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Outcomes From a Physician Health Center.

Melanie D Swift1, Gregory P Couser2, Philip T Hagen1

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Physician health evaluations identified neurologic or psychiatric illnesses as key factors leading to practice restrictions. This ensures patient safety and supports physicians needing medical care.

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Area of Science:

  • Medical Science
  • Occupational Health
  • Physician Well-being

Background:

  • Physicians face unique challenges impacting their ability to practice.
  • Dedicated physician health centers provide crucial evaluations for medical conditions.
  • Understanding factors leading to practice restrictions is vital for physician support and patient safety.

Purpose of the Study:

  • To describe the demographics and medical conditions of physicians seeking evaluation.
  • To identify factors associated with practice restrictions in physicians.
  • To inform best practices for physician health evaluations.

Main Methods:

  • Retrospective cohort study design.
  • Analysis of physician evaluations from January 1, 2016, to December 31, 2022.
  • Ordinal logistic regression to determine factors associated with occupational outcomes.

Main Results:

  • Physicians from diverse specialties across 34 states were evaluated.
  • Over half of physicians presented with occupational concerns.
  • Neurologic or psychiatric illnesses were the sole predictors of temporary or permanent practice restrictions.

Conclusions:

  • Physicians with conditions affecting practice have an obligation to seek evaluation.
  • Objective medical evaluations are essential for protecting patients, employers, and physicians.
  • Targeted interventions for neurologic and psychiatric conditions may reduce practice restrictions.