Disruptive physician
{{Short description|Physician whose behaviour upsets patients or other staff}}
File:Hugh Laurie Actors Guild.jpg, actor Hugh Laurie played a brilliant but obnoxious prima donna who would today be characterised as a disruptive physician.{{citation | url=http://usatoday30.usatoday.com/news/opinion/forum/story/2012-05-21/house-md-doctors-disruptive-behavior/55118270/1 | title=Gregory House M.D.: RIP | work=USA Today | date=May 22, 2012 | author=Robert M. Wachter}}]]
A disruptive physician is a physician whose obnoxious behaviour upsets patients or other staff. The American Medical Association defines this in their code of medical ethics as "personal conduct, whether verbal or physical, that negatively affects or that potentially may affect patient care".{{citation |chapter-url=https://books.google.com/books?id=Ar9Wn_aeCwQC&pg=PA133 |pages=131–152 |title=Professionalism in Psychiatry |chapter=The Disruptive Physician |publisher=American Psychiatric Pub. |year=2011 |isbn=9781585623372}}{{citation |chapter-url=http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9045.page |title=AMA Code of Medical Ethics |chapter=Physicians with Disruptive Behavior |year=2000 |publisher=American Medical Association}}{{citation |url=http://www.ama-assn.org/resources/doc/code-medical-ethics/9045a.pdf |title=Physicians With Disruptive Behavior |author=Herbert Rakatansky |publisher=American Medical Association |year=2000}} These behaviors are also noted as causing adverse effects such as morale, focus and concentration, team work, collaboration and communication. Starting in 2009, The Joint Commission which accredits hospitals in the United States requires them to have a written code of conduct addressing this issue.{{citation |url=https://www.nytimes.com/2008/12/02/health/02rage.html?pagewanted=all&_r=0 |title=Arrogant, Abusive and Disruptive — and a Doctor |author=Laurie Tarkan |date=December 1, 2008 |journal=The New York Times}} This code of conduct defines acceptable, disruptive, and unacceptable behavior in the workplace. Along with these definitions of behaviors the Joint Commission also wrote ways to manage these behaviors in order to fix them.
Simon Sebag Montefiore has reported a remarkable tendency for doctors to become tyrannical dictators.{{citation |url=https://www.standard.co.uk/lifestyle/london-life/the-doctators-why-are-so-many-tyrants-medically-qualified-8841221.html |journal=Evening Standard |title=The doctators: why are so many tyrants medically qualified? |author=Simon Sebag Montefiore |date=26 Sep 2013}} Historical examples include:
See also
References
{{reflist}}
Jacob DeLaRosa. The Disruptive Physician, How to Manage the Consequences of Being You Misner & Monroe, New York 2017
Further reading
- {{citation |author=Daniel Lang|title=The Disabled Physician: Problem Solving Strategies for the Medical Staff |chapter-url=http://www.csam-asam.org/sites/default/files/pdf/misc/Lang_book_OCR_version.pdf |year=1989 |publisher=American Hospital Publishing |pages=17–21 |chapter=The Disruptive Physician, The Sociopathic Physician}}
- {{citation |vauthors=Benzer DG, Miller MM |title=The Disruptive – Abusive Physician: A New Look at an Old Problem |journal=Wisconsin Medical Journal |year=1995 |volume=94 |number=94 |pages=455–459|pmid=7571692 }}
- {{citation |author=Pfifferling J-H |title=Managing the Unmanageable: The Disruptive Physician |journal=Family Practice Management |year=1997 |volume=4 |issue=Nov/Dec |pages=77–92|pmid=10176011 }}