Table 1 Wording used to survey respondents for endorsement of 25 state physician health program descriptions of impairment
From: How broad are state physician health program descriptions of physician impairment?
| Â | Â | Specifies if | Â | ||
|---|---|---|---|---|---|
Description | Currently? | At work? | Narrow | Broad | |
1 | Intimidation | No | Yes | Have you intimidated someone at work? | Have you ever intimidated someone at work? |
2 | A deterioration in personal hygiene | No | No | Has there been deterioration in your personal hygiene? | Has there ever been deterioration in your personal hygiene? |
3 | Constant sadness or tearfulness | No | No | Have you been constantly sad or tearful? | • Have you ever been constantly sad? • Have you ever been constantly tearful? |
4 | Occurrence of spouse, child abuse | No | No | Has your spouse or have your children been abused? | • Has your spouse or ex-spouse ever been abused? • Has your child or have your children ever been abused? |
5 | Easily agitated, irritable | No | No | Have you been easily agitated or irritable? | • Have you ever been easily agitated? • Have you ever been irritable? |
6 | Increased patient complaints | No | Yes | Have there been increased complaints about your work from clients, customers, or other consumers? | Have there ever been increased complaints from client, customer, or other consumer complaints about your work? |
7 | Personality and behavioral changes | No | No | Have you had personality and behavioral changes? | Have you ever had personality and behavioral changes? |
8 | Neglected social commitments | No | No | Have you neglected social commitments? | Have you ever neglected social commitments? |
9 | DWI arrest or DUI violations | No | No | Have you had a DWI arrest or DUI violation? | • Have you ever been arrested for DWI? • Have you ever had a DUI violation? |
10 | Other mental health concerns that directly impact work performance | No | Yes | Have you had mental health concerns that directly impact work performance? | Have you ever had mental health concerns that directly impacted your performance at work? |
11 | Direct statements indicating distress | No | No | Have you made direct statements indicating distress? | Have you ever made direct statements indicating distress? |
12 | If the resident is experiencing problems coping with patients or with the typical stress of a busy residency | Yes | No | Are you experiencing problems coping with clients, customers, or other consumers at work, or with the typical stress of a busy job? | • Have you ever had problems coping with clients, customers, or other consumers? • Have you ever had problems coping with the typical stress of a busy job? |
13 | Sweating when otherwise comfortable | No | No | Have you been sweating when otherwise comfortable? | Have you ever been sweating while otherwise comfortable? |
14 | Tremors, hands shake | No | No | Have you had tremors or hands shake? | Have you ever had tremors or hands shake? |
15 | Rapid or pressured speech | No | No | Have you had rapid speech? | Has your speech ever been rapid? |
16 | Hospital personnel question competence and/or behavior | Yes | Yes | Do personnel at work question your competence and/or behavior? | • Have work personnel ever questioned your competence? • Have work personnel ever questioned your behavior? |
17 | Makes degrading or demeaning comments regarding patients, families, nurses, physicians, hospital personnel, or the hospital. The physician’s non-constructive criticism often works to intimidate, undermine confidence, belittle, or imply stupidity or incompetence in his or her victims. | Yes | No | Do you make demeaning or degrading statements regarding clients, customers, or consumers, work colleagues, or other personnel? | • Have you ever made demeaning or degrading statements regarding clients, customers, or consumers? • Have you ever made demeaning or degrading statements about work colleagues? • Have you ever made demeaning or degrading statements about other work personnel? • Have you ever criticized someone from your work? |
18 | Deterioration in clothing and dressing habits | No | No | Has there been deterioration in your clothing and dressing habits? | Has there ever been deterioration in your clothing and dressing habits? |
19 | Disorganized schedule | No | Yes | Have you had a disorganized schedule at work? | Has your work schedule ever been disorganized? |
20 | Intoxicated at social events or odor of alcohol on breath while on duty | No | No | Have you been intoxicated at social events or had odor of alcohol on breath while on duty for work? | • Have you ever been intoxicated at social events? • Have you ever had alcohol on your breath while on work duty? |
21 | Avoidant, unreliable | No | Yes | Have you been avoidant or unreliable at work? | • Have you ever been avoidant at work? • Have you ever been unreliable at work? |
22 | Public intoxication or impairment | No | No | Have you been intoxicated or impaired at work? | • Have you ever been intoxicated in public? • Have you ever been impaired in public? |
23 | Impaired or decreased work performance | No | Yes | Have you had impaired or decreased work performance? | • Has your work performance ever been impaired? • Have you ever had decreased work performance? |
24 | Smell of alcohol on breath or in perspiration | No | No | Have you had the smell of alcohol on your breath or in perspiration? | • Have you ever had the smell of alcohol on your breath? • Has your perspiration ever smelled of alcohol? |
25 | Low or elevated self-esteem | No | No | Have you had low or elevated self-esteem? | • Have you ever had low self-esteem? • Have you ever had elevated self-esteem? |