The Program for Distressed Physicians is a three-day CME course (with three additional 1-day follow-up sessions) developed to address the specific needs of physicians whose workplace behavior has become problematic. This course combines didactic presentations, role-play with focused feedback, group feedback from peers and colleagues, plus review of workplace/family complaints. Participants will receive training in alternative behaviors and explore cognitive distortions that relate to their problems. The course will focus on the problems identified by specific complaints. The solutions are reinforced by role-play, feedback, testing, and group accountability.

This three day course includes components examining:

• Teach new skills in the recognition and expression of emotions that lead to disruptive behavior.
• Provide a syllabus of selected readings and resources for the distressed physician.
• Teach the range of disruptive behavior.
• Provide strategies for the prevention of inappropriate behavior.
• Provide follow-up and support in maintaining behavior changes.
• Evaluate the effectiveness of the course based on feedback from the workplace monitoring system.
  

Physicians

Upon the completion of this program, the participant should be able to:

• Know and understand the issues around disruptive behavior and promote prevention treatment of physicians.
• Discuss healthy boundaries and appropriate expression of emotions among staff colleagues and patients.
• Identify the risk factors and development of the distressed physician.
• Understand the socialization of physicians and medical school and residency that contribute to maladaptive behavior patterns.
• Identify family or origin issues that may contribute to behavior problems.
• Identify personal risk factors by completing assessment instruments.
• Identify relapse prevention strategies.
• Discuss disruptive behavior from the viewpoint of staff, patients, colleagues, and administrators.

Physicians:
The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of South Florida College of Medicine designates this educational activity for a maximum of 40.75 (22.75 for main course, 18 for 3 follow-up days) AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Session 2 – Evolution of the Physician
A lecture and discussion about the process involved in physician training as well as some common personality traits.

Session 4B – Shame & Guilt
A lecture that will focus on the powerful affect of shame and how it influences behavior.

Session 4C - Homework assignment Genogram, ALTER
Costs of Anger (Chapter 2 - The Anger Control Workbook)

4:30pm

2 hours homework required
Complete Genogram, ALTER, Read Costs of Anger

Continental Breakfast

Session 6 - Group Exercise Genogram
The Participants will discuss their genogram results with the course faculty.

Session 7 – Identifying Specific Triggers & Maintaining Behavior Change
7A – Grounding Skills
7B – Communication Techniques
7C – Role Play
Specific situations identify triggers; give feedback to others in the group.

Session 8 – Intend to Change Exercise (Homework assignment)
Return Self-Assessment Instruments (Flooding, TSI™)
Explanations – Consent Form, CME credits, USF Notice of Privacy Practices

2 hours homework required
Intend to Change Exercise/Review Flooding, TSI™

Continental Breakfast

Session 10 - Role-play Exercise (continued from the Day Two)

Session 11
11A - Assertiveness II
11B – Relapse Prevention

Session 12 - Intend to change Written Exercise
Experiential exercise in which the participants review three to five behaviors they wish to change as a result of the course.

Session 13 - Complete Evaluation – Homework assignment for first follow-up group session - Final Feedback/Adjourn

Homework required for follow-up group session

*Required 3 Follow-Up Group Sessions
TBS

Martha Brown, M.D.
Associate Dean for Faculty Development
Associate Professor
Director, Division of Addiction Medicine and Professional Health Services
Department of Psychiatry and Behavioral Medicine
University of South Florida College of Medicine
Tampa, Florida

Please notify the CPD Office, 12901 Bruce B. Downs Blvd., MDC Box 60, Tampa, Florida, 33612 or call (813) 974-4296 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed.

Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity.