( 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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