scholarly journals Consistency Between State Medical License Applications and Recommendations Regarding Physician Mental Health

JAMA ◽  
2021 ◽  
Vol 325 (19) ◽  
pp. 2017
Author(s):  
Daniel Saddawi-Konefka ◽  
Ariel Brown ◽  
Isabella Eisenhart ◽  
Katharine Hicks ◽  
Eileen Barrett ◽  
...  
2007 ◽  
Vol 93 (2) ◽  
pp. 6-11
Author(s):  
Herbert Hendin ◽  
Charles Reynolds ◽  
Dan Fox ◽  
Steven I. Altchuler ◽  
Phillip Rodgers ◽  
...  

ABSTRACT A number of factors appear to discourage physicians from seeking help for mental illness. This reluctance may be exacerbated by fears – well-founded or imagined – that by seeking help, physicians may put their medical license in jeopardy. To examine this risk, an analysis of all state medical board (SMB) license applications was followed by a seven-item survey mailed to SMB executive directors, and 70 percent responded. Follow up interviews were conducted with a sample of those not responding and also with a small group of directors whose responses were problematic. Thirteen of the 35 SMBs responding indicated that the diagnosis of mental illness by itself was sufficient for sanctioning physicians. The same states indicated that they treat physicians receiving psychiatric care differently than they do physicians receiving medical care. In follow-up interviews all 13 indicated that without evidence of impairment or misrepresentation any such sanctioning was likely to be temporary. A significant percentage (37 percent) of states sanction or have the ability to sanction physicians on the basis of information revealed on the licensing application about the presence of a psychiatric condition rather than on the basis of impairment. The same percentage state they treat physicians receiving psychiatric care differently than they do those receiving medical care. Physicians’ perceptions of this apparent discrimination is likely to play a role in their reluctance to seek help for mental health-related conditions. Suggestions are made for how SMBs and state physician health programs and state and county medical societies might collaborate in ways that while protecting patients decreases barriers to physicians help seeking.


2018 ◽  
Vol 104 (2) ◽  
pp. 7-13 ◽  
Author(s):  
Christine Moutier

Awareness of high rates of physician burnout, depression and suicide is leading to changes within the medical profession at all levels. Most mental health problems can be effectively managed, but real and perceived barriers — such as confidentiality concerns and fear of negative ramifications on one's reputation, licensure, or hospital privileging — keep many physicians from addressing their mental health needs. Unattended distress has ramifications for physicians as well as the health care industry and patient safety. A number of factors contribute: in addition to individual risk factors and stress load, institutional culture plays a critical role in leading physicians to rationalize and internalize distress as part of their professional identity. There are several initiatives with demonstrated effectiveness in medical settings that can be scaled up for greatest impact: education and stigma reduction efforts, policies and procedures that treat mental health on par with physical health, and efforts that promote an overarching culture of respect. Further strides can be made by addressing hospital and state licensing forms' questions related to mental health — ensuring that questions pertain to competence rather than illness — or replacing questions altogether with a statement encouraging proactive actions to protect physician mental health and safe practice.


JAMA ◽  
2020 ◽  
Vol 323 (22) ◽  
pp. 2235 ◽  
Author(s):  
Jennifer Abbasi

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Pamela Wible ◽  
Arianna Palermini

Do medical boards undermine physician mental health by breaching physician confidentiality and privacy? We analyze the initial medical licensing process in each state to determine if qualified applicants who report mental illness experience discrimination. We then identify the most favorable states for physician mental health.  


2011 ◽  
Vol 21 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Bo Forbes ◽  
Fiona Akhtar ◽  
Laura Douglass

The field of yoga therapy is in the midst of a paradigm shift that will affect our education and clinical practice. Some yoga therapists are seeking additional professional training to work with special populations, while others prefer to conduct treatment in much the same way they have for decades. Some yoga therapists have chosen to align with IAYT's move toward accreditation, and perhaps to explore third-party reimbursement and licensure,while others elect to solidify their identity as "renegade"practitioners or educators. The fields of psychotherapy and psychiatry have also entered a period of transition. Many clinicians now acknowledge the body's integral role in transformation. Some have begun to study yoga or incorporate yogic interventions into treatment, while others choose to practice psychotherapy and support yoga therapy as a valuable adjunct treatment. Yoga has also made its way into psychotherapy training programs, and has become a hot topic at psychology conferences. IAYT's membership reflects this significant trend toward the integration of yoga and psychology. Of its nearly 3,000 members, 40%hold a medical license, and almost half those licenses are in mental health. The great wall between yoga therapy and mental health treatment is crumbling.


CJEM ◽  
2020 ◽  
Vol 22 (6) ◽  
Author(s):  
Rodrick Lim ◽  
Huma Ali ◽  
Rachel Gagnier ◽  
Michelle Marlborough ◽  
Sandra Northcott

2020 ◽  
Vol 44 (5) ◽  
pp. 646-647
Author(s):  
Christopher T. Lim ◽  
Steven M. Kleiner ◽  
John M. Santopietro ◽  
Hyong Un ◽  
J. Wesley Boyd

2019 ◽  
Vol 191 (36) ◽  
pp. E1009-E1009
Author(s):  
Amitha Kalaichandran ◽  
Daniel Lakoff

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Pamela Wible

Amid tragedy, a doctor’s most heroic act may be to listen - to be a sacred witness to the suffering of patients. Yet where do heroic doctors go with their pain? Who listens to the suffering of physicians? The guilt of not being able to do more for patients. The burden of delivering devastating news to families. The work-related anxiety and depression due to unrealistic expectations of perfectionism. (...)


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