Is this common elsewhere? It seems very odd to me that our PMHNP's are in our peer review pool, and sometimes review the psychiatrists. It's especially odd considering their respective state licenses actually require a written, "collaborative", agreement with a supervising psychiatrist/physician -- which none of them have. So this begs a couple questions that maybe others can clarify with a regulation I have not yet been able to find: Why do none of them have this required agreement? Why am I being peer reviewed by someone whose state license requires to be supervised by me?