Resources for California Physician Health Committees

New Materials


Contents of this page


Guidelines

California Medical Association Guidelines for Physician Well-Being Committees
This comprehensive document prepared by CMA Legal Department covers all pertinent areas starting with medical staff bylaws and JCAHO Standard MS2.6, continuing through committee policies and procedures, through monitoring, confidentiality and peer review protections. 

CPPPH Guidelines for Evaluations of Health Care Professionals 2013

CPPPH Guidelines for Selecting Physician Health Services 2012

Federation of State Physician Health Programs Physician Health Program Guidelines (December, 2005 Edition)

The sections of this 29-page guideline document are

  • General Guidelines
  • Substance Abuse Disorders
  • Managementof Other Psychiatric Disorders
  • Evaluations
  • TreatmentPrograms

CSAM Recommendations for Contents of Evaluation Reports and the Qualifications of Physicians Who Conduct Evaluations of Health Care Professionals (March 2008)

The sections of this 8-page document are:

  • The list of items that should be in the report of a basic substance abuse evaluation and additional items that should be included when an extendedevaluation is indicated
  • The list of information that should be provided in advance to the evaluator
  • The qualifications of the physicians who conduct evaluations

Work Group on Physician Health Programs (CMA/CSAM/CPA/CHA/KPMG)  Joint Interim Guidelines from the Work Group on Physician Health (February 2009)

The closure of the Diversion Program left well-being committees without the central resource on which they had relied. They must now find alternative and appropriate resources for the functions required as part of professional assistance activities. A Work Group on Physician Health Programs, a coalition of stakeholders that includes CSAM, the California Medical Association (CMA), California Psychiatric Association (CPA) and the California Hospital Association (CHA), is working toward establishment of a state-wide physician health program that will fill this need, but until it is in place physician health committees should be sure that the necessary functions are carried out effectively. The information in this document is designed to help make informed choices among possible providers ofservices. The sections are

  • How Well-Being Committees Work
  • What Well-Being Committees Should Look For In Providers of Services
  • References

Document does not give a list of service providers from which committee members can choose.


Policy Statements

Public Policy Statements and Recommendations from the American Society of Addiction Medicine (ASAM)

Well-structured Professionals Health Programs (PHPs) have a dual mission. They are committed to the outreach, treatment and rehabilitation of healthcare and other licensed professionals who are ill, while also being dedicated to the enhancement of public safety. In April 2011, ASAM published eleven policy statements, each of which provides a comprehensive discussion of one aspect related to physician health programs.  

Policy Statement on Physician Impairment from the Federation of State Medical Boards (FSMB)

The Federation of State Medical Boards updated its policy related to physician health programs in April 2011. The import of this statement is that it comes from the organization that represents the 70 medical and osteopathic boards of the United States that are responsible for licensure and discipline. The FSMB mission is to lead by promoting excellence in medical practice, licensure, and regulation as the national resource and voice on behalf of state medical and osteopathic boards in their protection of the public.

This 2011 document is intended to promote better collaboration among all stakeholders in addressing issues of physicians with potentially impairing illness. It provides guidance, based on best practices at this point in time, to state medical and osteopathic boards for including PHPs in their efforts to protect the public and effectively assist impaired licensees as well as those with potentially impairing illness.


Articles

  • Setting the standard for recovery: Physicians' Health Programs Robert L. DuPont, MD; A. Thomas McLellan, PhD; William L. White, MA; Lisa J. Merlo, PhD, Mark S. Gold, MD. Journal of Substance Abuse Treatment 36 (2009) 159-171Description of 16 physician health programs and the elements that make up their management of cases with outcome data about physicians in treatment and monitoring. 
  • Impaired healthcare professional Marie R. Baldisseri, MD, FCCM, Crit Care Med 2007 Vol. 35, No. 2 (Suppl.)  11 page review of the available data on substance use disorders in healthcare professionas: prevalence, risk factors, treatment options, and reentry issues. 72 references  
  • Physician health and wellness Sara Taub, et. al., for the Council on Ethical and Judicial Affairs of the American Medical Association; Occupational Medicine 2006;56:77-82 doi:10.1093/occmed/kqj025 6 page article with the objective to develop ethical guidelines regarding physician health and wellness based on the AMA's Council on Ethical and Judicial Affairs recommendations (based on the AMA's Code of Medical Ethics), an analysis of relevant Medline indexed articles, and comments from experts. The report's recommendations were adopted as policy in December 2003. 
  • The Disabled Physician: Problem-Solving Strategies for the Medical Staff Daniel A. Lang, MD, American Hospital Association Publishing, Inc., 1989 141 page discussion, from the point of view of the medical staff and the hospital, of all aspects of medical staff policies and procedures. Includes several illustrative case studies.    

From the Medical Board of California

MBC application for a medical license or a Postgraduate Training Authorization Letter (PTAL) 24 page application form, showing the instructions and questions about practice impairment or limitations, any convictions (including those dismissed or expunged), and disciplinary history.