Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues

JAMA : the Journal of the American Medical Association
Catherine DesrochesEric G Campbell

Abstract

Peer monitoring and reporting are the primary mechanisms for identifying physicians who are impaired or otherwise incompetent to practice, but data suggest that the rate of such reporting is lower than it should be. To understand physicians' beliefs, preparedness, and actual experiences related to colleagues who are impaired or incompetent to practice medicine. Nationally representative survey of 2938 eligible physicians practicing in the United States in 2009 in anesthesiology, cardiology, family practice, general surgery, internal medicine, pediatrics, and psychiatry. Overall, 1891 physicians (64.4%) responded. Beliefs about and preparedness for reporting and experiences with colleagues who practice medicine while impaired or who are incompetent in their medical practice. Sixty-four percent (n = 1120) of surveyed physicians agreed with the professional commitment to report physicians who are significantly impaired or otherwise incompetent to practice. Nonetheless, only 69% (n = 1208) of physicians reported being prepared to effectively deal with impaired colleagues in their medical practice, and 64% (n = 1126) reported being so prepared to deal with incompetent colleagues. Seventeen percent (n = 309) of physicians had direct ...Continue Reading

Citations

May 23, 2014·PloS One·Kiki M J M H LombartsUNKNOWN DUQuE Project Consortium
Jan 24, 2014·AJR. American Journal of Roentgenology·Ethan J Halpern, John M Spandorfer
Feb 22, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Shiphra GinsburgEric Holmboe
Jul 6, 2014·Mayo Clinic Proceedings·Paul B KlaasAnnalise Noelle Larson
Apr 26, 2014·World Journal of Surgery·Lauren E Lipira, Thomas H Gallagher
Jan 15, 2014·Healthcare Management Forum·Renate Ilse
Sep 1, 2012·The Journal of the Egyptian Public Health Association·Basem S EldeekRakan F Bokhari
Oct 26, 2012·AJR. American Journal of Roentgenology·Richard B Gunderman, Katie Grogan
Oct 26, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Shiphra GinsburgEric S Holmboe
Jun 8, 2013·BMJ Quality & Safety·Kaveh G Shojania, Mary Dixon-Woods
May 10, 2011·Clinical Nuclear Medicine·Jay Harolds
Jul 7, 2012·Mayo Clinic Proceedings·Cynthia A Lien
Jul 21, 2012·Asian Journal of Psychiatry·Jacob L FreedmanJoji Suzuki
Dec 20, 2011·American Journal of Preventive Medicine·James M DuBoisMeghan Vasher
Feb 18, 2014·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Anne C KirchhoffEric G Campbell
Jun 19, 2014·The Journal of Continuing Education in the Health Professions·Elizabeth C BernabeoEric S Holmboe
Oct 23, 2014·Occupational Medicine·M W SteffenM H Murad
Jul 22, 2015·American Journal of Surgery·Hilary SanfeyBetsy Williams
Sep 1, 2015·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Laura E HodgesJohn D Yoon
Apr 16, 2015·Journal of the American College of Surgeons·Hilary SanfeyBetsy Williams
Nov 20, 2012·American Journal of Obstetrics and Gynecology·Jillian T HendersonGeorge F Sawaya
Feb 13, 2014·Preventive Medicine·Jillian T HendersonGeorge F Sawaya
Dec 30, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Liselotte N DyrbyeTait D Shanafelt
Mar 4, 2014·Journal of Patient Safety·Ryan DericksonDee Ramsel
Jul 13, 2011·Journal of Addictive Diseases·Simone Marie CummingsLinda Cottler
Aug 16, 2014·The American Journal of Bioethics : AJOB·Kathryn M Ross, Elizabeth Bernabeo
Aug 16, 2016·Advances in Surgery·Mark R Katlic, JoAnn Coleman
Sep 2, 2016·The Journal of Continuing Education in the Health Professions·Richard E HawkinsPaul H Wick
Nov 1, 2013·The New England Journal of Medicine·Thomas H GallagherRobert Arnold
Dec 23, 2016·Current Opinion in Anaesthesiology·Jonathan D Katz
Apr 4, 2017·Revista brasileira de anestesiologia·Stuart BrookerGastão Duval Neto
Jul 5, 2011·Journal of the Royal Society of Medicine·Stephen BolsinMilton Pena
Apr 23, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Alan H Rosenstein
Feb 26, 2016·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Betsy White Williams, Philip Flanders
Jul 19, 2017·The Journal of Bone and Joint Surgery. American Volume·S Elizabeth AmesDavid Halsey
Oct 13, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Jan-Willem WeeninkGert P Westert
Feb 11, 2012·Health Affairs·Lisa I IezzoniEric G Campbell
Mar 14, 2018·Journal of Primary Health Care·Caroline ChristieBianca McKinnon
Dec 1, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Myra van den GoorKiki Lombarts

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