Cognitive Changes and Physician Performance: Causes, Clinical Implications, and Treatment
- 1k Downloads
Just like their patients, physicians are susceptible to a variety of medical, neurological, and psychiatric conditions that have the potential to impair cognitive functioning which can lead to declines in patient care. Given the nature of the work environment, physicians are also at greater risk of problems related to stress and sleep deprivation, factors that can also impact cognition. Early recognition of potential problems on the part of the individual physician and the clinical institution is key. Having a model in place that triggers mechanisms for a comprehensive assessment of the problem, development of remediation or accommodation plans, and guidance throughout will maximize successful outcomes while protecting patient safety.
KeywordsCognition Physicians Remediation
- AMA News. Competency and retirement: evaluating the senior physician. Chicago: AMA News; 2015. p. 1–11.Google Scholar
- Anderson C, Sullivan JP, Flynn-Evans EE, et al. Deterioration of neurobehavioral performance in resident physicians during repeated exposure to extended duration work shifts. Sleep. 2012;35:1137–46.Google Scholar
- Brinckerhoff L. Learning disabilities and accommodations for the learning disabled. Presented at Association of American Medical Colleges management education program, San Diego, CA. 1996.Google Scholar
- California Public Protection and Physician health, Inc. Assessing late career practitioners: policies and procedures for age-based screening. San Francisco: California Public Protection and Physician health, Inc; 2014. p. 1–40.Google Scholar
- Durning SJ, Capaldi II VF, Artino Jr AA, et al. A pilot study exploring the relationship between internists’ self-reported sleepiness, performance on multiple-choice exam items and prefrontal cortex activity. Medical Teacher 2014;36:434–40.Google Scholar
- Encyclopedia of Mental Disorders Forum. www.minddisorders.com/Kau-Nu/Neuropsychological-testing.html.
- Harada TGA, Sachs GA. When the doctor has dementia. J Am Geriat Soc. 2006;54(S4):S32.Google Scholar
- Humphreys S, Gunderson DC. The aging physician. Newslett Colorado Physic Health Program. 2013;12(1):1–2.Google Scholar
- Moutier CY, Bazzo DE, Norcross WA. Approaching the issue of the aging physician population. JMR. 2013;99:10–18.Google Scholar
- Smith CS, Stevens NG, Servis M. A general framework for approaching residents in difficulty. Residency Ed. 2007;39:331–6.Google Scholar
- U.S. Bureau of Labor and Statistics. Occupational outlook handbook. Washington, DC: Office of Occupational Statistics and Employment Projections; 2015.Google Scholar