Bermuda Hospitals Board (Medical Staff) Regulations 1996
Title 11
Laws of Bermuda Item 26(b)

1989 Revision 1

BERMUDA STATUTORY INSTRUMENT

BR 34/1996

BERMUDA HOSPITALS BOARD (MEDICAL STAFF)
REGULATIONS 1996

[made under section 25 of the Bermuda Hospitals Board Act 1970 [title
Title 11 item Item 26] and brought into operation on 7 June 1996]

ARRANGEMENT OF REGULATIONS

1 Citation
2 Interpretation
3 Categories of appointment
4 Eligibility for membership

of medical staff
5 Appointments

6 Applications
7 Terms of appointment
8 Refusal of application
9 Temporary staff
10 Medical Staff Committee

Citation
1 These Regulations may be cited as the Bermuda Hospitals Board
(Medical Staff) Regulations 1996.

Interpretation
2 In these Regulations—

"the 1970 Act" means the Bermuda Hospitals Board Act 1970;

"the Board" means the Bermuda Hospitals Board; and

"Bermuda Medical Council" means the Council established
under section 5 of the Medical Practitioners Act 1950.

BERMUDA HOSPITALS BOARD (MEDICAL STAFF)
REGULATIONS 1996

2 1989 Revision

Categories of appointment
3 (1) References in these Regulations to the category of a person's
appointment are references to his membership of the associate, active,
consulting or courtesy medical staff of the hospitals.

(2) Members of the associate medical staff may admit and
attend their own patients at the hospital in conformity with the terms
and conditions of their appointment.

(3) Members of the active medical staff

(a) may admit and attend their own patients at the hospital
in conformity with the terms and conditions of their
appointment, and

(b) are the only persons eligible to vote at meetings of the
active medical staff.

(4) Members of the consulting and courtesy medical staff

(a) may not admit patients, and

(b) may only attend patients in conjunction with a member
of the active medical staff in conformity with the terms
and conditions of their appointment.

Eligibility for membership of medical staff
4 (1) In order to be eligible for membership of the active or
associate medical staff of the hospitals (other than the dental division), a
person shall

(a) be a full-time resident of Bermuda;

(b) be a graduate of a medical school recognised by the
Bermuda Medical Council;

(c) have completed at least two years of post graduate
hospital training approved by the Bermuda Medical
Council;

(d) be registered under the Medical Practitioners Act 1950;

(e) have medical malpractice insurance of at least such
amount as the Board may from time to time require; and

(f) attend such continuing education programmes as the
Board may require.

(2) In order to be eligible for membership of the dental division
of the active or associate medical staff of the hospitals, a person shall

(a) be a full-time resident of Bermuda;

Title 11
Laws of Bermuda Item 26(b)

1989 Revision 3

(b) be a graduate of a dental school recognised by the
Bermuda Dental Board;

(c) be registered under the Dental Practitioners Act 1950;

(d) have dental malpractice insurance of at least such
amount as the Board may from time to time require; and

(e) attend such continuing education programmes as the
Board may require.

(3) In order to be eligible for membership of the consulting or
courtesy medical staff of the hospitals, a person shall satisfy the
requirements of subparagraphs (b) to (e) of paragraph (1) or
subparagraphs (b) to (d) of paragraph (2) (as the case may be).

Appointments
5 (1) A person

(a) who in accordance with regulation 4 is eligible for
membership, and

(b) who makes an application in accordance with regulation
6,

may be appointed by the Board to the medical staff.

(2) In relation to an application for membership of the active or
associate medical staff, an appointment under paragraph (1) shall in the
first instance be to the associate medical staff for a term not exceeding
one year.

(3) A person may subsequently be appointed to the active
medical staff for a term not exceeding three years and may apply to the
Board for successive re-appointments.

(4) A person may apply for re-appointment to the active
medical staff annually on his reaching the age of 65 years, but shall not
be appointed for a term which extends beyond his seventieth birthday.

Applications
6 (1) An application

(a) for membership of the medical staff, or

(b) for a variation of the terms and conditions of
appointment,

shall be made to the Chief of Staff in such form, and with such
supporting documents and references, as he may require.

BERMUDA HOSPITALS BOARD (MEDICAL STAFF)
REGULATIONS 1996

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(2) The application shall be considered by a sub-committee of
the Medical Staff Committee appointed for that purpose, who may
require the applicant to attend for interview.

(3) The sub-committee shall make a recommendation to the
Medical Staff Committee specifying

(a) the category of staff appointment;

(b) the department to which the applicant should be
assigned;

(c) the terms and conditions of the appointment; and

(d) the duration of appointment;

and, after considering the recommendation, the Medical Staff Committee
shall make its own recommendation to the Board as to those matters.

(4) If the Board does not accept any recommendation of the
Medical Staff Committee it shall refer the application back to the
Committee for reconsideration with reasons why the recommendation
was not accepted.

Terms of appointment
7 (1) Where a person is appointed to the medical staff the
Executive Director shall inform the applicant and the Medical Staff
Committee.

(2) Before taking up his appointment, the applicant must state
in writing that he

(a) understands and accepts the category of staff
appointment, the departmental assignment and the
terms and conditions of his appointment; and

(b) agrees to be bound by any rules and policies of the
Board.

Refusal of application
8 (1) Where an application for appointment to the medical staff is
refused, or terms or conditions varied or cancelled by the Board, the
President of the active medical staff shall inform the aggrieved person
that he may, after setting out his case in writing to the Board, appear in
person before the Board to explain any matter which he considers
relevant to the decision in question.

(2) On appearing before the Board the aggrieved person may
instruct legal counsel, or may request the services of the President of the
active medical staff in presenting his case.

Title 11
Laws of Bermuda Item 26(b)

1989 Revision 5

Temporary staff
9 (1) On an application to the Executive Director, in such form
and containing such information as he may require, a person who
satisfies either subparagraphs (b) to (e) of regulation 4(1) or
subparagraphs (b) to (d) of regulation 4(2) (as the case may be) may be
appointed to practice medicine or dentistry at the hospital

(a) for such period, not exceeding three months, and

(b) in such department, and

(c) on such terms and conditions,

as the Executive Director may specify.

(2) Before making such an appointment, the Executive Director
shall consult the Chief of Staff and the relevant head of department.

Medical Staff Committee
10 (1) The Medical Staff Committee shall comprise

(a) the Chief of Staff, who shall be Chairman, and the heads
of the clinical and diagnostic departments of the
hospitals and the President of the active medical staff;
and

(b) the Executive Director and the Director of Nursing,

but the persons mentioned in paragraph (b) shall not be entitled to vote
at meetings of the Committee.

(2) The Committee shall be responsible for integrating and co-
ordinating the departmental activities of the hospitals and for developing
overall policies with regard to clinical care and medical staff organisation.

(3) The Committee shall hold meetings every month and shall
report to the Board as regards medical staff matters and clinical
activities.

(4) The Chairman, in consultation with the other members of
the Committee, shall appoint sub-committees consisting of such persons
as he thinks appropriate to carry out such specified functions as he
thinks appropriate.

(5) Sub-committees appointed under paragraph (4) shall report
to the Medical Staff Committee and to the President of the active medical
staff at least twice a year.

BERMUDA HOSPITALS BOARD (MEDICAL STAFF)
REGULATIONS 1996

6 1989 Revision