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Critical decision points in the management of impaired doctors: the New South Wales Medical Board program

Kay A Wilhelm and Alison M Reid
Med J Aust 2004; 181 (7): 372-375.

Summary

  • The New South Wales Medical Board has developed the Impaired Registrants Program to deal with impaired registrants (doctors and medical students) in a constructive and non-disciplinary manner; the program is now well established.

  • The Program enables the Board to protect the public, while maintaining doctors in practice whenever possible.

  • Disorders that commonly lead to referral of impaired doctors include alcohol and drug misuse, major depression, bipolar disorder, cognitive impairment and, less commonly, psychotic and personality disorders and anorexia nervosa.

  • Pathways in the program are individualised according to the impact of the specific disorder, the registrant’s career stage, stage of involvement in the program, insight and motivation.

  • Critical points in the program include entry, easing of conditions, breach of conditions, return to work after suspension, and exit from the program.

  • Decision-making at these points takes into account the nature of the impairment, compliance, professional and personal support available and the registrant’s insight and motivation.

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  • Kay A Wilhelm1
  • Alison M Reid2

  • 1 Liaison Psychiatry, St Vincent’s Hospital, Sydney, NSW.
  • 2 NSW Medical Board, Sydney, NSW.

Correspondence: 

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