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Credentialing & Privileging

PHSA Medical Affairs is responsible for credentialing and privileging all medical staff at PHSA programs.

Applications for appointment to the medical staff are requested through PHSA department heads or program leaders. The Appointment Process is comprised of two parts – Credentialing and Privileging. It is often thought that “privileging” is a synonym for “credentialing” but the two terms have different meanings, as described below.


Appointment to the Medical Staff is granted to individuals who meet the credentialing requirements of the PHSA.

Credentialing is the process of screening and evaluating a practitioner’s qualifications and experience.

In this process, PHSA reviews the following:
  • License
  • Education and training
  • Experience, skills, and reputation
  • Malpractice insurance


An appointment does not entitle Medical Staff to perform procedures or treat patients. The ability to engage in these activities is defined by the clinical privileges granted.

Privileging is the process used to request, review and grant Medical Staff the permission to perform a defined set of clinical activities at a specific facility (or facilities).


To view the Provincial Privileging Dictionaries or provide feedback on a specific dictionary, visit BC Medical Quality Initiative (BCMQI) website.

The provincial privileging dictionaries bring consistent understanding and practice expectations for medical staff and BC Health Authorities that approve privilege requests. These dictionaries support the improvement and standardization of provincial privileging processes and enhance patient safety through defined practice parameters.

The provincial privileging dictionaries outline the practice objectives, standards and specific privileges within each discipline for all medical staff applying to or holding privileges in BC Health Authorities. They delineate core clinical privileges (activities or procedures permitted by virtue of possessing a defined set of credentials) and non-core privileges (activities or procedures requiring additional certification or a period of proctoring).

They are part of the enhancements of the broader provincial BC Medical Quality Initiative to improve existing safeguards for medical practice and deliver high quality medical care.

Medical Staff: You will apply for privileges (whether they are core, non-core or context-specific) utilizing one of the specialty-specific dictionaries.

Medical Leaders: You have objective criteria for screening privilege requests, as well as renewing and supporting medical staff in returning to currency.

Educational Modules

There are two educational modules designed to help medical staff and leadership complete and review the privileging dictionaries.

Core, non-core and context-specific privileges for each discipline are detailed in the dictionary.

Core privileges refer to privileges that are standard for a discipline.


Non-core privileges refer to privileges that may require extra training or competency; as defined for a discipline.


Context-specific privileges refer to privileges required to support a particular activity at a facility.



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