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“Guidelines for Physician Well-Being Committees to Assist Impaired Physicians”

Published in The Bulletin of the Santa Clara Medical Association, vol. 21 (5), 2015.

Abstract:

Medical staffs and their well-being committees play a vital role in assisting physicians who manifest or are suspected of impairment. The Joint Commission created standards that require medical staffs to provide assistance to such physicians that is separate from a disciplinary process. In this article, guidelines are offered for medical staffs to provide such assistance that are consistent with best practices and maximize opportunities for physicians to be restored to healthy functioning and safe practice.

For the complete article, refer to https://issuu.com/18621/docs/bulletin_1015_web


Federation of State Medical Board “Policy on Physician Impairment”:
Guidelines to assist physician wellbeing committees

Published in the Medical Board of California Newsletter, October 2011.


The Federation of State Medical Board (FSMB) 2011 “Policy on Physician Impairment” provides guidelines to state medical boards and physician health programs (PHPs) for assisting impaired physicians while protecting the public. The principles and concepts articulated in the Policy can also serve to guide medical staffs in addressing physician in addressing physician impairment. Dr. Reynolds served as the Vice Chair of the Workgroup that developed the Policy.

For the complete article, refer to  http://www.mbc.ca.gov/publications/newsletters/newsletter_2011_10.pdf


"A Model Comprehensive Psychiatric Fitness-for-Duty Evaluation"

Chapter Abstract:

A three-pronged model for a comprehensive psychiatric fitness-for-duty evaluation is presented as a resource tool for occupational physicians in the evaluation of substance abuse. Specialized psychiatric evaluators can play a role in:               
(1) rendering diagnosis and fitness-for-duty determinations,                                   
(2) recommending treatment and monitoring plans, and                                          
(3) offering remedies for improving the employee/employer and medical systems.   
The comprehensive evaluation is especially helpful in difficult-to-diagnose and complex cases. Dr. Reynolds provides guidance for deciding when to refer, discusses issues of confidentiality, and lists indicators of substance abuse based on employee behavior / performance and medical signs and symptoms.

For the complete chapter, refer to Occupational Medicine State of the Art Reviews, Volume 17, pages 105-118, 2002.


"Disruptive Physician Behavior: Use and Misuse of the Label"

Published in the Journal of Medical Regulation; January 2012.

Abstract::

Beginning in 2009, The Joint Commission (TJC) requires medical leaders to address disruptive behaviors in accreditation organizations and this includes addressing disruptive physician behaviors. The Federation of State Medical Boards (FSMB) has acknowledged the importance of addressing disruptive physician behavior as reflected in the 2000 Report of the Special Committee on Professional Conduct and Ethics and in the 2011 Policy on Physician Impairment. This article provides in-depth information about disruptive physician behavior, including discussion of the causes and contributing factors, strategies to manage such behavior,formulation of medical staff policies, and appropriate and inappropriate use of the not a diagnosis, the disruptive label is useful in screening for disruptive physician behaviors. However, the disruptive label should not be applied to physicians just because they present controversial ideas or offer criticism of the medical system.Beginning in 2009, The Joint Commission(TJC) requires medical leaders to address disruptivedisruptive label. Although not a diagnosis, the disruptive label is useful in screening for disruptive physician behaviors. However, the disruptive label should not be applied to physicians just because they present controversial ideas or offer criticism of the medical system.

For the complete article, refer to http://cppphdotorg.files.wordpress.com/2011/02/disruptive-physician-behavior_usemisuse-of-the-label.pdf


Video Presentation:  "Body, Mind and Soul:  What to Expect when Hiring Veterans with Disabilities"   

Forty-minute session presented by Dr. Norman T. Reynolds at the first annual Wounded Warrior Workforce Conference on January 28th, 2010. Dr. Reynolds mindfully addresses the topic of hiring Vets with disabilities from both a professional and personal perspective. Your $20 donation to Project Hired includes shipping and handling.

http://www.projecthired.org/purchase.html