[MCOH-EH] [EXTERNAL] Physician Fitness for Duty

Swift, Melanie D., M.D., M.P.H. Swift.Melanie at mayo.edu
Wed Dec 4 06:45:23 PST 2019

Mona, welcome to my world!
Seriously, we do provide this type of evaluation and employers appreciate a thorough, unbiased opinion from an outside facility.
Info on the Mayo Clinic Physician Health Center: https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center

You can email me directly to explore as needed or have your administrator reach out if interested.


Melanie Swift, MD, MPH
Medical Director, Mayo Clinic Physician Health Center
Associate Medical Director, Occupational Health Service
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

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Dr. Mona Khanna
Sent: Tuesday, December 03, 2019 7:24 PM
To: mcoh-eh at mylist.net
Subject: [EXTERNAL] [MCOH-EH] Physician Fitness for Duty

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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