
Professional Commitment and Approach
Clarity. Objectivity. Confidentiality.
Dr. Granovetter's evaluation practice is founded on three core principles that guide every assessment:
Clarity in communication ensures that all stakeholders—the professional being evaluated, referring organizations, and treatment providers—understand the findings, recommendations, and next steps. Complex medical and psychological concepts are presented in accessible language, with clear distinctions made between clinical findings and functional implications.
Objectivity drives every aspect of the evaluation process. Dr. Granovetter conducts thorough, evidence-based assessments that focus on current functional capacity informed by diverse sources of information, rather than relying solely on diagnostic labels or past history. Each evaluation is tailored to the specific safety-sensitive requirements of the professional's role, free from bias or predetermined outcomes.
Confidentiality protects the privacy and dignity of every individual while adhering to legitimate safety and regulatory requirements. Information is shared only as necessary and appropriate, with clear boundaries established from the outset.
Evaluation Approach
The central aim of any professional evaluation is to provide an accurate understanding of both diagnosis and function. In the context of physician health and performance, this means addressing two key questions:
What, if any, is the physician’s current diagnostic picture?
What is the physician’s present capacity to practice safely, professionally and competently?
What are appropriate next steps to facilitate return to safe practice?
To answer these questions, Dr. Granovetter applies a structured and methodical approach that integrates data from multiple sources: clinical interviews, psychological testing when indicated, collateral input, workplace documentation, and relevant medical or treatment records. The process emphasizes the use of validated instruments and behavioral observations rather than assumptions or subjective impressions.
This approach reflects the recognition that a physician’s capacity for safe and effective practice depends not only on the presence or absence of a condition but on its current impact on professional function. Evaluations therefore focus on function over diagnosis—assessing what an individual can do safely rather than labeling what they have
Evidence-Based Standards and Professional Guidelines
Dr. Granovetter’s methodology is informed by the most current national and state guidelines for physician health and evaluation, including:
Federation of State Physician Health Programs (FSPHP) Guidelines (2019)
California Public Protection & Physician Health (CPPPH) Guidelines (2022)
California Medical Association (CMA) Policy on Physician Well-Being
American Society of Addiction Medicine (ASAM) Criteria
These frameworks define best practices for fairness, transparency, and defensibility in evaluation. They ensure that recommendations are consistent with the highest standards of professional accountability while remaining sensitive to the complexities of individual cases.
Each evaluation incorporates these standards in both structure and documentation. Reports clearly identify the sources of data, methods used, and the reasoning behind each conclusion—an essential foundation for credibility and defensibility.
Ethics, Confidentiality, and Respect
Dr. Granovetter recognizes that an evaluation of a physician or healthcare professional can be an intensely personal and often stressful experience. He maintains a process that is transparent, respectful, and ethically grounded, consistent with the highest standards of professional conduct.
Confidentiality is carefully defined and preserved. Information is shared only as authorized, and communication with all parties remains professional, factual, and appropriate to the purpose of the referral. The evaluation environment is structured to ensure that every participant—whether referring entity or individual being evaluated—understands the process and expectations fully.
Philosophy of Professional Wellbeing
Drawing from decades of experience in physician wellbeing and his own recovery journey, Dr. Granovetter believes that addressing professional impairment serves both individual and public safety interests. Early identification and appropriate intervention can prevent harm while preserving careers and supporting recovery. His evaluations are conducted with the understanding that healthcare professionals facing impairment deserve compassionate, expert assessment that balances their rights, the needs of the referring entity public safety considerations.