California Public Protection and Physician Health Inc.

CPPPH is an independent, non-profit California public benefit corporation established in 2009 to develop a comprehensive statewide physician health program so that California does not remain one of the few states without such a resource.  It is a collaborative effort funded by many medical organizations including specialty societies, county medical societies, as well as the California Medical Association, California Hospital Association and professional liability insurance carriers. It provides consultation, coordination, education and network-building. It promulgates guidelines for physician health service providers and policies and procedures for physician health committees.

»For other information, seeAbout CPPPH.”

Quick Links:


CPPPH regional workshops:   Watch this space for the dates of the next workshops.

April 24-27, 2015
Federation of State Physician Health Programs 2015 Annual Meeting
Ft. Worth, TX
Accredited for up to 13 AMA PRA Category 1 Credits. Registration is open to all persons involved in physician heath programs and activities.  All topics and speakers, and registration information, are HERE.
May 20, 2015
27th Annual Western States Regional Conference on Physicians’ Well-Being
Riverside County Medical Association
For more information, download the brochure HERE. Register HERE.



  • CMA Guidelines for Physician Well-Being Committees [PDF]
    (September 2013 Edition)
    This comprehensive 29-page document prepared by CMA Legal Department covers all pertinent areas starting with medical staff bylaws and The Joint Commission Standard MS2.6, continuing through committee policies and procedures, including monitoring, confidentiality and peer review protections. Appendix C is a 7-page detailed guideline on Monitoring.
  • Guidelines for Evaluations of Health Care Professionals [PDF]
    (October 2013)
    This guideline from CPPPH describes all the elements involved in getting a clinical evaluation, including qualifications of those who conduct evaluations, the preparation to be completed in advance, and the recommended contents of the report.  This document focuses on the evaluations that are used to determine diagnoses, assess severity, identify appropriate clinical interventions, assess patient safety, and/or determine what steps should be taken to protect public safety, and the physician’s personal health and career.

See other guidelines …

Articles, Sample Documents, Policy Statements

  • Burnout Can Have Devastating Consequences: Take Action Before the Situation Becomes Critical
    November 12, 2014
    Almost half of U.S. physicians report at least one symptom of burnout – a much higher rate than reported by individuals employed in other occupations. This article presents case studies that highlight ways that burnout can affect patient care. Risk management strategies can facilitate the recognition, prevention and remediation of burnout as early as possible, and ways to address organizational and cultural issues that cause burnout.
  • New Paradigm for Recovery 
    A comprehensive description of the elements that comprise monitoring for persons working in high risk positions — health care professionals, pilots, lawyers, this 34-page, well referenced 2014 report from the Institute for Behavior and Health, Inc., will be valuable for all who are responsible for monitoring programs.
  • Disruptive Physician Behavior: Use and Misuse of the Label [PDF] 
    Journal of Medical Regulation (2011) Vol. 98, No. 1
    This article provides in-depth information about disruptive physician behavior, including discussion of the causes and contributing factors, strategies to manage such behavior, formulation of medical staff policies, and appropriate and inappropriate use of the disruptive label.

The author, Norman Reynolds, MD, of San Jose, California was honored by the Federation of State Medical Boards at its 2014 meeting with the FSMB Award for Excellence in Writing.

  • Substance Use Disorders Among Anesthesiology Residents 1975-2009
    Records from the American Board of Anesthesiology (ABA) and the Disciplinary Action Notification Service (DANS) of the Federation of State Medical Boards are analyzed in depth in this article (JAMA. 2013;310(21):2289-2296). The authors, from the Mayo Clinic (Rochester) Department of Anesthesiology and the ABA, say, “To our knowledge, this report provides the first comprehensive description of the epidemiology and outcomes of SUD for any in-training physician specialty group.”   The full text is available from JAMA.

»Other articles

Confidential Assistance Over the Phone

The Physicians’ and Dentists’ Confidential Assistance Line is 24-hour phone service providing completely confidential doctor-to-doctor assistance. See brochure.

CPPPH Newsletters

If you are involved in physician health activities in California, you may find helpful information in these CPPPH e-Newsletters.

FSPHP Newsletters

The newsletter of the Federation of State Physician Health Programs includes information from the presentations at their annual meetings.

  • Board of Directors

    James T. Hay, MD, Chair
    California Medical Association

    Marvin Firestone, MD, JD
    California Psychiatric Association

    Randall Hagar
    California Psychiatric Association

    Karen Miotto, MD
    David Geffen School of Medicine at UCLA

    David Pating, MD
    California Society of Addiction Medicine

    David Perrott, MD, DDS
    California Hospital Association

    Lee T. Snook, Jr., MD
    California Medical Association

  • Staff

    Gail Jara
    Clinical Consultant

    Sandra E. Bressler
    Organizational Consultant

    Janis Thibault, MFT
    Program Consultant

    Tina Hsu


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