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Core IM | Internal Medicine Podcast

#88 Physician Impairment: At the Bedside Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 16 June 2021

⏱️ 37 minutes

🧾️ Download transcript

Summary

How can we help colleagues that we think are struggling with substance use disorder? What options are available for physicians? Are these different state to state? What deterrents do physicians face when seeking help? Time Stamps: * 00:21 Introduction * 02:59 Scope/Definitions * 08:05 Systems for Physician Impairment * 13:50 Barriers to Care * 24:48 Helping an Impaired Physician * 28:44 Systems Level Change Show notes, Transcript and References: https://www.coreimpodcast.com/2021/06/09/physician-clinician-impairment/ Tags: Core IM, IM Core, impairment, substance use disorder, mental health, stigma, treatment, cost Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

I was a young internist in 1980 and I broke my leg playing soccer and I got put on pain meds and liked them too much.

0:10.0

You know, it went too far. I started taking samples which were more readily available back then and finally got

0:17.3

confronted by colleagues.

0:18.6

I was scared to death at the time and I went to a treatment program and started my own personal recovery.

0:32.0

The story we just heard comes from Dr. Greg Skipper. personal recovery.

0:32.6

The story we just heard comes from Dr. Greg Skipper.

0:35.4

His journey may have started with his own sobriety, but because of his experiences,

0:38.9

he was called on to help other colleagues who also struggled with substance use. His career quickly became

0:43.8

one of advocacy, research, and direct clinical work with impaired physicians,

0:47.3

not just with substance issues, but all kinds of health conditions. Along the

0:52.1

road he's worked with medical boards

0:53.5

and insurance companies, hospitals, treatment centers, lawyers, even politicians and

0:57.7

he's currently medical director for the Center of Professional Recovery in

1:01.1

Malibu, California.

1:02.8

And so he knows firsthand all the complexities

1:05.1

that go into evaluating the health of those who care

1:07.5

for the health of others.

1:09.3

Today we're going to cover what physician impairment really means.

1:12.3

We'll start off by talking about how illness relates to impairment

1:15.0

and then explore some of the systems in place for physician health and monitoring.

1:18.0

We're also going to talk about some of the barriers to care

1:21.0

caused by these systems, what we can do to improve it, and how we can

...

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