[MCOH-EH] Physician Fitness for Duty

Saba, Christine R.,N.P. Christine_Saba at DFCI.HARVARD.EDU
Wed Dec 4 06:12:13 PST 2019


Hello
I would recommend conferring with your Risk Management partners and consider a fitness for duty outside consult.
Best,
Christine

[cid:0B8B30AC-02A9-44C4-B63C-8F9E2047863E]

  Christine R. Saba, MSN, APRN-BC, ACNS-BC
  Duke Johnson & Johnson Fellow, 2017-2018
  Dana-Farber Cancer Institute
  Nurse Practitioner |Occupational Health Services
  (t) 617-632-5484 | (f) 617-632-5418
  Email:  Christine_Saba at DFCI.Harvard.edu<mailto:Christine_Saba at DFCI.Harvard.edu>

In a world where you can be anything, be kind.




From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Dr. Mona Khanna
Sent: Tuesday, December 3, 2019 8:24 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Physician Fitness for Duty


        External Email - Use Caution
Greetings, Work Medicine Specialists --

I have been asked to assist in determining whether a physician on hospital staff is too functionally impaired to perform a job as an interventionalist. The issues are decreased vision and tremor. The procedural staff has raised concerns, but in the past the physician has quashed them with the help of a heavyhanded attorney.

We all know the usual approach to this process with regular hospital "employees" - obtain a job description, perform a history and physical exam, obtain specialist reports and then define what the individual can/can't do via work restrictions. How should we handle this when the object is a non-employee physician on staff, there is no job description, and there is a very low threshold for litigation?

Thank you.
Mona Khanna, MD
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