CPPPH is an independent, non-profit California public benefit corporation established in 2009 to develop a comprehensive statewide physician health program so that California does not remain one of the few states without such a resource. It is a collaborative effort funded by many medical organizations including specialty societies, county medical societies, as well as the California Medical Association, California Hospital Association and professional liability insurance carriers. It provides consultation, coordination, education and network-building. It promulgates guidelines for physician health service providers and policies and procedures for physician health committees. »For other information, see “About CPPPH.”
*Full-day workshops offered in Los Angeles (Oct. 18, 2014) & Oakland (Nov. 1, 2014)
NEW! The guideline document “Assessing Late-Career Practitioners: Policies and Procedures for Age-based Screening“ is posted here with an invitation for review and comments from all interested persons.
Comments received by November 14, 2014 will be considered by the Workgroup members as they prepare the next draft. Send comments to CPPPHInc@gmail.com.
CPPPH workshops designed for members and staff of physician health committees. Links below take you to pages with the specifics for upcoming workshops and materials from past workshops.
- Saturday, September 20, 2014 – San Diego Regional Workshop
- Saturday, October 18, 2014 – Full day workshop (Los Angeles): Evaluations of Health Care Professionals: From Screening to Full Assessments and Fitness for Duty Reports
- Saturday, November 1, 2014 – Full day workshop (Oakland): Evaluations of Health Care Professionals: From Screening to Full Assessments and Fitness for Duty Reports
- TBD – Sierra Sacramento Valley Regional Workshop
- TBD – San Francisco Bay Area Regional Workshop
- TBD – Los Angeles Regional Workshop
State Physician Health Programs: Why Are They Needed and What Do They Look Like? Saturday, September 3, 2014 as a pre-conference workshop at the 2014 Review Course of the California Society of Addiction Medicine. Presenters include Doris Gundersen, MD, Medical Director of the Colorado Physician Health Program; Greg Skipper, MD; Michel Sucher, MD; Jim Hay, MD, Jim Conway. Information is contained in the announcement of the CSAM Review Course.
Guideline documents from different organizations. The most recently added are:
- CMA Guidelines for Physician Well-Being Committees [PDF]
(September 2013 Edition)
This comprehensive 29-page document prepared by CMA Legal Department covers all pertinent areas starting with medical staff bylaws and The Joint Commission Standard MS2.6, continuing through committee policies and procedures, including monitoring, confidentiality and peer review protections. Appendix C is a 7-page detailed guideline on Monitoring.
- Guidelines for Evaluations of Health Care Professionals [PDF]
This guideline from CPPPH describes all the elements involved in getting a clinical evaluation, including qualifications of those who conduct evaluations, the preparation to be completed in advance, and the recommended contents of the report. This document focuses on the evaluations that are used to determine diagnoses, assess severity, identify appropriate clinical interventions, assess patient safety, and/or determine what steps should be taken to protect public safety, and the physician’s personal health and career.
Articles, Sample Documents, Policy Statements
- New Paradigm for Recovery
A comprehensive description of the elements that comprise monitoring for persons working in high risk positions — health care professionals, pilots, lawyers, this 34-page, well referenced 2014 report from the Institute for Behavior and Health, Inc., will be valuable for all who are responsible for monitoring programs.
- Disruptive Physician Behavior: Use and Misuse of the Label [PDF]
Journal of Medical Regulation (2011) Vol. 98, No. 1
This article provides in-depth information about disruptive physician behavior, including discussion of the causes and contributing factors, strategies to manage such behavior, formulation of medical staff policies, and appropriate and inappropriate use of the disruptive label.
The author, Norman Reynolds, MD, of San Jose, California was honored by the Federation of State Medical Boards at its 2014 meeting with the FSMB Award for Excellence in Writing.
- Drug Testing: A White Paper of the American Society of Addiction Medicine (ASAM)
October 26, 2013
The science and the current practice of drug testing are covered in this 115-page, highly referenced paper from the American Society of Addiction Medicine with reviews of all aspects, from patient care and public health to public protection.
- Substance Use Disorders Among Anesthesiology Residents 1975-2009
Records from the American Board of Anesthesiology (ABA) and the Disciplinary Action Notification Service (DANS) of the Federation of State Medical Boards are analyzed in depth in this article (JAMA. 2013;310(21):2289-2296). The authors, from the Mayo Clinic (Rochester) Department of Anesthesiology and the ABA, say, “To our knowledge, this report provides the first comprehensive description of the epidemiology and outcomes of SUD for any in-training physician specialty group.” The full text is available from JAMA.
Confidential Assistance Over the Phone
The Physicians’ and Dentists’ Confidential Assistance Line is 24-hour phone service providing completely confidential doctor-to-doctor assistance. See brochure.
If you are involved in physician health activities in California, you may find helpful information in these CPPPH e-Newsletters.
- Issue #8, July 2014: Monitoring is the Core of the New Paradigm for Recovery, Evaluations: From Screening to Fitness for Duty Reports; Are There Precursors of Substance Use Disorders in American Physicians?
- Issue #7, April 2014: Prescription Medication Misuse Among Physicians, The Lawyer Assistance Program, Wellness: Cognition is Affected by Nutrition
- Issue #6, January 2014: Drug Testing: A White Paper, Age-related Screening of Physicians, Substance Use Disorders Among Anesthesiology Residents 1975-2009
- Issue #5, October 2013: MBC Proposed Regulations for Probationers, Updated CMA Guidelines for Well-Being Committees and Monitoring, New York Times Medicines Search for Meaning
- Issue #4, July 2013: Propofol Abuse 1990-2010, Drug Testing as a Monitoring Tool, Finding Meaning in Medicine
- Issue #3, April 2013: Aging, International Doctors in AA, Grand Rounds or Committee Meetings
- Issue #2, January 2013: Resources, Guidelines, Making Well-Being Committees Available, Grand Rounds
- Issue #1, October 2012: Disruptive Behavior, Guidelines, Aging, Grand Rounds