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DO NO HARM: IDENTIFYING AND ADDRESSING IMPAIRED MEDICAL PROVIDERS
AAGP Annual Meeting 2019 DO NO HARM: IDENTIFYING AND ADDRESSING IMPAIRED MEDICAL PROVIDERS Session 308 1 2 3 4 Ann Glassmoyer ; David E.J. Bazzo ; Steven Huege ; William Perry 1
UCSD UCSD 3 UCSD 4 UCSD 2
Abstract: There are many factors contributing to a greater level of awareness of providers who might lack the necessary physical, emotional or professional competence to practice in the medical field. Greater scrutiny of the medical profession (on-line reviews and patient satisfaction surveys), less tolerance of work-place bullying/harassment, a rapidly changing healthcare landscape (technology, policy), financial/productivity pressures, and an aging physician workforce represent several such factors. As health system and peer accountability increase, providers and administrators are often left navigating the complex and emotionally fraught process of identifying, reporting, assessing, and adjudicating peers and employees who may lack the competence to practice medicine. Educating medical teams regarding system and licensing board policies, identifying pathways for independent assessment, and strategies for counseling providers who can no longer safely practice can facilitate this challenging, but necessary aspect of the practice of medicine. With their expertise in aging, complex medical, occupational, and social dynamics, geriatric providers are uniquely equipped to function as a key resource for addressing matters related to provider impairment. Faculty Disclosures Ann Glassmoyer Nothing to disclose David Bazzo Nothing to disclose Steven Huege Nothing to disclose William Perry Nothing to disclose
COMMON ISSUES, LIMITED OPTIONS: CHALLENGES FACED AND LESSONS LEARNED IN THE OUTPATIENT AND INPATIENT MANAGEMENT OF PSYCHOTIC DISORDERS Session 309 1 2 3 4 Alexandria Harrison ; Erica Cristina Garcia-Pittman ; Nicholas Ortiz ; Nina Vadiei Dell Medical School j The University of Texas at Austin Dell Medical School j The University of Texas at Austin 3 Dell Medical School j The University of Texas at Austin 4 Banner - University Medical Center South Campus j The University of Arizona 1
2
Abstract: Late-life psychosis presents clinicians with a unique set of treatment challenges. Compared to younger adults, older adults face more treatment barriers related to cognitive decline that can result in decreased medication adherence, a crucial component for successful management of psychotic disorders. With the use of LAI agents increasing to address issues related to adherence, clinicians are often faced with the challenge of managing these regimens in the absence of specific guidelines. Given there is limited data on the comparative safety/efficacy of individual antipsychotic agents in older adults, it is important to shed awareness on the types of clinical challenges providers may encounter and discuss treatment strategies currently being used in practice. Faculty Disclosures Alexandria Harrison Nothing to disclose
S26
Am J Geriatr Psychiatry 27:3S, March 2019
UCSD UCSD 3 UCSD 4 UCSD 2
Abstract: There are many factors contributing to a greater level of awareness of providers who might lack the necessary physical, emotional or professional competence to practice in the medical field. Greater scrutiny of the medical profession (on-line reviews and patient satisfaction surveys), less tolerance of work-place bullying/harassment, a rapidly changing healthcare landscape (technology, policy), financial/productivity pressures, and an aging physician workforce represent several such factors. As health system and peer accountability increase, providers and administrators are often left navigating the complex and emotionally fraught process of identifying, reporting, assessing, and adjudicating peers and employees who may lack the competence to practice medicine. Educating medical teams regarding system and licensing board policies, identifying pathways for independent assessment, and strategies for counseling providers who can no longer safely practice can facilitate this challenging, but necessary aspect of the practice of medicine. With their expertise in aging, complex medical, occupational, and social dynamics, geriatric providers are uniquely equipped to function as a key resource for addressing matters related to provider impairment. Faculty Disclosures Ann Glassmoyer Nothing to disclose David Bazzo Nothing to disclose Steven Huege Nothing to disclose William Perry Nothing to disclose
COMMON ISSUES, LIMITED OPTIONS: CHALLENGES FACED AND LESSONS LEARNED IN THE OUTPATIENT AND INPATIENT MANAGEMENT OF PSYCHOTIC DISORDERS Session 309 1 2 3 4 Alexandria Harrison ; Erica Cristina Garcia-Pittman ; Nicholas Ortiz ; Nina Vadiei Dell Medical School j The University of Texas at Austin Dell Medical School j The University of Texas at Austin 3 Dell Medical School j The University of Texas at Austin 4 Banner - University Medical Center South Campus j The University of Arizona 1
2
Abstract: Late-life psychosis presents clinicians with a unique set of treatment challenges. Compared to younger adults, older adults face more treatment barriers related to cognitive decline that can result in decreased medication adherence, a crucial component for successful management of psychotic disorders. With the use of LAI agents increasing to address issues related to adherence, clinicians are often faced with the challenge of managing these regimens in the absence of specific guidelines. Given there is limited data on the comparative safety/efficacy of individual antipsychotic agents in older adults, it is important to shed awareness on the types of clinical challenges providers may encounter and discuss treatment strategies currently being used in practice. Faculty Disclosures Alexandria Harrison Nothing to disclose
S26
Am J Geriatr Psychiatry 27:3S, March 2019