Psychiatric Disorders and Disruptive Behavior in Physicians via Internet by the TMA Committee on Physician Health and Rehabilitation
True/False
____1. The most common mood disorders are Major Depression, Dysthymic Disorder, and Bipolar Disorder.
____2. Rates of depression in physicians are higher than in the general population.
____3. The characteristic symptoms of Major Depression include depressed mood or the loss of interest or pleasure in nearly all activities, along with periods of tearfulness.
____4. Bipolar illness is a spectrum disorder emerging mild to severe over months or within the same day.
____5. Only about 20-25% of people with Major Depression receive treatment.
____6. Most physician suicide occurs in the context of mood disorders and/or substance use.
____7. People with Obsessive-Compulsive Personality Disorder generally feel extremely embarrassed and shameful because of their behavior.
____8. Studies indicate that about one-third of medical residents have a clinically diagnosable depression at some time during their residencies.
____9. The onset of panic attacks in physicians most commonly occurs after age 40.
_____10. Physicians commit suicide by drug overdose more often than the general population.
____11. The most distinguishing characteristics of physician disruptive behaviors are the varying degrees of chronic malcontent and frequent outbursts of anger, often approaching the level of rage.
____12. The expression of anger in the workplace by physicians is manifested in a varietyof disruptive and maladaptive behaviors that tend to persist or reassert themselves over time.
____13. Negative role modeling, particularly the use of public humiliation as a socializedand necessary element of medical training, is often used to justify current behavior.
____14. Medical training has historically provided education and experience in supervisory skills, team building, conflict resolution, and effective leadership.
____15. Disruptive behavior of one physician can impair the effectiveness of the entire health care team.
____16. One of the goals of addressing disruptive behavior is to help the physician assume accountability for the behavior and acknowledge that he or she is at least part of the problem.
____17. A clearly-stated code of conduct will address every specific disruptive behavior in physicians.
____18. Many physicians displaying patterns of disruptive behavior may regularly feel remorseful and ashamed of their behavior, and at some level they want help to change.
____19. After evaluation and treatment, monitoring should occur to assure the physician is following treatment recommendations.
____20. Promoting the treatment and recovery of colleagues with mental disorders or disruptive behavior can provide a pathway to saving lives and careers.
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