True
False
Barbiturates
Alcohol
Marijuana
Prescription opiates
Cocaine
Impaired cognition
Duration of impairment of less than a minute
Disorientation
Transitory hypovigilance
The inequality of status and power between an individual with "evaluative" power and a more junior individual makes it impossible to have a consensual relationship
This type of relationship is not problematic, because they are both learners
This relationship is only a problem if the flirtations are unwanted by the medical student
The relationship is only a problem if the flirtations are unwanted and the medical student publicly asks for them to cease
Immediately return to sleep for another 10 minutes
Not go to sleep your night on call, because sleep inertia is a greater hazard to patient safety than fatigue
Keep the light off
Get up, and walk briskly to the patient care area
Remain supine
Using a sedative
Consuming an amount of alcohol equivalent to levels of legal intoxication
Being on call for more than 48 hours in a row
Smoking marijuana
True
False
Enabling an addicted colleague by prescribing - or covering up drug or alcohol abuse in any way is not an act of friendship
Stereotypical images of addicts are precisely that: stereotypes
Both the prevalence and the risk factors for substance abuse in physician are similar to those for the general population
If a person can function effectively while taking drugs, then obviously, there is no addiction
Residents who are aware of a substance abuse problem in a colleague should contact the Program Director
Aggressive outbursts are just part of the stress and strain physicians are under and are simply signs of “blowing off steam”
Disruptive behavior should be tolerated as long as the person who is disruptive is a “good doctor”.
Disruptive behavior has no consequences other than its immediate unpleasant effect
Disruptive behavior is uncommon in physicians who are overly perfectionistic, and may have low self esteem
Disruptive behavior can affect the workplace to such a degree that others are unable to fulfill their duties or care effectively for patients
Set up a time to speak with the resident about your concerns
Arrange for the resident to be driven home
Talk with your Program Director about your concerns
True
False
True
False
Thank the patient and tell him/her that your policy does not allow the individual acceptance of gifts, but that you will share the gift with the entire staff, who you know will appreciate it.
Refuse to take any of the items
Accept them but then immediately give them away to another resident or staff member
Accept them this time but tell the patient you will not be able to accept them in the future
Suggest that the patient see a different resident
Alterations in professional behavior, dress, appearance, and general behavior
Cavalier prescribing of controlled substances
Deterioration in personal life or family relationships
Legal problems, especially driving convictions
All of the above
Nap before driving
Chew gum while driving
Drive with the window down
Play the radio
Take modafinil
True
False
True
False
Between physicians and patients
Between attendings and residents or students
Between residents and more junior residents and students
Between physicians and staff
All of the above
Any pattern of behavior that causes conflict, chaos, disharmony, dysfunction, and/or anxiety in the medical environment
Characterized by a power imbalance between different parties that is then exploited and abused
Perpetuated by tolerating or excusing the behavior
An impediment to good communication
All of the above
Use of intimidating, condescending, or degrading language
Body language and tone of voice that is pejorative and insulting
Use of racial or ethnic slurs
Engaging in appropriate humor
Blaming staff for adverse outcomes
Acting in an uncooperative, defiant, or rude manner
True
False