Mahoney 1

Question 1

Purpose of physician health programs

Answer 1

• identify impaired physicians
• evaluate, treat and monitor
• protect the public from impaired physician
• help the impaired phsyician achieve sobriety

Question 2

what is the incidence of drug and alcohol abuse in physicians is…

Answer 2

10%

same as general population

“we are the same as everyone else, but just have a different job”

Question 3

what is the 1st sign of impairment or substance abuse problems in physican****

Answer 3

Marital problems (number 1)

• Anger
• sexual harassing
• etc

Question 4

reasons for not reporting

Answer 4

1/3 of collegues would NOT report

• someone else was taking care of the problem
• nothing would happen as a result of the report
• fear of retribution
• reporting was not their responsibility
• PHYSICAN WOULD BE EXCESSIVELY PUNISHED

Question 5

Do’s of intervention

Answer 5

• Inervene early and assertively
• behavioral contracts spell out the consequence of noncompliance; namely, loss of licence of hospital privaleges
  
  • usually can still practice
• regular attendance at AA/NA meetings and adherence to thier 12 steps plan
• continuing psychotherapy
• drug tx for co-occuring psychiatric disorder
• unannouced urine drug/alcohol screens