Master Surgeon in Minimally Invasive Hand Surgery

The Master Surgeon in Minimally Invasive Hand Surgery (MSMIHS) program offers leading surgeons around the world the opportunity to earn an individual accreditation without requiring that they partner with a hospital. The MSMIHS program is ideal for surgeons who:

  • Perform surgeries at multiple hospitals
  • Desire an individual accreditation separate from or in addition to their hospital’s accreditation
  • Want to earn accreditation now, but their hospital is not ready to move forward

The MSMIHS program is an excellent way for patients to identify world-class hand surgeons who hold themselves to a higher standard.

If you’re interested in accreditation, please complete the Accreditation Program Information Form or contact businessdevelopment@nullsurgicalreview.org.

 

Program Requirements

1. Surgical Experience

The applicant has served as the primary surgeon for at least 175 minimally invasive hand surgery procedures in their lifetime and performs at least 150 procedures annually.

Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship or residency may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.

Each procedure used for volume must be thoroughly documented to enable a medical chart review.

Volume waivers may be approved in some circumstances.

2. Equipment and Instruments

The applicant performs minimally invasive hand surgery in a facility that has a full line of equipment and surgical instruments to provide appropriate care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.

3. Surgeon Dedication and Qualified Call Coverage

The applicant spends a significant portion of their efforts in the field of minimally invasive hand surgery and has active, full privileges in their specialty at the facility participating in their inspection.

The applicant is board-certified or an active candidate for board certification in minimally invasive hand surgery by the highest certifying authority available.

The applicant completes at least 24 hours of continuing medical education (CME) focused on hand care every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or two national or international meetings qualify.

4. Clinical Pathways and Standardized Operating Procedures

The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for minimally invasive hand surgery. The following pathways are required:

  • Anesthesia, including monitoring and airway management
  • Perioperative care, including monitoring, pain management and airway management
  • Deep vein thrombosis (DVT) prevention and management

The first three pathways will be deemed satisfied if the facility has accreditation from The Joint Commission (formerly known as JCAHO), DNV-GL or an equivalent healthcare organization approved by SRC.

  • Instructions for identification, evaluation and management of early warning signs of complications.
  • Preoperative patient preparation, evaluation, patient education (to include potential diagnostic tests, including genetic when appropriate), consent and plan of action for discharge that includes follow-up and any necessary patient education
  • Pain management
  • Preoperative, post-operative and long-term patient rehabilitation
  • Site identification and tourniquet protocol

The applicant performs each surgical procedure in a standardized manner as allowed by variations in operative circumstances.

The applicant uses a template for operative note dictation that ensures proper collection of data for surgical procedures.

5. Team and Support staff

The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs minimally invasive hand surgery in a facility that has an operative team trained to care for minimally invasive hand surgery patients.

The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff in-service education to ensure they have a basic understanding of minimally invasive hand surgery and the appropriate management of the minimally invasive hand surgery patient.

In-service topics must include: 

  • Signs and symptoms of common complications following minimally invasive hand surgery
  • Equipment and surgical instruments
  • Clinical pathways

6. Patient Education

The applicant must provide all minimally invasive hand surgery patients with comprehensive preoperative patient education.

The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.

The applicant provides information and education about support groups for all patients who may undergo or have undergone minimally invasive hand surgery and require ongoing support.

7. Continuous Quality Assessment

The applicant must collect prospective outcomes data on all patients who undergo minimally invasive hand surgery in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.

Program Fees

Initial Fees

Application Fee: $1,650 USD

  • Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
  • Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.

Site Inspection Fees

Site Inspection: $1,175 USD

  • Inspections for Master Surgeon accreditations are performed on site at the surgeon’s location.
  • The site inspection fee covers a one-day inspection with one site inspector and includes one Master Surgeon. A day will be added to the site inspection for every additional co-applicant surgeon. Each additional day is $925.
  • Applicants are responsible for arranging and paying for the site inspector’s hotel, ground transportation and, if needed, an interpreter/translator. These items are not included in the standard site inspection fee.
  • Renewal inspections are required every three years to ensure ongoing program compliance.

Recurring Fees

Annual Fee: $1,650 USD

  • Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.
  • Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.