All doctors want to avoid the National Practitioner Data Bank, becuase it is routinely monitored by hospitals, state licensing boards, Medicare and Medicaid and insurance companies. A discipline in the Data Bank can be fatal to a doctors career. According to the Data Bank, a doctor must be reported for certain disciplines that last longer than 30 days, or for resigning from a Medical Staff to avoid an ongoing investigation of that doctors medical staff privileges. Many doctors, when confronted by the hospital CEO or the Chair of their Department feel pressured to leave a medical staff without any written agreement. Many times the CEO or Chair mean the doctor no harm. Sometimes they do. But even when no harm is intended, the CEO or Chair are not familiar with the reporting requirements of the Data Bank, and once the matter is brought the the hospital’s attorney, it is determined that a report must be made. At that point it is too late. Doctors must protect against such a report by getting an agreement in writing that there will be no report, BEFORE they resign.