Book contents
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgements
- Section 1 Core knowledge
- Section 2 Core skills
- Section 3 Important bodies
- Section 4 Information, evidence and research
- Section 5 Money
- Section 6 NHS structures
- Section 7 Operations
- Section 8 Safety and quality
- Section 9 Staff issues
- Chapter 50 Managing staff
- Chapter 51 Employing new staff to the organization and starting work
- Chapter 52 Managing normal working
- Chapter 53 Job planning
- Chapter 54 Appraisals
- Chapter 55 Revalidation
- Chapter 56 Managing poor performance
- Chapter 57 Managing other problems
- Chapter 58 Measuring how well we manage staff
- Chapter 59 Managing stress
- Chapter 60 The sick doctor
- Index
- References
Chapter 60 - The sick doctor
Published online by Cambridge University Press: 05 March 2012
- Frontmatter
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgements
- Section 1 Core knowledge
- Section 2 Core skills
- Section 3 Important bodies
- Section 4 Information, evidence and research
- Section 5 Money
- Section 6 NHS structures
- Section 7 Operations
- Section 8 Safety and quality
- Section 9 Staff issues
- Chapter 50 Managing staff
- Chapter 51 Employing new staff to the organization and starting work
- Chapter 52 Managing normal working
- Chapter 53 Job planning
- Chapter 54 Appraisals
- Chapter 55 Revalidation
- Chapter 56 Managing poor performance
- Chapter 57 Managing other problems
- Chapter 58 Measuring how well we manage staff
- Chapter 59 Managing stress
- Chapter 60 The sick doctor
- Index
- References
Summary
There is an increased rate of physical and psychological morbidity in doctors. The greatest impact of being a professional carer seems to be on mental health, with both minor and major psychiatric illness occurring. Many doctors are not registered with a GP and may not have local access to occupational health services although this is improving. The GMC guidance expects all doctors to be registered with a GP. There is still a tendency to self-treat or request treatment from a colleague, which creates isolation and potential difficulties if more intensive support/treatment is required.
Sickness absence among doctors is traditionally low compared to the national average. However, doctors are as likely to develop mental health problems and may be exposed to occupational stressors that predispose to increase mental ill health. Concerns over stigmatization and confidentiality remain barriers to early intervention and treatment. Other practical issues for doctors in training is accessing GPs in their area or developing a relationship with a primary care physician. Depression and substance misuse in particular are thought to be the cause of the established increase in rates of suicide in doctors.
- Type
- Chapter
- Information
- Management Essentials for Doctors , pp. 189 - 192Publisher: Cambridge University PressPrint publication year: 2011