Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 36 The impaired anesthesiologist – addiction
- 37 The impaired anesthesiologist – sleep deprivation
- 38 Ethical considerations regarding the disabled anesthesiologist
- 39 The abusive and disruptive physician
- 40 Sexual harassment, discrimination, and faculty–student intimate relationships in anesthesia practice
- 41 Conflicts of interest – industry gifts to physicians
- 42 Disclosure of medical errors in anesthesiology practice
- 6 Anesthesiologists, the state, and society
- Index
39 - The abusive and disruptive physician
from 5 - Practice issues
Published online by Cambridge University Press: 05 March 2012
Book contents
- Clinical Ethics in Anesthesiology
- Clinical Ethics in Anesthesiology
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- 1 Consent and refusal
- 2 End-of-life issues
- 3 Pain management
- 4 Research and publication
- 5 Practice issues
- 36 The impaired anesthesiologist – addiction
- 37 The impaired anesthesiologist – sleep deprivation
- 38 Ethical considerations regarding the disabled anesthesiologist
- 39 The abusive and disruptive physician
- 40 Sexual harassment, discrimination, and faculty–student intimate relationships in anesthesia practice
- 41 Conflicts of interest – industry gifts to physicians
- 42 Disclosure of medical errors in anesthesiology practice
- 6 Anesthesiologists, the state, and society
- Index
Summary
This chapter focuses on mean, abusive, and disruptive (MAD) behavior of medical professionals in the workplace. MAD behavior subverts the ethical obligation of healthcare professionals from consistently placing the interests of the patient foremost, by interfering with the normative processes of collegiality, cooperation, communication, and teamwork. MAD behavior encompasses an extreme degree of uncivil and unprofessional demeanor. It violates ethical standards of practice and impedes patient safety and quality improvement. MAD behavior's harmful impact on workplace staff increases the risk for substandard care and adverse patient consequences. MAD behavior is a manifestation of a personality disorder that is characterized by maladaptive behavior and lack of personal insight. In order for MAD physicians to continue to practice, they must be strictly be held to exert a sufficient degree of control over their behavior that precludes their adversely impacting the culture of safety.
Keywords
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- Information
- Clinical Ethics in AnesthesiologyA Case-Based Textbook, pp. 235 - 239Publisher: Cambridge University PressPrint publication year: 2010