of applicant’s employer-provided HIPAA-compliant credentialing logbook, documenting

      a minimum of 200 patient encounters.*

 

*A patient encounter is defined as acting as a first or second assistant in the operating room—including harvesting conduit, acting as the primary operator in performing any diagnostic or therapeutic procedure, or active participation in the bedside management of a patient.

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