The Difficult—but Necessary—Challenge of Referring an Impaired Physician

Impairment from alcohol or drugs is serious in any profession. For a physician who oversees the health and treatment of vulnerable patients, the risks are dramatically increased. Ideally, a physician or health professional recognizes the signs of his or her own abuse and voluntarily self-refers. But most times, that’s not the case.

You as a colleague are typically the first to notice the signs of alcohol or drug abuse. Signs like:

• Using substances to relieve stress or fatigue
• Working long hours to cover poor performance or to remain close to the drug source
• Withdrawing or isolating from colleagues and staff
• Increased absences or tardiness for rounds, meetings, or office hours
• Short temper or unnecessary defensiveness
• Poor medical decisions, documentation, or errors
• Poor personal hygiene and change in appearance
• Blaming actions on personal problems or home situation
• Decline in appropriate patient care and concern for outcomes
• Complaints by patients, families, or staff

All physicians and licensed co-workers have a legal duty and responsibility to immediately report a physician who may impact patient safety.

Confronting or counseling the individual isn’t recommended or effective. In some cases, it can lead to self-harm.

The best way to report a concern is to complete a referral form or call us at 701.751.5090.

The success rate of PHP programs is promising. Studies show that more than 70% of physicians return to work and remain relapse free, with some studies reporting up to a 94% abstinence rate.

When physicians refer a colleague, they are saving a life and strengthening their profession.