FSS-621-I - Defense Civilian Medical Associates, LLC - V797D50521

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Department of Veterans Affairs Federal Supply Service

Authorized Federal Supply Schedule Price List Effective Date: February 1, 2016

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through

GSA Advantage!, a menu-driven database system. The Internet address for

GSA Advantage! is: www.GSAAdvantage.gov

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing

Services

Product Service Code Q Contract #: V797D-50521

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http://www.fss.gsa.gov

Contract Period: 02/01/2016 through 01/31/2021

Defense Civilian Medical Associates, LLC.

(A Verified SDVOSB)

12310 Steeplechase Drive Reisterstown, Maryland 21136-6457

Primary Contact: John Dunford

E-mail Address jdunford@dc-ma.com Alternative Contact: Jeffrey Sagel

E-Mail Address DCMAphysicians@aol.com

Phone# (202)276-7000 Fax# (410)526-1836

Business Size: Service Disabled Veteran Owned Small Business (SDVOSB)

Data Universal Number System (DUNS) Number: 117786785 Central Contractor Registration (CCR) Cage Code: 3A1B1 http://www.gsaadvantage.gov/ http://www.fss.gsa.gov/

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Customer Information:

1. Table of awarded special item number(s):

SIN

Description

Specialty

621-006 Anesthesiologist General

621-006 Anesthesiologist Specialized

-Cardiac or Cardiothoracic Anesthesiologist

-Neuro Anesthesiologist

-Pain Management Anesthesiologist

-Pediatric Anesthesiologist

-Regional Anesthesiologist

-Critical Care Anesthesiologist (Intensivist)

- Obstetrical Anesthesiologist

- Transplant Anesthesiologist

-Vascular or Vascular Thoracic Anesthesiologist

2. Maximum order: $1,000,000 per order.

3. Minimum order: None

4. Geographic coverage (service area): MD, VA, Washington and DC

5. Prompt Payment Terms: 30 days

6. Government Commercial Credit Card: Accept up to the micro-purchase threshold of $3,500

7. Ordering address: 12310 Steeplechase Drive, Reisterstown MD 21136

8. Payment address: 12310 Steeplechase Drive, Reisterstown MD 21136

9. Prices shown herein are “net” ceiling prices-not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and exclude travel and lodging. Personal Services task-orders will also be accepted. See pages 3 through 3 of this price list.

10. Minimum Qualifications of Professionals: See Attachment A

11. Medical Liability Insurance Limits: $1 per occurrence; $3aggregate.

12. For services, the ordering procedures, information on Blanket Purchase

Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.405- 3.

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13. (Defense Civilian Medical Associates, LLC) Not to Exceed Hourly Rates

SIN

Description

Specialization FSS Net Ceiling Hourly Price

621-

Anesthesiologist General $216.29

621-

Anesthesiologist Specialized

-Cardiac or Cardiothoracic Anesthesiologist

$230.41

-Neuro Anesthesiologist

$230.41

-Pain Management Anesthesiologist

$230.41

-Pediatric Anesthesiologist

$230.41

-Regional Anesthesiologist

$230.41

-Critical Care Anesthesiologist (Intensivist)

$230.41

- Obstetrical Anesthesiologist

$230.41

- Transplant Anesthesiologist

$230.41

-Vascular or Vascular Thoracic Anesthesiologist

$230.41

Note: Rates shown are ceiling rates, including 1% industrial funding fee. The rates shown exclude lodging and transportation charges.

Shift Differentials: None

Work Week: Sunday – Saturday

Overtime Rate(s): Regular Hourly rate applies

Holiday Rate(s): Regular Hourly rate applies

On-Call Rate(s): $18/hour for all hours in On-Call status. Anesthesiologist is to carry a beeper/cell phone and remain within 30 minutes radius of the facility. Phone consultation is included.

Call Back Rate(s): The regular hourly rate applies once Anesthesiologist begins work on site.

Permanent Placement Fees: No permanent placement fees are authorized.

Cancellation Fees: No cancellation fees are authorized

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Service Contract Act not applicable to this contract

Cancellation Policy:

Termination for Convenience; an ordering activity contracting officer may terminate individual orders for convenience of the Government.

Termination for Cause; an ordering activity contracting officer may terminate individual orders for cause.

Background Investigations:

A background check will be completed on all providers prior to the start of their assignment. All credentials and licenses are verified via background checks. National Practitioners Data Bank, Contemporary Insurance Services, reporting services, and State licensing Boards, will be used to verify credentialed and background information for each employee to include:

1) Criminal History – State & County

2) Credit Check

3) Federal Criminal

4) Education Verification/Credentials Verification

5) Citizenship

6) Work History

Drug screen processes are handled by the ordering facility based on the facilities requirements.

Minimum Qualifications of Professionals:

621-006 Anesthesiologist – General and Sub-specialist Education/License: MD or DO / Applicable State License and Federal DEA permits Experience: 1-year full-time experience Certification: Board Certification by a member of the American College of Graduate

Education Specialty Board as applicable. Fellowship training in sub-specialty as indicated*

References: e.g. three professional references

Please refer to Attachment A for detailed and specific Qualification requirement.

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Attachment A

621-006 Anesthesiologist – General

Description At a minimum, each candidate will be trained and prepared to diagnose and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience within the preceding three years.

References Minimum three professional references.

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621-006 Anesthesiologist – Cardiac or Cardiothoracic and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient with advanced cardiac disease for general or cardiac surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in cardiac or cardiothoracic anesthesia. This includes Transesophageal

Echocardiographic (TEE) training.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

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621-006 Anesthesiologist – Neuro Anesthesia

Description At a minimum, each candidate will be trained and prepared to diagnose and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient with advanced neurological disease for general or neurological surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in neurosurgical anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Critical Care

- 8 -and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient within the intensive care unit from general or advanced subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in critical care.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Pediatric and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency

- 9 -surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the pediatric patient within the operating room for general or advanced subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in pediatric care.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life

Support (PALS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Regional Anesthesia and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

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Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in placement of advanced regional nerve block catheters for preoperative, inter-operative, or post-operative pain control. This is the utilized for he patient undergoing general or subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in regional anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Obstetrical and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional

- 11 -qualifications in managing the patient with advanced gynecological disease or pregnancy for general or subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in obstetrical anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Transplant and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient with end stage organ disease presenting for transplant procedures, general surgical procedures, or

- 12 -subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in transplant anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Vascular or Vascular Thoracic and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient with advanced vascular disease for general or subspecialty surgical procedures.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an accredited college approved by the Council on Medical Education and

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Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in vascular or vascular thoracic anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience

621-006 Anesthesiologist – Pain Management and treat acute and long standing pain problems. Pre-operatively assess the risk and optimize the patient undergoing elective or emergency surgery in an inpatient or outpatient setting. Manage the anesthesia of the patient before, during, and after the surgical procedure. Manage the pain of the patient in the post-operative setting. Maintain the ability to manage the airway of a patient in an elective or emergent situation. This, by qualifying criteria as maintained by the American Society of

Anesthesiologists and as examined by the American Board of

Anesthesiology. Additionally, the practitioner will have additional qualifications in managing the patient with advanced pain issues and offer the latest therapy and treat for intractable pain focusing on utilizations of advanced invasive catheter placements, injections and nerve blocks, parental or injected or topical medications and the utilization of fluoroscopy and nerve blocks for diagnosis and treatment.

Education Each candidate will hold a Doctor of Medicine Degree (M.D.) from an

- 14 -accredited college approved by the Council on Medical Education and

Hospitals of the American Medical Association of Doctor of Osteopathy

Degree (D.O.) from a college accredited by the American Osteopathic

Association and from a college accredited by the American Osteopathic

Association and successfully completed an American Council of

Graduate Medical Education approved residency in Anesthesiology.

Additionally, each candidate will have completed an Advanced Clinical

Track CA 3 year, a CA 4 Fellowship year, or clinical equivalent in pain management anesthesia.

Certification Each practitioner will maintain Continuing Medical Education (CME) requirements as defined by their State of Licensure. Additionally, each will maintain a current Drug Enforcement Administration (DEA) registration certificate. Each practitioner will be board eligible or board certified in Anesthesiology as defined by the American Board of

Anesthesiology or the American Osteopathic Board of Anesthesiology.

Each practitioner will be current in Basic Life Support (BLS) and

Advanced Cardiac Life Support (ACLS) or their equivalent. A certificate of completion of such subspecialty training from an ACGME approved training program or documentation of proficiency.

Licensure Each practitioner will maintain a valid unrestricted state license in any state within the United States of America, The District of Columbia, or the territory of Puerto Rico that will be renewed by the issuing authority’s standards.

Experience Each practitioner will have a minimum of one year work experience