[MCOH-EH] Accommodations for Physicians under ADA

[Swift, Melanie D., M.D.]

Hi Stephen!

Sounds like the accommodation needed is help with physical tasks to allow them to practice without fatigue. Sometimes it’s more successful if the restriction is written with specific restrictions on what the physician can do functionally (e.g. walking excursion distance/duration, standing how long at time/what percent of the day, materials handling/lifting limits, etc) and then the employer is responsible for figuring out how to provide that support. The employer may ultimately decide they want to accommodate that by not scheduling the physician on weekends, or it might be that they assign additional support staff on the weekend when that physician is working.

I don’t know if you’re on the treating provider “giving” or employer “receiving” end of this accommodation request, but generally a brief and HIPAA-compliant conversation with the physician-employee, employer’s representative, and the treating provider can help to clarify. The employee and their provider give the “why” - but the employer gets to determine the “how”. All part of that iterative process.

Good luck to you, and this physician. Hope it works out.

Melanie

Melanie Swift, MD, MPH
Medical Director, Mayo Clinic Physician Health Center
Senior Associate Consultant
Assistant Professor of Medicine
Division of Preventive, Occupational, and Aerospace Medicine
Phone 507.284.2560
_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org<http://www.mayoclinic.org/>


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Wintermeyer, Stephen F.
Sent: Wednesday, June 26, 2019 1:23 PM
To: 'MCOH/EH'
Subject: [EXTERNAL] Re: [MCOH-EH] Accommodations for Physicians under ADA

My apologies for the delayed response.

The individual in question has multiple sclerosis.  The individual gets tired easily.  There are fewer support staff available on weekends, so the individual has to do more physical work and gets tired more readily on the weekends.

Stephen Wintermeyer, MD, MPH
Director
Associate Professor of Clinical Medicine

Campus Health
Indiana University-Purdue University Indianapolis
Coleman Hall, Suite 100
1140 West Michigan Street
Indianapolis, IN  46202
317-274-8214

[IUPUI_ACR.H]



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Daniel Samo via MCOH-EH
Sent: Tuesday, May 14, 2019 10:12 PM
To: mcoh-eh at mylist.net
Cc: dandad at aol.com
Subject: Re: [MCOH-EH] Accommodations for Physicians under ADA

Steve

Racking my brain to think of what kind of disability would make you able to do your essential job tasks on a weekday, but not on a weekend day.
Can you share some more specifics?  Might help with an answer to your conundrum

Dan Samo
-----Original Message-----
From: Wintermeyer, Stephen F. <swinterm at iu.edu<mailto:swinterm at iu.edu>>
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Sent: Tue, May 14, 2019 12:43 pm
Subject: [MCOH-EH] Accommodations for Physicians under ADA
To all,

Does anyone have experience with Reasonable Accommodations for disabled physicians?  Specifically, has anyone dealt with a situation of a physician who cannot take weekend or night call due to a disability?

Did the hospital/physician group come up with a reasonable accommodation?
Did the reasonable accommodation include any of the following:
                Increased clinic time during the week
                Reduced salary (how was this determined)
                Assignment of additional, non-clinical duties that could be performed during the week

I appreciate your help.

Stephen Wintermeyer, MD, MPH
Director
Associate Professor of Clinical Medicine

Campus Health
Indiana University-Purdue University Indianapolis
Coleman Hall, Suite 100
1140 West Michigan Street
Indianapolis, IN  46202
317-274-8214

[IUPUI_ACR.H]

---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):  http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe at meditrax.com<mailto:drjoe at meditrax.com>
---------------------------------------
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190626/ce32f999/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.jpg
Type: image/jpeg
Size: 1932 bytes
Desc: image001.jpg
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190626/ce32f999/attachment.jpg>