Skip to main content

Advertisement

Log in

Physician Impairment: Is It Relevant To Academic Psychiatry?

  • Special Article
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

This article examines the relevance of physician impairment to the discipline of academic psychiatry.

Method

The author reviews the scientific literature, the proceedings of previous International Conferences on Physician Health, and held discussions with experts in the physician health movement, department chairs, program directors, and residents.

Results

Psychiatric illness and impairment in physicians impact academic psychiatry in several ways. Mental illnesses in physicians are being studied by some researchers, but the subject requires more scholarly attention. Training directors are interested in resident well-being and illness and how to reach out to symptomatic residents in a more timely way. Leaders in psychiatry are eager to learn the first steps in identifying colleagues at risk and the route to assessment and care. They are especially concerned about disruptive behavior in the workplace, including harassment and boundary transgressions in doctor-patient and supervisor-supervisee relationships. Academic psychiatrists wish to be more responsive to nonpsychiatrists appealing to them for guidance with impaired members of their departments.

Conclusions

Physician impairment is an emerging field of study and interest to psychiatrists in academic settings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. A Guide to the Essentials of a Modern Medical Practice Act, 9th ed. Dallas, Tex., Federation of State Medical Boards, 2000

  2. Myers MF: The psychiatrist’s role in the management of impaired colleagues. Directions in Psychiatry 1996; 15: 1–8

    Google Scholar 

  3. Center C, Davis M, Detre T, et al: Confronting depression and suicide in physicians: a consensus statement. JAMA 2003; 289: 3161–3166

    Article  PubMed  Google Scholar 

  4. Broquet KE, Rockey PH: Teaching residents and program directors about physician impairment. Acad Psychiatry 2004; 28: 221–225

    Article  PubMed  Google Scholar 

  5. Gendel MH: Disruptive behaviors, personality problems, and boundary violations, in The Handbook of Physician Health. Edited by Goldman LS, Myers M, Dickstein LJ. Chicago, IL, American Medical Association, 2000

    Google Scholar 

  6. Neff KE: Understanding and managing disruptive behavior in physicians, in Enhancing Physician Behavior: Advanced Principles of Medical Management. Tampa, FL, American College of Physician Executives, 2000

    Google Scholar 

  7. Gabbard GO: Psychodynamic approaches to physician sexual misconduct, in Physician Sexual Misconduct. Edited by Bloom JD, Nadelson CC, Notman MT, Washington, DC, American Psychiatric Publishing, Inc., 1999

    Google Scholar 

  8. Sarkar SP: Boundary violation and sexual exploitation in psychiatry and psychotherapy: a review. Advances in Psychiatr Treatment 2004; 10: 312–320

    Article  Google Scholar 

  9. Schernhammer ES: Taking their own lives — the high rate of physician suicide. N Engl J Med 2005; 352: 2473–2476

    Article  CAS  PubMed  Google Scholar 

  10. Schernhammer ES, Colditz GA: Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry 2004; 161: 2295–2302

    Article  PubMed  Google Scholar 

  11. Hendin H, Maltsberger JT, Haas AP: A physician’s suicide. Am J Psychiatry 2003; 160: 2094–2097

    Article  PubMed  Google Scholar 

  12. Silverman MM: Physicians and suicide, in The Handbook of Physician Health. Edited by Goldman LS, Myers M, Dickstein LJ. Chicago, IL, American Medical Association, 2000

    Google Scholar 

  13. Frank E, Dingle AD: Self-reported depression and suicide attempts among US women physicians. Am J Psychiatry 1999; 156: 1887–1894

    CAS  PubMed  Google Scholar 

  14. McCall SV: Chemically dependent health professionals. West J Med 2001; 124: 50–54

    Article  Google Scholar 

  15. Coombs RH: Drug-Impaired professionals. Cambridge, MA, Harvard University Press, 1997

    Google Scholar 

  16. Gold MS, Frost-Pineda K, Melker RJ: Physician suicide and drug abuse. Am J Psychiatry 2005; 162: 1390

    Article  PubMed  Google Scholar 

  17. Givens JL, Tija J: Depressed medical students’ use of mental health services and barriers to use. Acad Med 2002; 77: 918–921

    Article  PubMed  Google Scholar 

  18. Rosenthal JM, Okie S: White coat, mood indigo — depression in medical school. N Engl J Med 2005; 353: 1085–1088

    Article  CAS  PubMed  Google Scholar 

  19. Levine RE, Breitkopf CR, Sierles FS, et al: Complications associated with surveying medical student depression: the importance of anonymity. Acad Psychiatry 2003; 27: 12–18

    Article  PubMed  Google Scholar 

  20. Myers MF: On the importance of anonymity in surveying medical student depression. Acad Psychiatry 2003; 27: 19–20

    Article  PubMed  Google Scholar 

  21. Hendrie HC, Clair DK, Brittain HM, et al: A study of anxiety/depressive symptoms of medical students, house staff, and their spouses/partners. J Nerv Ment Dis 1990; 178: 204–207

    Article  CAS  PubMed  Google Scholar 

  22. Hsu K, Marshall V: Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows. Am J Psychiatry 1987; 144: 1561–1566

    CAS  PubMed  Google Scholar 

  23. Rao NR, Kramer M, Saunders R, et al: An annotated bibliography of professional literature on international medical graduates. Acad Psychiatry 2007; 31: 68–83

    Article  PubMed  Google Scholar 

  24. Doherty WJ, Burge SK: Divorce among physicians: comparisons with other groups. JAMA 1989; 261: 2374–2377

    Article  CAS  PubMed  Google Scholar 

  25. White RK, McDuff DR, Schwartz RP, et al: New developments in employee assistance programs. Psychiatr Services 1996; 47: 387–391

    CAS  Google Scholar 

  26. Morrison J, Morrison T: Psychiatrists disciplined by a state medical board. Am J Psychiatry 2001; 158: 474–478

    Article  CAS  PubMed  Google Scholar 

  27. Gabbard GO, Lester EP: Boundaries and Boundary Violations in Psychoanalysis. Washington, DC, American Psychiatric Publishing, Inc., 2003

    Google Scholar 

  28. Kay J, Roman B: Prevention of sexual misconduct at the medical school, residency and practitioner levels, in Physician Sexual Misconduct. Edited by Bloom JD, Nadelson CC, Notman MT. Washington, DC, American Psychiatric Publishing, Inc., 1999

    Google Scholar 

  29. Igartua KJ: The impact of impaired supervisors on residents. Acad Psychiatry 2000; 24: 188–194

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael F. Myers M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Myers, M.F. Physician Impairment: Is It Relevant To Academic Psychiatry?. Acad Psychiatry 32, 39–43 (2008). https://doi.org/10.1176/appi.ap.32.1.39

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1176/appi.ap.32.1.39

Keywords

Navigation