Doctors' health and fitness to practise: The need for a bespoke model of assessment

Occupational Medicine

Volumn 58, Issue 5, 2008, Pages 323-327

  Harrison, John ^a  

^a HAMMERSMITH HOSPITAL   (United Kingdom)

Author keywords

Assessment; Doctors; Impaired physician; Mental illness; Physical illness; Physicians; Substance abuse

Indexed keywords

ARTHRITIS; BIPOLAR DISORDER; CANADA; CLINICAL PRACTICE; COGNITIVE DEFECT; DIABETES MELLITUS; DOCTOR PATIENT RELATION; ENTERITIS; EPILEPSY; FAMILY LIFE; FEMALE PHYSICIAN; GOOD CLINICAL PRACTICE; HEALTH CARE ORGANIZATION; HEALTH STATUS; HUMAN; JOB PERFORMANCE; MAJOR DEPRESSION; MEDICAL ASSESSMENT; MENTAL DISEASE; MULTIPLE SCLEROSIS; OCCUPATIONAL HEALTH; PARKINSON DISEASE; PERSONALITY; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; PROFESSIONALISM; REVIEW; SELF CONCEPT; SOCIAL BEHAVIOR; SUBSTANCE ABUSE; SUICIDAL BEHAVIOR; UNITED KINGDOM; UNITED STATES; VISUAL IMPAIRMENT; WORK SCHEDULE;

CLINICAL COMPETENCE; EMPLOYEE PERFORMANCE APPRAISAL; GREAT BRITAIN; HEALTH STATUS; HUMANS; PHYSICIAN IMPAIRMENT; PHYSICIANS;

EID: 49549094045     PISSN: 09627480     EISSN: 14718405     Source Type: Journal    
DOI: 10.1093/occmed/kqn079     Document Type: Review

References (33)

1. Cox J, King J, Hutchinson A, Mc Avoy P (eds). Understanding Doctors' Performance. Abingdon: Radcliffe, 2006.
2. Shipman Inquiry. The Shipman Inquiry - Fifth Report. CM 6394-I, II: III Safeguarding Patients: Lessons from the Past - Proposals for the Future. London: The Stationery Office, 2004.
3. Donaldson L. Good Doctors, Safer Patients. London: Department of Health, 2006.
4. Harrison J, Sterland J. The impact of health on performance. In: Cox J, King J, Hutchinson A, McAvoy P, eds. Understanding Doctor's Performance. Oxford: Radcliffe Publishing Ltd, 2006; 175.
5. Harrison J. Illness in doctors and dentists and their fitness for work - are the cobbler's children getting their shoes at last? Occup Med (Lond) 2006;56:75-76.
6. Boisaubin E, Levine E. Identifying and assisting the impaired physician. Am J Med Sci 2001;322:31-36.
7. Taub S, Morin K, Goldrich M, Ray P, Benjamin R. Physician health and wellness. Occup Med (Lond) 2006;56:77-82.
8. Reade J. Impaired physicians: Role of the occupational psychiatrist. Psychiatr Ann 2006;36:798-803.
9. Stanton J, Caan W. How many doctors are sick? Br Med J 2003;326 S97.
10. Christie V, Ingstad B. Reluctant to be perceived to be ill - the case of the physician. In: Larsen O, ed. The Shaping of a Profession - Physicians in Norway Past and Present. Canton, MA: Science History Publications, 1996; 491-499.
11. Royal College of Physicians. Doctors with Disabilities: Clearing the Way - Report of a Working Party. London: 2006.
12. Department of Health. Trust, Assurance and Safety - The Regulation of Health Professionals in the 21st Century. London: The Stationery Office, 2007.
13. Cox RAF, Edwards FC, Palmer K (eds). Fitness for Work. The Medical Aspects. 3rd edn, Oxford: Oxford Medical Publications, 2000.
14. Serra C, Rodriguez M, Delclos G, Plana M, Gomez Lopez L, Benavides F. Criteria and methods used for the assessment of fitness for work: A systematic review. Occup Environ Med 2007;64:304-312.
15. Good Medical Practice. London: General Medical Council, 2006.
16. Chisholm A, Askham J. A Review of Professional Codes and standards for Doctors in the UK, USA and Canada. Oxford: Picker Institute Europe, 2006.
17. Rosen R, Dewar S. On Being a Doctor. Redefining Medical Professionalism for Better Patient Care. London: Kings Fund, 2004.
18. Doctors in Society: Medical Professionalism in a Changing World. Report of a Working Party of the Royal College of Physicians of London London: Royal College of Physicians, 2005.
19. Pattani S, Constantinovici N, Williams S. Who retires early from the NHS because of ill health and what does it cost? A national cross sectional study. Br Med J 2001;322:208-209.
20. Williams S, Michie S, Pattani S. Improving the Health of the NHS Workforce: Report of the Partnership on the Health of the NHS Workforce London: The Nuffield Trust, 1998.
21. Center C, Davis M, Detre T et al. Confronting suicide and depression in physicians. A consensus statement. J Am Med Assoc 2003;289:3161-3166.
22. Frank E, Dingle A. Self-reported depression and suicide attempts among US women physicians. Am J Psychiatry 1999;156:1887-1894.
23. Royal College of Psychiatrist. Bipolar Disorder (Manic Depression) London: Royal College of Psychiatrists, 2006. http://www.rcpsych.ac.uk/mentalhealthinformation/mentalhealthproblems/ bipolarmanicdepression/bipolardisorder.aspx (date last accessed 12 June 2008).
24. National Institute for Mental Health USA. Bipolar Disorder. Bethesda, MD: National Institute for Mental Health, 2004.
25. Donaldson L. Sick doctors. Br Med J 1994;309:557-558.
26. Krishnan K. Psychiatric and medical comorbidities of bipolar disorder. Psychosom Med 2005;67:1-8.
27. McElroy S, Alsthuler L, Suppes T et al. Axis I psychiatric comorbidity and its relationship to historical illness variables in 288 patients with bipolar disorder. Am J Psychiatry 2001;158 420-426.
28. Thompson J, Gallagher P, Hughes J et al. Neurocognitive impairment in euthymic patients with bipolar affective disorder. Br J Psychol 2005;186:32-40.
29. Miller M, McGowen K, Quillen J. The painful truth: Physicians are not invincible. South Med J 2000;93: 966-972.
30. Firth-Cozens J. A perspective on stress and depression. In: Cox J, King J, Hutchinson A, McAvoy P, eds. Understanding Doctors' Performance Abingdon: Radcliffe Publishing Ltd, 2006; 175.
31. Hirst R. Life as a doctor with diabetes. Br Med J 2003;327 S181.
32. Marsden C. Akinetic-rigid syndromes. In: Ledingham JGG, Warrell DA, eds. Concise Oxford Textbook on CD-ROM. Oxford: Oxford University Press, 2001, 30.20.1.
33. Poole CJM, Hill D, Christie J; Birch J. Deficient colour vision and interpretation of histopathology slides: Cross sectional study. Br Med J 1997;315:1279-1281.