A MONOGRAPH FOR NEW CLIENTS

The Center for Peer Review Justice is run by a healthcare provider who has special skills in resolving intractable problems for physicians who have run into both peer review and employment problems. It is no secret to the practicing physician that despite many years of education, he/she is ill suited to life outside of being a physician. The training you received and the hard work you put in does not translate well to other classifications of professional income. Some physicians are fortunate enough to get a job with insurers or specialized clinics. But often, past peer review adverse experience results in your not being able to qualify for such employment. You became a physician. That remains your best place.

 The Center for Peer Review Justice will work closely with any licensed legal provider of your choice. Often they wish to take the "dominant" position both because we cannot provide legal services, and even more importantly cannot usually charge the same level of fees they do. Graphically stated, they want the high fees for themselves. We recognize this and find that they still have your best interests at heart. Some lawyers have excellent experience in Sham Peer Review, but typically their fees are at least 500/hour. Even just six month's experience with said counsel will bankrupt most physicians, especially if they are terminated from their job as a physician. The Center for Peer Review Justice has a "stable" of experienced, licensed legal counsel who understand sham peer review and have the guts to do it right. We are not suggesting that you terminate your present counsel, and they will most seriously criticize any suggestion that you do. We just want you to understand the total picture.

 Richard Willner does NOT provide legal advice. If you have legal questions, you are strongly advised to seek licensed legal counsel. This is no place for anyone to play " amateur lawyer." And that includes us. If you ask us a legal question, we will refer you to either your counsel or ours. WHAT DO WE DO? The following is a brief list of our services. We have accomplished this for other people who WERE in the same place you are now. This is not a fantasy. We have actually achieved these goals.

1. Working with peer review panels directly and indirectly to achieve a new sense of communication and trust between them, us and you, even in cases of sham peer review. Examples can be found on our long lists of satisfied clients. We are able to achieve this because even in cases where a particular member of a peer review board wishes to see your destruction, we can often separate them out and work with other members of the voting committee, instead. You may be surprised to learn that some committee members could support your side.
2. Finding you a paying job as a physician: We have a history of being able to find jobs and get you licensed in states that will accept your "difficult" and complex history. You may think it is impossible. We have thought so as well, but still managed it.
3. De-listing you from some negative history of the NPDB. Contrary to popular belief, sometimes it is possible to cancel some of your negative history. This has been done. We cannot guarantee this in YOUR case, but we know how to try to do it. We have been successful, often to our own great surprise.
4. Obtaining malpractice insurance for you: We cannot guarantee our results, but we have connections with people in the MP insurance industry. You do not.
5. Working with you to solve difficult psychological and living patterns that are ultimately self-destructive to your ability to work and be accepted as a physician. We have counselors on our staff who know what you are facing, including some of the evil that is being directed against you and your family. The sham peer review process can damage you, especially over a period of time. This causes many symptoms: despair, anger, rage, hostility, genuine medical depression, suicidal ideation, excessive self-criticism and family arguments. Those are just the emotional sides. We haven’t even talked about the FINANCIAL side!
6. If you are contributing to your own destruction by your thinking and acting out, that will NOT benefit your situation. We know because we have seen it all. You need us to point that out to you, and listen to what we say.
7. Prevention and reduction of jail time.
8. Help you form new alliances with people who can help you. You do not know these people. That is part of your present problem. We know them. Some have been our past clients. They are in a position to help you. No. You cannot do this part by yourself, or even with your own legal counsel. They do not have the connections we have.
    

1. Straight and uncomplicated sham peer review—you are under peer review by a committee of your hospital, clinic or specialty. Because you have been successful and had more hospital surgical admissions, your competition is out to get you any way they can.
2. Excessive Data Banking: You have many lawsuits against you, some of which are well justified and many settlements that have resulted in an extremely adverse effect on the ability to obtain malpractice insurance and/or employment as a physician
3. Fired from hospital/clinic service for cause: The “disruptive� physician and the negative effects on your career.
4. Prior criminal or new criminal history unrelated to medicine: DUIâs, spousal abuse, substance abuse, drunk and disorderly arrest, public exposure charges, etc.
5. Loss of license for cause by your medical society
6. Various and mixtures of the above
    
   UNDERSTANDING THE KARPMAN DRAMA TRIANGLE
    
   In the branch of psychology called "transactional analysis" there is a construct called the "Karpman Drama Triangle"� (KDT). It is vital that all of our clients clearly understand this important subject. It may seem like an odd discussion at this time. The reasons for it will become clearer as we work together with you.  We also encourage you to look it up on the Internet.
    
   There are three elements to this behavioral "system." They are the “rescuer, the victim and the perpetrator.� Each of these positions is toxic and not conducive to adult behaviors. When you join one role, you tend to switch between them at various times. It is difficult to completely explain this behavioral system in a few paragraphs. But it is safe to say that most victims of SPR are bogged down deeply into it. It is time for you to stop seeing yourself as a victim and take a pro-active part in your own defense and survival. You made it through medical school. You can do this too.
    
   Along with stopping behaviors of the KDT, you will stop trying to seek revenge or become a perpetrator. The real goal is for you to live your life well and with lots of money. Freeing yourself of vengeful thoughts directs you to constructive and fulfilling new directions. This is not psychobabble. This is the truth. WE will NOT enter the KDT with you. You must resolve to follow our advice. Not because we are better or more intelligent than you are. But because we have seen it all and know what we are doing.
    
   Your responsibilities to us and yourself:
    

1. Pay your bills to us on time and completely, as negotiated
2. Send us all the data you have available about your situation immediately, even if it costs you money to do this. Work at McDonalds if you must to raise the money to do this.
3. Don’t tell your friends or relatives about your personal/professional problems
4. You cannot afford to live in the place you presently have. You must cut expenses immediately, especially if you lost your job. A rental apartment is excellent because you have the freedom to move to another job that we might find for you. Put most of your stuff in a storage unit, or sell it. Definitely seek month to month rental. Learn skinflint living.
5. Spousal support: It is excellent if your spouse can get a job. He/she is probably used to your high income. Those days are gone; optimistically for at least for 2-3 years. Hopefully this will not end in divorce. Seek marital counseling. It definitely helps.
6. Very few physicians are prepared for the economic impact of losing their job and not being able to find another one immediately. Your kids may not be able to count on you to send them to college or private school. If you are divorced, your ex-spouse and non-custodial children will have to learn to live on less. You MUST plan for this. Face it like an adult. Avoidance of these responsibilities puts you into the Karpman Drama Triangle.
7. Alternative professional employment for physicians is rare. You need to find a job. A job selling cars, computers, teaching, etc. are possible. If you don’t have a negative criminal history, a teaching certificate is a good goal. Do it on-line if you can. You need to work during the day.
8. The sooner you face your new-life the better off you will be. Don’t call yourself doctor. People won’t hire you. Just tell them you are “retired� and doing this out of boredom. No job is beneath you or below your abilities. We have had clients take many different opportunities for employment. Astonishingly, despite not being professional they really help heal you and your self-esteem. This is the totally unexpected results of facing your life and not entering the "victim"� roll. It is amazingly empowering!
9. You can do this. Other people who have been in a worse condition than you are have triumphed! We know you are used to societal recognition as a physician. The sooner you give up that roll….ironically….the better the opportunity and likelihood that you will get back into it.
10. While working with us, we might recommend psychological and employment counseling. It is YOUR obligation to fulfill that requirement, whether you believe we are correct or not.
     
    Sincerely yours,
     
    Richard Willner, DPM,
    Center for Peer Review Justice