In a multi-physician practice, what is the process for peer review of a PA's clinical performance?

• A. Review after patient complaints.
• B. Conduct regular confidential peer review with objective metrics, provide feedback, implement quality improvement plans, and document findings.
• C. Peer review is not required for PAs in any setting.
• D. Review only occurs after patient complaints.

Answer: (B)

Ongoing, confidential peer review using objective metrics with regular feedback, a formal quality improvement plan, and documentation of findings. This approach ensures continuous monitoring of a PA’s clinical performance, using measurable indicators rather than waiting for complaints, and creates a structured path to improve care and patient safety. It supports accountability, trend analysis, and compliance with professional standards, which is why it’s preferred over reactive reviews that only occur after problems are raised or over claims that peer review isn’t required.