We have created links to major OBS-related sources for any healthcare provider interested in starting a new practice or maintaining accreditation and certification requirements for an already existing OBS practice. Many professional societies have created guidelines for safe OBS practice. In addition, rules and regulations governing OBS practice vary significantly by state.

In order to promote safety and encourage states to develop guidelines, the American Medical Association (AMA), with input from the American College of Surgeons (ACS) and the American Society of Anesthesiologists (ASA) published a consensus list of 10 AMA Core Principles of Office Based Practice.

This list is summarized below:(full text: see

Additional Resources are available below.

Facility accreditation:
American Association for Accreditation of Ambulatory Surgery Facilities:
The Accreditation Association for Ambulatory Health Care:
The Joint Commission:
Federation of State Medical Boards:

Professional Organizations that have established their own guidelines regarding OBS:
American College of Surgeons (ACS):
American Society of Anesthesiologists (ASA):
American Academy of Pediatrics (AAP):
American Society of Plastic Surgeons (ASPS):
American Academy of Ophthalmology (AAO):
American Society for Gastrointestinal Endoscopy (ASGE):
American Academy of Orthopedic Surgeons (AAOS):
American College of Obstetrics and Gynecology (ACOG):
American Society for Dermatologic Surgery (ASDS):
American Dental Association (ADA):
American Association of Nurse Anesthetists

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