However, hub-and-spoke conspiracies are common with respect to [[sham peer review]], whereby one physician can obtain removal of a competitor by misusing peer review at one hospital, and later repeating the bad faith peer review at another hospital. | However, hub-and-spoke conspiracies are common with respect to [[sham peer review]], whereby one physician can obtain removal of a competitor by misusing peer review at one hospital, and later repeating the bad faith peer review at another hospital. |