Comprehensive Case Overview Program

CPR's In-Depth Case Analysis Program

Comprehensive Case Overview Program

The Well-being Of Your Career

As A Physician Is Vitally Important

Since our formation as a non-profit advocacy organization in late 2018, CPR – The Center for Physician Rights Inc. has striven to design a specialized program that could help physicians protect their legal rights in their encounters with state medical licensing boards, physician health programs and peer review or performance appraisal committees. These are generally non-overseen and non-accountable entities who hold immense power over physicians’ careers.

We envisioned a program with a stratified menu of offerings, a program that validated physicians’ concerns about the reality of potentially grave harms from infringement of their rights, and provided a knowledgeable resource by which to “sound out,” make sense of, and navigate their case. It would be one that could offer a thoughtful case analysis and an exploration of potential approaches and risks. And it would be a program that could provide ongoing guidance and support as one fought to defend their rights, have a fair hearing, and bring the matter to prompt and optimal closure.

CPR’s “Comprehensive Case Overview Program”

CPR’s Comprehensive Case Overview Program joins together the initial sound out “curbside consultation” with a more in-depth case review.

Subsequent to it, an optional mentoring program is offered to assist physicians who would like guidance as they navigate the perilous medical regulatory territory, namely state medical licensing boards, physician health programs (PHPs) and hospital peer review (or alternately performance appraisal or annual review) entities. We’ve come to refer to these functional entities as the Medical Regulatory Therapeutic Complex (MRTC).

While we initially focused on non-academic clinical physicians practicing in the community, we widened the scope of the Comprehensive Case Overview Program to assist physicians in academic clinical practices and ACGME post-graduate training programs (PGYs, i.e. interns, residents and fellows, and in some cases medical students) who may be similarly confronting threatened credentialing, employment or license restriction on alleged mental health, substance abuse or adverse peer review / peer review / performance appraisal concerns.

Format of the Comprehensive Case Overview Program

The Comprehensive Case Overview Program consists of a total of 8 “session unit hours” devoted to in-depth case study and interactive discussion.

Generally, the Comprehensive Case Overview Program’s consultation session will have been preceded by an initial “curbside consultation” which will have provided an initial case framework by which to understand the landscape and contours of the current challenge.

Prior to our extended case consultation meeting, the client will have completed a more fully detailed case narrative elaborating on the history of the present challenge and all relevant details through the present. This expanded narrative is critically important as it serves as the basis for our initial case consultation meeting and our joint understanding of the full case. Prior to our initial consultation meeting, up to 60 minutes is allocated for my study of the submitted narrative material.

The initial consultation meeting then affords a fuller exploration of your current Board, PHP, or credentialing / peer / performance review matter. During this session, we formulate our understanding about the essential issues in the case and preliminarily explore potential approaches. By the end of this consultation session (90 - 120 minutes), you and I will have a better idea of the key issues at hand, their implications, and considerations of next steps. It is recommended that up to 30’ of this initial meeting be devoted to review of our discussion and the presented materials, and the approaches discussed. Private notations may be made as reminders for our ensuing meetings or for various action items to consider. The client is strongly encouraged to take notes during and after the consultation for their own private benefit. As a general principle, narrative notes in the manner of consultation reports or progress notes are not kept.

All non-session time is allocated at the outset of the program and drawn from in the manner of a retainer.

Our subsequent 1-to-1 sessions (three total) explore the actions you have taken, and pursue deeper exploration of key challenges elucidated in the initial consultation. They may also focus on new developments that have arisen (which is often the case in these matters).

Two hours of non 1-to-1 session time is reserved for my professional time devoted to studying and commenting on materials you have submitted, correspondence you are drafting, relevant issue research, and confidential communication with external parties, e.g. a lawyer familiar with such matters, and for other case related activities as may arise. In the event that more time is needed for these activities, you will be advised and can apply a 1-to-1 session credit towards this or purchase additional professional time as needed. Prior to the last session of your package, should there be a greater than 30 min balance of non-1-to-1 session time remaining, this can be applied toward the final (“recap”) session or to a newly added session.

This very focused program’s services are designed to be utilized over the course of two months.

If your case overview requires more time for completion, you can purchase a one-time Comprehensive Case Overview Program extension or simply continue into the 12 session Mentoring Program (see separately).

It is recommended that the last session of the Comprehensive Case Overview Program serve as a recap summarizing the key issues and potential approaches. And at that time, we can then explore whether continued mentoring services might be beneficial as your case moves forward.

Overview of Services Provided

The Comprehensive Case Overview Program

Allowed time

Includes 8 hours of professional time.

5 hours are proportioned to direct 1-1 sessions.

3 hours are allocated to non-1-1 session time.

8 hrs

Pre-consultation study of client’s submitted preparatory narrative.

1 hr

Initial in-depth 1-to-1 extended case consultation meeting based on client’s submitted narrative.*

2 hrs

Three 1-to-1 sessions, each 45-60 min.**

3 hrs

Two non-1-to-1 session units (@ 60’) for review of materials, external communication and other non-1-to-1session services. ***

2 hrs

* Meeting varies in length 90-120’; it is recommended that at least 30’ be devoted to initial recap and frame of approach.

** Our closing session is reserved for recap of case essentials, strategies, and contingencies, and for envisioning steps moving forward, including discussion of client’s interest in continuing guidance through the mentoring program.

*** If there is greater than 30’ non-session time toward the end of the program, that time can be applied toward a correspondingly time-allotted one-to-one session.

One-to-one sessions (up to 5 hours total) include the comprehensive case consultation meeting (generally 90-120 min) and three 1-1 Zoom (or phone) sessions.

Non-one-to-one session time (up to 3 hours of “non-session case time”) includes off-line document review / editing / revising; case-related research; and external communication, e.g. with a legal resource.

The 8 hours of session unit time in the program is interchangeable as needed between one-to-one sessions and non-session case time.

Purchase Comprehensive Case Overview Program

You can purchase the Comprehensive Case Overview Program by clicking the green box below.

Comprehensive Case Overview Program $2,175

Upon payment, you’ll be provided a scheduling link for your initial consultation meeting. You’ll also receive a suggested outline for constructing your case overview narrative and additional materials. As this will serve as the primary information basis for the case review, you should complete and submit this prior to your initial consultation meeting.

What You Can Expect From CPR’s

Comprehensive Case Overview Program

Following the suggested preparatory template, you’ll come away with a fuller understanding of the key issues of your case and increased clarity about the often obscure but legally momentous processes of these medical regulatory powers. You’ll have the unique opportunity for knowledgeable, confidential, and non-judgmental collaborative dialog to help you develop your optimal approach to these challenges. And, perhaps most importantly, you’ll find here a safe space to share your deeper concerns and receive peer support. All private and strictly confidential. It’s a program that those of us at CPR who have had direct involvement with these entities in our own careers wish had been available for us.

Disclaimer

CPR’s Comprehensive Case Overview Program does not constitute either legal or medical services. The Program is strictly an educational and coaching service guided by our extensive study and wealth of case experience in this specialized and highly perilous arena. It is geared toward helping you understand and optimally respond to your current challenge and offering knowledgeable guidance enabling you to move forward in all ways necessary to assert your rights and protect your career and professional wellbeing. Considered approaches are not intended as prescriptive advice, neither legal or otherwise. Courses of action taken, whether influenced by our discussions or not, and their outcomes are solely your responsibility.

For nearly every physician, these MRTC engagements are weighty and understandably anxiety-provoking. Given the obscurity of the administrative-legal processes and the applicable rules and laws, they are often fraught with numerous decisional points with far-reaching implications, some of which could irreparably foreclose your rights and result in a sub-optimal outcome.

Thus, this is a personally tailored, individually focused coaching process. There is no one-size-fits-all approach nor is there a “success playbook.” Neither smooth sailing nor a successful outcome is promised or implied. These are complex, individually unique matters with many variables that require thoughtful exploration of the matrix of relevant issues, informed by a deeper understanding of the various governing parties with whom you were engaged. It requires a commitment by the client to active preparation and participation.

Caveats

The nature of our discussion is highly confidential. Matters may be referenced in conversation that require utmost discretion with regard to privacy and confidentiality. When engaged in the context of concurrent legal services, the services may warrant being considered as expert and/or litigation consultant services and may be entitled to privileged communication status. To explore such, it is vital to clarify this with your attorney.

Additionally, given CPR’s increasing visibility as a physician rights advocacy organization which challenges potential rights-infringement by various parties in the MRTC arena, it may be in your best interest not to disclose your engagement as a client in any of CPR’s programs.

We Would Be Honored To Assist You!

We recognize how weighty and complex these matters can be.

While this challenge is uniquely yours to confront, you don’t – and shouldn’t – have to face it alone. Nor should you try to master the labyrinth of medico-legal concepts; after ten years studying this arena, we know it’s simply not possible for the individual clinician caught in this matrix. CPR’s “Comprehensive Case Overview and Mentoring Program” was specially designed to help guide physicians through what is for many the most challenging, arduous, costly, and indeed career-threatening period of their professional lives. We’re confident you’ll immediately recognize the unique benefit of these specialized services.

Please feel free to call or write should you have any questions.

We appreciate how critically important, deeply personal, and time-sensitive these matters are. We truly look forward to working with you to help you successfully and safely navigate this potentially perilous terrain as expeditiously as possible.

If you have any questions prior to registering for this program, please feel free to contact me.

With kindest regards,

Kernan Manion, MD

Director, C P R – The Center for Physician Rights, Inc.

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