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Table 1.  

Fundamental principles
1.Principle of primacy of patient welfare
2.Principle of patient autonomy
3.Principle of social justice
Professional Responsibilities
1.Commitment to professional competence
2.Commitment to honesty with patients
3.Commitment to patient confidentiality
4.Commitment to maintaining appropriate relations with patients
5.Commitment to improving quality of care
6.Commitment to improving access to care
7.Commitment to a just distribution of finite resources
8.Commitment to scientific knowledge
9.Commitment to maintaining trust by managing conflicts of interests
10.Commitment to professional responsibilities

Charter on Professionalism[19]


Dealing with the "Disruptive" Physician Colleague

  • Authors: Paul S Mueller, MD, MPH ; Lois Snyder, JD
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Target Audience and Goal Statement

This activity is intended for physicians and administrators who are colleagues of physicians with disruptive behavior.

The goal of this activity is to define and identify physician disruptive behavior and understand the need to report it.

Upon completion of this activity, participants will be able to:

  1. Define "disruptive physician behavior"
  2. Recognize the most common conflicts that involve disruptive physician behavior
  3. Examine the reasons why disruptive physician behavior is underreported
  4. Discuss the ethical obligations of the physician as described in the ACP Ethics Manual
  5. Identify a strategy for dealing with disruptive behaviors


  • Paul S Mueller, MD, MPH

    Associate Professor of Medicine, Mayo Clinic, Rochester, Minnesota; Consultant Physician, Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota


    Disclosure: Paul S. Mueller, MD, MPH, has disclosed that he has received grants for educational activities from Boston Scientific and Wiley-Blackwell. Dr. Mueller has also disclosed that he has served as an advisor for Boston Scientific and has served on the editorial board for the Massachusetts Medical Society.

  • Lois Snyder, JD

    Director, Center for Ethics and Professionalism, American College of Physicians, Philadelphia, Pennsylvania

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    Medscape, LLC designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credit(s)™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

    The cases and commentary were developed by the American College of Physicians.

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Dealing with the "Disruptive" Physician Colleague

Authors: Paul S Mueller, MD, MPH ; Lois Snyder, JDFaculty and Disclosures



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To measure the effectiveness of this continuing education activity, please complete the following 2-question pre-assessment. The activity addresses these questions in the content that follows.

Table of Contents

  1. Pre-Assessment
  2. Introduction
  3. Commentary