Signs of Concern

What to Look For:  

Personality Changes

  • Direct statements indicating distress
  • Constant sadness or tearfulness
  • Constant anxiety or irritability
  • Unprovoked anger or hostility
  • Expressions of hopelessness or worthlessness

Behavioral Changes

  • Deterioration in quality of work
  • A negative change in performance
  • Repeated absences from important activities
  • Continual seeking of special accommodations
  • Repeated trouble getting along with others

Physical Changes

  • Deterioration in physical appearance
  • Visible weight changes
  • Excessive fatigue
  • Sleeping much more or much less
  • Coming to work bleary-eyed or smelling of alcohol
  • Needle marks or bandages

Workplace Changes

  • Patient or staff complaints
  • Unusual pattern of prescribing of drugs
  • Inappropriate orders
  • Personal administration of drugs to patients
  • Unreachable when on call

Other Factors to Consider

  • Personal losses (e.g., divorce, deaths)
  • Decreased self-care (e.g., discontinuing exercise)
  • Expression of concern noted by peers
  • A hunch or gut-level feeling on your part that something is wrong
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The 23rd PHS Annual Dinner Gathering, originally scheduled for May 6, 2020, will be postponed and rescheduled for a later date in 2020 due to the current COVID-19 healthcare crisis. PHS looks forward to seeing everyone and will send an announcement once a new date has been determined. Please contact 781-434-7404 if you have questions. Thank you for all you do.

As you may know, the Board of Registration in Medicine has enacted new regulations for Massachusetts licensed physicians.  Please be assured that PHS continues to provide confidential consultation and assistance, without change, to MA physicians, medical students, and medical leaders. Please feel free to call PHS (781-434-7404) with any questions. 

- August 14, 2019

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