Your Peer Review program isn't working. Patrick vs. Burget Peer Review is done by those who stand to benefit economically from the peer's departure from the market. In the mid 1980's Patrick alleged that the peer review done by members of the surgical group he separated from, was slanted to drive him out of business. They wanted to gobble up his practice. Patrick's claim reverberated in the medical community.
Anxiety persists today among peer reviewers about being charged with restraint of trade.
Whether or not the bias existed, any MD could assert it. It places the burden on defendants to demon-strate that this intrinsic bias wasn't lived out' during peer review. Another fundamental problem is that Reviewers and Reviewees may be friends or office partners - or sources of referrals. So verbal white-wash is used. The extent of an error and consequences are minimized.