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I agree, it is an important role for the risk manager to limit financial loss, and ultimately the best way to do that is by tightening standards on patient care- which is closely tied to malpractice claims. Not surprisingly, when a patient is unhappy with their physician's bedside manner, they are more likely to sue.

Recently, JCAHO has been tightening standards for physician behavior, outlining the qualifications of a "disruptive physician". Risk managers will have to include these types of individuals in their assessment of risk. Thankfully, more programs are underway for training in patient care and consulting firms are starting to assist in treating & coaching these individuals. Anyway, something to think about when defining the role of a risk manager in this process.

As a major national provider of Executive Coaching/Anger Management for Disruptive Physicians, my experience has been that by the time that a physician is mandated for coaching he or she would have had an average of 6 reported incidents of abusive/abuse/angry episodes. Therefore, prevention is the key.
Risk Managers should think of the potential risk imposed by disruptive physicians and make referrals early in the process.

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