Why credentialing decides your real start date
Licensing lets you apply; credentialing and privileges determine when you can practice independently. Files stall on name mismatches, thin case logs, unclear scope and uninsured domiciliary expectations. A clean pack reduces queries and protects rota stability.
The pack (one PDF per item, colour, 300–400 dpi)
Passport page — passport-exact name (all middle names).
Current licence/registration — regulator of last practice.
Good Standing/CCPS — inside the accepted recency window.
Education — degree + transcript (legalised → then translated where required).
Employment letters — headed paper, DD/MM/YYYY dates, setting (ICU/ward/OP), duties.
Case logs (last 12–24 months) — see template below.
Life-support cards — BLS for all; ACLS/PALS/ATLS as relevant.
Malpractice schedule — limits, policy type (occurrence or claims-made + tail), settings listed: hospital/clinic/home/hotel/yacht if applicable.
Privilege request — core scope now; advanced items with proctoring plan (named proctors, N cases, timeframe).
CPD index — hours by category (clinical, patient safety/quality, etc.).
Formatting rules that prevent addenda
One document per PDF, order: Original → Legalisation → Sworn translation.
File names:
Surname_Name_[DocType]_YYYY.pdf.All identities = passport-exact across CV, certificates, portals.
Scans readable at 100% zoom, seals/QRs visible; no photos of screens.
Case log structure (copy/paste)
Date | Setting (OR/ICU/ward/OP) | Procedure/Case type | Role | Outcome/Key metrics | Complications | Proctor/Peer review (if applicable).
Add denominators (e.g., “Shoulder arthroscopy: 46 cases; complication rate 2.1%”).
For nurses/physios, log competency-based activities (e.g., sedation assistance, ventilator weaning, ICU early mobility).
Life-support & device competencies
Align cards to scope (e.g., sedation-adjacent clinics may require ACLS).
Include device IFU competencies for pumps, monitors and therapy equipment where relevant.
Insurance that matches privileges
Occurrence preferred; if claims-made, secure tail in writing for exits.
Settings must include every environment you will practice in (hospital/clinic/home/hotel/yacht).
Limits aligned with facility standard and scope (higher for invasive/autonomous practice).
Privilege request: core now, advanced with guardrails
Core: what you can start immediately.
Advanced: named proctors, N cases, timeframe, sign-off criteria.
No independent practice outside granted items.
Red flags—and calm fixes
Offer title ≠ regulator category → amend offer before committee.
Old, low-res scans → rescan colour 300–400 dpi; replace.
Domiciliary expected but not insured/privileged → add rider + privilege variation before first visit.
No denominators in logs → summarise volumes and outcomes; add peer-review notes.
Committee-day checklist (10 minutes)
All PDFs open and named cleanly
Privilege request aligns with case logs and insurance settings
Life-support cards in date
Proctors confirmed and available
One-page scope statement: what you will and will not do