( b) If the individual refuses to meet, the meeting will be canceled and it will be reported to the MEC that the individual declined to attend the meeting.
6. B. 2. No Right to Counsel:
( a) Members do not have the right to be accompanied by counsel when the Medical Staff Leaders and Administration engage in initial collegial efforts or other progressive steps. These efforts are intended to resolve issues in a constructive manner. By agreement of the Chief of Staff and CMO / VPMA, an exception may be made to this general rule.
( b) If the individual refuses to meet without their lawyer present, the meeting will be canceled, and it will be reported to the MEC that the individual declined to attend the meeting.
6. B. 3. Involvement of Supervising Physician in Matters Pertaining to Advanced Practice Provider Staff Members:
If any peer review activity pertains to the clinical competence or professional conduct of a member of the Advanced Practice Provider Staff, the Supervising Physician( if any) will be notified and may be invited to participate.
6. C. ADDITIONAL METHODS FOR PROGRESSIVE STEPS 6. C. 1. Mandatory Meeting:
( a) Whenever there is a concern regarding an individual’ s clinical practice or professional conduct, Medical Staff Leaders may require the individual to attend a mandatory meeting.
( b) Special notice will be given at least five days prior to the meeting and will inform the individual that attendance at the meeting is mandatory.
( c) Failure of an individual to attend a mandatory meeting may result in an automatic relinquishment of appointment and privileges as set forth below.
6. C. 2. Fitness for Practice Evaluation:
( a) An individual may be requested to submit to an appropriate evaluation( such as blood and / or urine test), or a comprehensive fitness for practice evaluation which may include a physical, psychological, or cognitive assessment, to determine their ability to safely and competently practice.
( b) A request for a fitness for practice evaluation may be made as follows:
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