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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How Big a Problem Is Disruptive Behavior by Physicians, and What Can Be Done?

When a physician engages in disruptive behavior, defined by the AMA as “verbal or nonverbal conduct that harms or intimidates others to the extent that quality of care or patient safety could be compromised,” the ripple effect of the behavior can be extreme and the results quite dire, according to studies.1

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Challenges of Slowing Down and How to Avoid the Pitfalls

When physicians face the prospect of reducing their practice hours or challenges in heading toward retirement, they usually find themselves dealing with a profound crisis of identity.

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Projections on the Graying of the Physician Labor Force

The American medical profession is aging. One in four US physicians is over 65 years of age and those between 65 and 75 constitute about 11 percent of the active medical labor force. In addition, writes Amy McCullough on the Society for Vascular Surgery website, “many physicians over the age of 56 indicate plans to retire in [...]

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Make the Most of Aging Physicians' Wealth of Knowledge

There have been expressions of concern in many medical quarters over how best to handle physician aging. As practitioners grow older they may experience reduced cognitive and physical capacity. With patient safety rightly paramount for all concerned with healthcare—and given some, admittedly inconclusive, evidence indicating [...]

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Special Report: Emergency Physician, Mother, Suicide Risk

This article originally appeared in Emergency Medicine News, October 2016. By Loice Swisher, MD I read Chris Doty's letter about his resident's suicide, and by the end of the second paragraph, 16 years melted away. I knew this path. It was mine. I had felt the grip of strangulating guilt, the crushing weight of failed [...]

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Here Are the Biggest Threats to Physician Resilience

"Resilience" is a controversial term among physicians, many of whom feel using the word has become a way to assign blame for the negative psychological results of practice conditions over which no physician has control. (See our blog post Why Most Physicians Hate the Term ‘Resilience.’)

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