1. DOCUMENT THE MEDICAL RECORD WELL
Your best defense is the medicine, so make sure the medical record clearly reflects it.
2. RESPECT THE HEALTH CARE TEAM
Do all you can to eliminate complaints that may trigger a review of medical care or allegations of disruption.
3. RESPECT YOUR PATIENTS
Even if your medical care meets the standard, administration must deal with unhappy patients and a peer review may result.
4. CHOOSE YOUR HOSPITALS CAREFULLY
Having privileges at more than one hospital allows you to continue your practice in the event your privileges are affected at another hospital.
5. HOLD POSITIONS ON MEDICAL STAFF COMMITTEES
Being active on committees will allow you to be informed and diffuse potential problems.
6. FIND ALLIES ON THE MEDICAL STAFF
Whether your practice partners or physicians who know and respect you, have support from those in power.
7. DON’T COMPLAIN IF VULNERABLE
If you have little support (you are a solo, new to the medical staff, competitors hold power), complaining may cause scrutiny of your practice.
8. RESPOND IN WRITING TO ALL INQUIRIES
Respond in writing to all inquiries (no matter how minor) and make sure the tone is credible and factual.
9. PAY ATTENTION TO THE ATMOSPHERE
Be alert to signals that you are not welcome on the medical staff and address them.
10. RESOLVE IT OR GET OUT OF DODGE
Resolve any issues directly with the medical staff on a professional level and, if not possible, take your practice elsewhere, with legal counsel’s help.