Physician Health Programs: An Overview Warren Pendergast MD FSPHP/FSMB Joint Session April 2013

Public Protection Early intervention Encouraging a culture of self-care – Requires anonymous track Use of leverage – Consequences Transparency of policies and procedures PHP Principles

Assessment Referral Monitoring “Advocacy” Education Prevention Support of participants and others Most do not provide treatment services PHP Functions

# States% Substance Use Disorders45100% “Mental Health”3782% “Behavioral”3271% Professional Sexual Misconduct2147% Physical Illness2556% Other1840% PHP Referral Types

State PHP Governance Independent Corporation42% Medical Society42% Medical Board16% Other2% Non-Profit82%+ Contract with SMB62%

(Many) PHPs also cover: – PAs – Veterinarians – Dentists – Nurses – Pharmacists – Counselors, Psychologists, etc., etc. – Average number covered 6.4 – Different professional cultures

PHP Funding Sources State Medical Board3271% Malpractice Insurance Companies1738% Hospitals/Private/Grants2351% Participant Fees2556% Medical Society1840% (Avg Number = 2.6)