Military health care providers, including physicians and nurses, may have their medical credentials to practice in a military hospital suspended, restricted, reduced, or revoked when a reasonable doubt exists concerning their performance, conduct, or condition. These adverse actions may be initiated by the hospital commander who must notify the health care provider in question in writing that his case has been referred to a medical peer review panel to evaluate the medical provider’s case and make appropriate recommendations to the hospital commander on what final action should be taken.

The military health care provider in question does not have the right to appear before such peer review panel but may submit written materials in rebuttal to such allegations. The accused health care provider may have the assistance of legal counsel at any stage of the adverse credentialing action. In the event the peer review panel agrees that an adverse credentialing action should be taken, the military health care provider in question may request a full hearing before the hospital credentialing committee to provide rebuttal evidence, personal testimony, testimony of witnesses, and have the assistance of legal counsel during such credentials committee hearing. In the event of an adverse decision by the hospital credentials committee, the medical provider in question may appeal to the hospital commander and, if necessary, to the service Surgeon General. In cases where the service’s Surgeon General approves any adverse action on the health care provider’s medical credentials, the health care provider’s state licensing authority is required to be notified.