The Impaired Physician

1. Front Matter

   Pages i-xviii

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2. Emotional Problems of Physicians: What Are They?

   1. Front Matter

      Pages 1-1

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   2. Emotional Problems of Physicians

      • Stephen C. Scheiber

      Pages 3-10

   3. What Is Different for Women Physicians?

      • Carol C. Nadelson, Malkah T. Notman

      Pages 11-25

   4. Problems of Drug Addiction and Alcoholism among Physicians

      • Thomas G. Webster

      Pages 27-38

   5. Physician Suicide

      • David W. Preven

      Pages 39-47

3. Medical School and the Impaired Physician

   1. Front Matter

      Pages 49-49

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   2. Approaches to Prevention in Medical Education

      • Brian B. Doyle, David W. Cline

      Pages 51-67

   3. The Medical School Admissions Committee

      • Stephen C. Scheiber

      Pages 69-74

   4. Medical Student Stress, Adaptation, and Mental Health

      • Carol C. Nadelson, Malkah T. Notman, David W. Preven

      Pages 75-93

4. Prevention and Treatment of the Impaired Physician

   1. Front Matter

      Pages 95-95

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   2. Family Therapy for the Impaired Physician

      • Ira D. Glick

      Pages 97-108

   3. Psychotherapeutic Issues in Psychiatric Treatment of Physicians with Alcohol and Drug Abuse Problems

      • Thomas G. Webster

      Pages 109-122

5. Special Problems in Treating Physicians

   1. Front Matter

      Pages 123-123

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   2. Responsibility, Confidentiality, and the Psychiatrically Ill Physician

      • Brian B. Doyle

      Pages 125-135

   3. The Physician as a Patient

      • Carolyn B. Robinowitz

      Pages 137-144

6. The Impaired Physician

   1. Front Matter

      Pages 145-145

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   2. The Impaired Physician and Organized Medicine

      • Carolyn B. Robinowitz

      Pages 147-156

   3. Residents in Family Practice

      • Jolene K. Berg, Judith Garrard

      Pages 157-166

7. Recommendations

   1. Front Matter

      Pages 167-167

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The Oath of Hippocrates, administered to generations of physicians as they embark on their profession, begins: "I will look upon him who shall have taught me this art even as one of my parents. I will share my substance with him, and I will supply his necessities, if he be in need. " Despite that solemn promise, we have too often ignored or neglected the physician in trouble. Even if we could put aside the human concerns of one physician for an impaired colleague (can our profession truly permit that?), we must concede that our society can ill afford it. This book, which has been assembled and edited by Stephen C. Scheiber and Brian B. Doyle, may be a lifesaver for the doctor in trouble and will be a health­ saver for the population of our country. A land which decried the lack of physicians a quarter century ago and spent the vast resources to double the number of graduates in medicine, cannot permit a tenth of all doctors to be out of commission. That would be a large, and for the most part preventable, addition to the cost of health care in America. In this book, Scheiber and Doyle have gathered the expertise of many psychiatrists who are knowledgeable about the impaired physi­ cian.

• alcohol
• alcoholism
• care
• emotion
• health
• health care
• medicine
• population
• prevention
• psychiatry
• stress
• suicide
• therapy
• women

• Health Sciences Center, University of Arizona, Tucson, USA

  Stephen C. Scheiber

• School of Medicine and Health Sciences, George Washington University, USA

  Brian B. Doyle

Policies and ethics