Dealing with the Impaired Physician: What to Do When It Is Your Trainee or Your Partner? (OPM)

Session Description

This session has been identified and designated as Credit to Address Regulatory Mandate for Opioid/Pain Management. Learn more about state regulatory mandates.

Surgeons can face the challenge of being able to identify impairment in their colleagues and, most importantly, in themselves. In many cases, substance abuse problems can remain undetected for several years before being brought to attention and before treatment is undertaken. Impaired physicians can usually function at an adequate level until their problem becomes more advanced and their ability to care for their patients deteriorates. This session will focus on early recognition, prevention, and strategies to deal with the impaired surgeon.

Moderator: Shimae C. Fitzgibbons, MD, FACS, Washington, DC

Co-Moderator: Jennifer N. Choi, MD, FACS, Indianapolis, IN


Introduction to Dealing with the Impaired Physician
Shimae C. Fitzgibbons, MD, FACS, Washington, DC

Recognizing the Problem: Identifying the Impaired Physician
Krista L. Kaups, MD, MSc, FACS, Fresno, CA

What Happens Next? How We Intervene
Tracy R. Zemansky, PhD, Santa Monica, CA

Reintegration: How Do We Get Back to Work?
Lisa M. Boyle, MD, FACS, Washington, DC

Open Discussion
Jennifer N. Choi, MD, FACS, Indianapolis, IN

Sponsored by the Young Fellows Association

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care


For questions about the course, please contact

Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity. Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation.

(Download the full list of disclosures).

Faculty and Disclosures

Jennifer N. Choi MD, FACS - Nothing to Disclose
Krista L. Kaups MD, MSc, FACS - Nothing to Disclose
Lisa M. Boyle MD, FACS - Nothing to Disclose
Shimae C. Fitzgibbons MD, FACS - Nothing to Disclose
Tracy R. Zemansky, PhD - Courage to Change.: Employee: President; Pacific Assistance Group: Employee: President

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - Nothing to Disclosure
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - Nothing to Disclosure


David C. Borgstrom, MD, FACS, Morgantown, WV - Nothing to Disclosure
Daniel L. Dent, MD, FACS, San Antonio, TX - Nothing to Disclosure
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Cynthia D. Downard, MD, FACS, Louisville, KY - Nothing to Disclosure
Audra A. Duncan, MD, FACS, London, ON - Nothing to Disclosure
Mariam F. Eskander, MD, Boston, MA - Nothing to Disclosure
Paula Ferrada, MD, FACS, Richmond, VA - Nothing to Disclosure
Neil H. Hyman, MD, FACS, Chicago, IL - Nothing to Disclosure
Martin S. Karpeh, Jr., MD, FACS, New York, NY - Nothing to Disclosure
Dennis H. Kraus, MD, FACS, New York, NY - Nothing to Disclosure
Kenneth W. Sharp, MD, FACS, Nashville, TN - Nothing to Disclosure


Daniel M. Herron, MD, FACS, FASBMS, New York, NY - Nothing to Disclosure
Edith Tzeng, MD, FACS, Pittsburgh, PA - Nothing to Disclosure


Barbara Lee Bass, MD, FACS, FRCSEng(Hon), FRCSI(Hon), FCOSECSA(Hon), Houston, TX - Nothing to Disclosure
Quan-Yang Duh, MD, FACS, San Francisco, CA - Nothing to Disclosure
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - Nothing to Disclosure
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - Nothing to Disclosure

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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This course is available as part of the Clinical Congress 2019 Webcast Packages