Perspective

Many clinicians will receive a Notice of Investigation (NOI) from their licensing board at some point while in practice. Because regulatory boards are often viewed with caution or avoidance, receiving an NOI can trigger a disproportionately strong emotional response, even before the substance of the concern is fully understood. 

Research in this area endorses the observation that unsupported physicians are more likely to respond defensively to a NOI, while supported clinicians demonstrate greater clarity, insight, and professionalism.

Most licensed physicians and physician assistants are unaware of the regulatory expectations of providing care that meets North Carolina’s minimum standards. As a result, any interaction with the state medical board beyond routine license renewal can understandably create stress and uncertainty. That anxiety can escalate when a licensee's initial response does not fully meet the expectations of board reviewers, potentially leading to letters of caution, mandated CME, or even an appearance before the Board.

Compass Clinician Support & Consulting provides expert guidance grounded in regulatory insight and practical experience. We help physicians and physician assistants respond confidently and appropriately to a Notice of Investigation and other board communications that do not require legal counsel. Through clear education, individualized support, and deep knowledge of regulatory processes, we equip clinicians to navigate board inquiries with clarity, professionalism, and peace of mind.