The Institute on Medicine as a Profession and the non-profit organization Open Society Foundations reviewed public records into the medical professions alleging complicity in the abuse of prisoners suspected of terrorism who were held in U.S. custody during the years after 9/11."[27][28] The reports found that health professionals "Aided cruel and degrading interrogations; Helped devise and implement practices designed to maximize disorientation and anxiety so as to make detainees more malleable for interrogation; and Participated in the application of excruciatingly painful methods of force-feeding of mentally competent detainees carrying out hunger strikes" are not all that surprising.[27] Medical professionals were sometimes used at black sites to monitor detainee health.[29] Whether or not the physicians were compelled is an open question.