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Chapter 60 - The sick doctor

Published online by Cambridge University Press:  05 March 2012

Rory Shaw
Affiliation:
North West London NHS Trust
Vino Ramachandra
Affiliation:
Northwick Park Hospital
Nuala Lucas
Affiliation:
Northwick Park Hospital
Neville Robinson
Affiliation:
Northwick Park Hospital
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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.

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Publisher: Cambridge University Press
Print publication year: 2011

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References

General Medical Council 2009 Good Medical PracticeLondonGMC
National Association of Clinical Tutors 2008 www.nact.org.uk
Royal College of General Practitioners 2009 RCGP Guide to the Revalidation of General PractitionersLondonRCGP

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