When A Physician Lashes Out Part 2: The Fallout on the Clinical Team

In the first episode of the story, Dr. Cliff D. was overheard directing loud, hard words to two colleagues during surgery. Someone—we’re not sure who—complained to HR director Joelle K., and she interviewed the participants. What emerged was that Dr. D. had ordered nurse Janice L. to remove a retractor, and Janice was [...]

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When A Physician Lashes Out Part 1: The Incident

The nurses in the corridor outside O.R. 6 could hear it, and when they heard it they cringed: the voice of Dr. Cliff D. in full explosion. “You take out the retractor because I tell you to!” Indistinct reply. Dr. D. again, louder: “Oh, for God’s sake!” Another reply, also indistinct. Dr. D.: “Gita, I run this show ‘til we’re [...]

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Appropriate, Inappropriate and Disruptive Behavior by Physicians: Some Official Definitions

When it comes to the behavior of physicians, the lines between what’s appropriate, what’s merely inappropriate and what is genuinely disruptive are not always easy to draw. Here’s how the Model Medical Staff Code of Conduct, developed by the Organized Medical Staff Section (OMSS) of the American Medical Association, explains [...]

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What Does a “Prevention Plan” for Disruptive Behavior Look Like?

Discussing the need to deal with disruptive behavior on the part of physicians, one of the most prominent researchers in the field, H. Alan Rosenstein, MD, writes: "The greatest potential for success in the intervention process is to intervene before a disruptive event actually occurs. Once an event occurs the damage is [...]

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