What “good” looks like by Day 60

Residency active (Emirates ID issued) and DOH licence visible.
Credentialing completed; privileges granted (core scope) with proctoring closed or in flight.
Medication-safety and device competencies signed off.
Rostered independent shifts with a clear escalation tree.
Two small quality improvements implemented (checklist tweak, SBAR line).
Week 0–1 — Compliance & residency (no shortcuts)
PRO sequence: entry/work visa → medical fitness → biometrics → Residence active.
Name hygiene: every file uses your passport-exact name (all middle names).
Insurance: malpractice policy issued; settings include hospital and any domiciliary scope if relevant.
DataFlow/PSV: all components tracking to Verified (Education, Licence/Good Standing, Employment).
Orientation: security, privacy, medication storage, incident learning.
Week 2 — Unit safety anchors
Medication-safety bundle: independent double-checks, LASA separation, pump library mode only, weight/eGFR line.
Handover: SBAR with one numeric escalation threshold per complex case.
Devices: airway cart/defib familiarisation; IFU step most often missed pinned in workroom.
Week 3–4 — Credentialing & privileging
Credentialing pack submitted: licence/Good Standing, DataFlow PDFs, CV with outcomes, insurance schedule.
Privilege request drafted (core vs advanced) with volumes and proctoring plan (named proctors, N cases, timeframe).
Committee booked; expect staged approval for advanced items (e.g., endoscopy, sedation).
Week 5–6 — Independent practice, tightly supported
Roster: gradual exposure to higher-acuity lists; float/backup named for first two weeks.
Micro-audits (weekly): one medication check observed; one SBAR escalation line verified; two device IFU spot-checks.
Incident learning: any near-miss prompts a ≤72-hour huddle with one change adopted.
Evidence that moves DOH committees fast
Licence & recent Good Standing.
DataFlow components Verified (colour PDFs, seals/QRs intact).
Competency proof: BLS/ACLS (PALS/ATLS if applicable), logs, device sign-offs.
Insurance schedule with limits and settings (hospital/home/hotel/yacht if relevant).
Case logs (12–24 months) for advanced privileges; concise outcome snapshots.
Building your privilege request (copy/paste)
Department/role: Internal Medicine Specialist / Anaesthesia / Emergency Medicine.
Core privileges: list unit-standard procedures/devices.
Advanced privileges: show case numbers, supervision history, and proposed proctoring (e.g., 5 supervised endoscopies in 30 days).
Settings: in-patient, out-patient, domiciliary if needed.
Safety anchors: med-safety bundle, SBAR escalation, incident learning participation.
VIP/UHNWI etiquette (privacy without shortcuts)
One clinical voice (medical lead) for updates; household PA/security handle logistics only.
Neutral language in semi-public spaces; no names in corridors/lifts.
For home/hotel care: locked medication case, cold-chain log, two-person check for high-risk meds.
Manager & HR checklist (to keep dates real)
Offer title = DOH category; malpractice start date ≥ first privileged shift.
Committee slot booked; proctoring resources allocated.
Float/backup named on first two rosters; post-call rest protected.
Access, EMR, dictation, and results routing live before first list.
Candidate pocket checks (weekly)
All portal statuses Verified / Active; receipts saved.
One micro-audit completed; finding shared at safety huddle.
Privilege list matches actual practice; any gap escalated before shift.
Domiciliary rider present if stepping outside hospital.
Common pitfalls—and calm fixes
Eligibility celebrated as “done” → licence + privileges still required; track the committee date.
Title mismatch (offer ≠ DOH category) → amend before credentialing.
Claims-made policy without tail → secure employer-funded run-off in writing.
No numeric escalation lines → mandate one per complex case in SBAR.
Assumed domiciliary scope → add to privilege list and insurance before any visit.
Short FAQs
Can I start clinics before privileging?No—privileges must be active for your scope. Orientation can proceed.Do privileges transfer to another hospital?No—bring your portfolio; expect a new review.How many cases for advanced items?Varies—propose volumes aligned to risk and provide logs; accept staged approval with proctoring.Discreet contactPlease, talk to David on whatsapp: https://wa.me/34692100254