Introduction
The Complete Course for Medical Staff Leaders
Credentialing, privileging, peer review, managing issues of behavior and health…and that’s just the beginning! Yet, none of this is taught in medical school or residency. There’s too much at stake to learn on the job.
- It was recently discovered that the DUI an applicant revealed on his application was actually two DUIs along with felony charges for hit-and-run (property damage) and resisting arrest. You have been asked to weigh in on next steps. Maybe the Credentials Committee should ask the applicant to come in for an interview and see what he has to say about the discrepancy? Is that the best way to get to the bottom of things and, at the same time, ensure the applicant is being given a fair chance to tell his side of the story?
- A relatively new addition to the Medical Staff has been rubbing people the wrong way. What may have, at first, seemed like a prickly personality has spiraled into several complaints about behaviors that violate Hospital or Medical Staff policy. You have been asked to handle it. Sitting down to discuss the problem might be best, but might be awkward or confrontational. Can you just send an email? What choices do you have?
- In physician leadership, the stakes are high. Good Bylaws and policies can provide some of the solutions you need – and the tools to implement them. But many leadership activities require leadership knowledge, finesse, and experience. None of this is taught in medical school or residency. That’s why you need access to initial and ongoing leadership training that has been designed specifically with Medical Staff leaders in mind.
At the Complete Course, seminar faculty LeeAnne Mitchell, Rachel Remaley, and Hala Mouzaffar will use case studies and other engaging scenarios, based on their combined 45+ years of experience providing legal and consulting services to physician leaders, to help Medical Staff leaders hone the strategies and tools necessary to tackle the toughest credentialing, privileging, peer review, and related leadership challenges.
Dates and Locations
January 15 - 16, 2026
The Ritz Carlton Amelia Island
Amelia Island, FL
One-and-a-Half-Day Format
Book your room using our discounted room rate by clicking HERE.
April 9 - 11, 2026
The Ritz-Carlton
New Orleans, LA
Book your room using our discounted room rate by clicking HERE.
Topics
Meet Dr. Elliott Ember! (Initial Applicant Case Study)
Tips for Effective Credentialing
- Establishing detailed threshold criteria
- Appropriately considering waivers
- Giving and getting references
- Managing incomplete applications
- Addressing misrepresentations administratively
- Aligning recruitment and credentialing
Privileging Disasters & Managing Privileging Challenges
- Delineating Privileges: Core privileges, special privileges, and how to decide who is granted what
- Low and no volume
- Privileges for new treatments and procedure
- Privileges that cross specialty and disciplinary lines
- Privileges for Advanced Practice Professionals (APPs)
Tips for Navigating the Progressive Steps of Peer Review
- When and how to notify a practitioner that clinical concerns have been raised through the peer review process
- Deciding if precautionary suspension is appropriate – and acting on that decision
- Obtaining practitioner input
- Addressing conflicts of interest in credentialing and peer review matters
Getting Disruptive Behavior Under Control Before it Ruins Your Culture and Jeopardizes Patient Care
Planning a Collegial Meeting to Discuss a Behavioral Concern – a Variation on a Familiar Theme!
Tips for Navigating the Progressive Steps of Peer Review When Unprofessional Conduct is at Issue
- Choosing the best person for the job
- Heading off retaliation against those who report conduct
- When to consider a psychiatric evaluation
- When the physician perceives themself as the lone champion of quality
- Managing avoidance tactics swiftly, administratively, and without breaking a sweat
- Stay on track! How to avoid distractions, deflections, and threats raised by the practitioner
- Drafting – and monitoring – performance improvement plans for a colleague with conduct issues
Navigating Practitioner Health Issues
- What – and when – to ask about health issues during the credentialing process
- Types of impairment that should be on your radar
- Requesting that a practitioner undergo a health evaluation – a few preparatory steps can improve your chances of getting helpful information
- Drafting – and monitoring – performance improvement plans for a colleague with a health impairment
- Managing leaves of absence and reinstatement
Bulletproof Investigations and Thoughtful, Fair, and Defendable Adverse Action
Maximizing Legal Protections for Medical Staff Leaders, Under the Law AND in Organizational Documents
Mitigating Leadership Mistakes
- This case-study-focused session will discuss a number of scenarios where the process has gone awry – and postulate whether a “fix” may save the day.
Who Should Attend?
We highly encourage these positions to attend:
- Medical Staff Officers
- Department Chiefs
- Credentials Committee Members
- MEC Members
- Bylaws Committee Members
- VPMAs, CMOs, and Medical Directors
- Medical Staff Services Professionals
- Quality/Performance Improvement Directors
- Hospital Management
- Hospital Counsel
Participation by all individuals is encouraged. Please notify us at least two weeks in advance of the program as advance notification of any special needs will help us provide better service.
Seminar Disclaimer
HortySpringer Seminar Disclaimer Statement:
The information presented at these seminars and the supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances. No one should act or refrain from acting on the basis of any information presented at these seminars without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for any seminar or the use of the seminar materials.
Rachel E. Remaley 
LeeAnne M. Mitchell 
Hala Mouzaffar Registration
Registration Pricing:
$1,695/attendee
Please note that registration is not guaranteed until payment is received in full. Past due invoices 60+ are subject to attendee(s) not getting into selected course.
Included With Registration Fee
- Online Access to slide text, forms, letters, procedures, suggestions for policy elements and more.
Hotel Reservations
All registrants are responsible for making their own hotel reservations. Special group room rates have been established for HortySpringer registrants. The special group rate rooms are available until 30 days from the seminar date, or until the room block sells out, whichever comes first.
Refund Policy
If registration is canceled (and notice of the cancellation is received at least 30 days before the seminar), the registration fee will be refunded, minus a $100 per person processing fee.
If cancellation is received less than 30 days before the seminar, the registration fee is nonrefundable, but can be applied to another seminar and location within one year.
With notice, you may substitute registrants at any time.
There will be no credit granted for no-shows at the time of the seminar.
