J. Peter Rich spoke at length to HealthLeaders Media on September 15 regarding disruptive physician treatment of staff members. "In some cases the physicians are good at dealing with patients," he noted, "but when it comes to staff they can't keep their temper and they don't know how to treat people properly." Mr. Rich recommends that provider organizations hiring new physicians do a full due diligence screening of their past work history for signs of disruptive behavior. "It's easier to keep out a disruptive physician than to keep one out," he asserted. He also recommended writing into physician contracts that failure "to act in a civil manner toward colleagues, patients and others" is grounds for termination. Should there be disruptive behavior, Mr. Rich advised creating signed, dated documentation of it. "If this is a pattern that needs to be dealt with, it is important to have a paper trail," he said.