%0 Journal Article %T Disrupting Physician Clinical Practice Peer Review %A Rajesh Swaroop %J Archive of "The Permanente Journal". %D 2019 %R 10.7812/TPP/18-207 %X The goal of physician peer review has been to assess and improve the quality of care by individual physicians. Unfortunately, this enshrined piece of medical practice suffers from deep flaws that hamper the achievement of assessment and improvement. This institution is in serious need of disruption, both for the safety of patients and for the wellness of practicing physicians. This commentary describes the inherent flaws of physician practice review and how physicians and health care organizations can address them %K clinical peer review %K healthy culture of learning %K just culture %K physician peer review %K performance review %K psychological safety %K wellness %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443355/