A sanction will be reviewed at the end of its specified time. If the PEC determines a reasonable need to continue monitoring the member, it shall determine further sanctions or probation for an additional specified time to the appropriate people of each association except in cases of sanctions of Withdrawal of Certification and/or Membership, in which case the sanction review panel shall only make a recommendation to the PEC which will take final action pursuant to manual section XIII.V. 6. Such additional sanctions will not be imposed lightly, will reflect concern for the well being of the member, the public and/or the Association, and will be reviewed by the PEC within six months of imposition.