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Viewpoint |

Disruptive Behaviors Among Physicians ONLINE FIRST

Luis T. Sanchez, MD1
[+] Author Affiliations
1Physician Health Services, Massachusetts Medical Society, Waltham, Massachusetts
JAMA. Published online August 21, 2014. doi:10.1001/jama.2014.10218
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This Viewpoint discusses the problem of disruptive behavior among physicians and offers guidance for developing a medical culture of safety with clear expectations and standards.

Concerns regarding the “disruptive physician” have been reported in the medical literature for at least the past 30 years. Recently, there has been the perception that the problem is increasing, although it is unclear if this is because of increased awareness or greater surveillance or because more physicians are acting unprofessionally. A report from 2006 estimated that 3% to 5% of physicians had demonstrated behavior that interferes with patient care or could be expected to interfere with the process of delivering quality care.1 Disruptive behavior has been described as “disruptive behavior by a physician, sometimes called ‘abusive behavior,’ generally refers to a style of interaction by physicians with others, including hospital personnel, patients, and family members, that interferes with patient care or adversely affects the health care team’s ability to work effectively. It encompasses behavior that adversely affects morale, focus and concentration, collaboration, and communication and information transfer, all of which can lead to substandard patient care.”2

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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