Hello

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

Best,

Christine

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@DFCI.Harvard.edu

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

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Dr. Mona Khanna
Sent: Tuesday, December 3, 2019 8:24 PM
To: mcoh-eh@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