Once a written complaint has been received, it is reviewed by investigative and medical staff at the Office of Professional Medical Conduct. All complaints are kept confidential. A charge of misconduct is serious and there must be sufficient evidence of a possible violation before a hearing is held. If an investigation uncovers sufficient evidence, the case is presented to an investigation committee. The committee can recommend to the Director any of the following: a hearing, additional investigation, a dismissal of the matter, or non-disciplinary warnings or consultations.