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

Philip Adamo philipad1 at gmail.com
Wed Dec 4 07:53:37 PST 2019

Hello Mona

I( just went through this as an external consultant for another hospital. I could not get an ophthalmologist m are a statement about bison and competence as a surgeon. We have a great OT department that does functional evaluations for vision and other functions. This is objective and science based. I would be happy to discus with you.

Best regards,
Phili Adamo, M.D., MPH, FACOEM

> On Dec 4, 2019, at 9:45 AM, Swift, Melanie D., M.D., M.P.H. via MCOH-EH <mcoh-eh at mylist.net> wrote:
> 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 <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
> 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
> www.mayoclinic.org <http://www.mayoclinic.org/>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net <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 <mailto: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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