I must agree with Dr. X about Rich and the CPRJ.  Sadly many of the lessons that are taught there always seem to be learned the hard way by those who refuse to listen.  It is difficult for physicians who are accustomed to solving problems to accept that some problems cannot be “solved”.  Society thinks that everything can be settled in court.  This just absolutely is not true and the courts seem to make things worse and definitely more expensive!  If you are having peer review problems, listen to Rich and pay lip service to the attorneys.

LRB, MD (AAPS forum 5/7/03)