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LETTERS.
Centralize Credentialing
In 4 years as a locum tenens physician, I've filled out at least 15 credentialing applications asking for the same information. Much of it, such as my high school transcripts from 30 years ago, is irrelevant. All of it is repetitive and done in a vacuum.
The people usually reviewing my information are not physicians, but I'm not sure physicians could do any better with the current process, since it still relies on paper and isn't centralized ("Better Physician Credentialing Needed," May 1, 2001, p. 41).
The process could be streamlined using a computer database, centralized credential verification, and a national license. Elements of all three exist separately: the National Practitioner Data Bank, the Greater Arizona Central Credentialing Program, and our Drug Enforcement Administration numbers. State medical boards would still exist for oversight, discipline, and extracting tribute (license fees).
I doubt we will see a change in the people admitted to medical school, since the profession is more comfortable with more of the same. No one has asked who let Michael Swango graduate from medical school in the first place.
David A. Rivera, M.D.
Lombard, Ill.
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