Participants in the Maintaining Proper Boundaries Course are generally referred by hospital and clinic administrators, continuing care counselors for treatment programs for professionals in crisis, physician health programs, attorneys, State Board of Medical Examiners and other regulatory authorities. Often the participant has crossed a professional boundary in the workplace, or engaging in misconduct or other behavior that is against medical ethics, corporate/institutional policy, or state statues/law. Participants enter the course, unaware of ethics, laws, and often feel angry, thinking they have been unjustly required or requested to attend the course. Most are attending to be compliant with an authority, think they know the "correct answer" and have minimal desire to change behaviors.