David Geffen School of Medicine at UCLA Graduate Medical Education
 
 
Policy Purpose and Objectives Definitions Procedure

Medical Staff Health Policy

Purpose and Objectives
The purpose of this policy is:
  • To offer assistance to the medical staff by creating an environment and consultation mechanism that is conducive to self-referral and rehabilitation of members who may be suffering from a disabling mental or physical condition that poses a treat to patient care.
  • To assure patient safety by establishing a mechanism to identify and treat impaired medical staff members.

    The objectives of this policy are:
  • Educating the medical staff and other members of the organization about illness and impairment recognition.
  • Enhancing the safety of UCLA Medical Center patients, medical staff, trainees and employees.
  • Providing oversight, treatment and assistance for a potentially impaired medical staff member by:
    1. Ensuring the reporting of a potentially impaired medical staff member to the appropriate leadership as specified in the procedure below.
    2. Making an assessment of the credibility of a third party complaint or allegation of impairment.
    3. Maintaining all deliberations and records as confidentially as possible.
    4. Referring the impaired medical staff member to the appropriate internal or external resource for diagnosis and treatment of the illness or addiction under the guidance of the Medical Staff Health Committee.
    5. Monitoring the re-integration into active medical staff status according to a contract established between the medical staff member and the MSHC.
    6. Referring the impaired member to the Diversion Program of the Medical Board of California when required by law.
    7. When deemed necessary, facilitating the safe removal of the impaired medical staff member from the UCLA Medical Center.




    Back to Table of Contents