Though physicians believed that only physicians could and should judge the quality of hospital medical care, they found participation in such hospital peer review activities to be a disagreeable obligation. What were some problems with the peer review process?

Desire for physician integration but very few employed physicians

Explanation: Though physicians believed that only physicians could and should judge the quality of hospital medical care, they found participation in such hospital peer review activities a most disagreeable obligation.

The answer is C. flashback because it's recalling something in the past