The pyramid illustrates a tiered intervention approach that supports pursuit of professional accountability. CPPA designed PARS and CORS to promote successful self- and group-regulation.
- The Pyramid reminds us that most clinicians do great work and are never or only rarely associated with a complaint.
- Recorded reports are reviewed to ensure allegations do not require mandated reviews or investigations (e.g., impairment, bias, inappropriate touch, fraud, harassment,), but can simply be shared in a respectful, non-directive fashion during an informal conversation such as one might have with a colleague over a cup of coffee.
- When patterns appear to emerge, CPPA supports peer-delivered Level 1 Awareness interventions with local and national peer comparisons. Most clinicians respond to awareness interventions.
- Some, however, are unable or unwilling, and these clinicians are escalated to Guided Interventions by Authority (Level 2). Level 2 interventions include a written corrective plan developed by the individual’s authority figure (a department chair, Chief Medical Officer, or other leader).
- A very small number may not respond to the plan and are elevated to Level 3 disciplinary action as defined by organizational policies, bylaws, contracts or other governing documents.