Magazine article Clinical Psychiatry News

Medical Professionalism Issues Linked to Axis I, II Disorders

Magazine article Clinical Psychiatry News

Medical Professionalism Issues Linked to Axis I, II Disorders

Article excerpt

BALTIMORE--A significant number of medical residents who are referred for professionalism problems have Axis I or Axis II psychopathology.

Dr. Gabrielle S. Hobday, forensic psychiatry fellow at Emory University, Atlanta, and Dr. Glen O. Gabbard, professor of psychiatry at the Baylor College of Medicine, Houston, reviewed records of outpatient psychiatric evaluations of U.S. and Canadian physicians conducted by Dr. Gabbard from 1997 to 2009.

Extracting physicians who were in training at the time of referral, the researchers came up with 18 cases, which they presented in a poster at the annual meeting of the American Academy of Psychiatry and the Law.

Of the residents involved, 83% were male, and 72% were white. Their mean age was 34 years (range 26-47). Among the specialties involved, primary care--including family practice, internal medicine, and pediatrics--was the most common, at 55%.

The reasons residents were referred were grouped into four categories: sexual boundary violations (four residents), non-sexual boundary violations (three residents), disruptive/irresponsible behavior (nine residents), and clinical competence concerns (two residents). Eleven of the 18 subjects had had previous disciplinary measures, such as dismissal from a program or program probation; previous mental health treatment and/or evaluation; or medical board involvement. …

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