The ALL IN States for Prioritizing Clinician Well-Being

HOW STATES ARE IDENTIFIED

The states were identified, in collaboration with Participant and the American Medical Association as part of the film The First Wave’s impact campaign, based on data that was independently obtained before August 24, 2022. The applications reviewed were for allopathic, initial licensure forms, and the questions evaluated were inclusive of those discussing mental health. Questions about substance use or other disclosure requirements were not included in this analysis.

States are acknowledged as being ALL IN (purple) if they utilize application language consistent with one of the three criteria options:

OPTION 1: Ask one question consistent with the Federation of State Medical Board’s Recommended Language that addresses all mental and physical health conditions as one, with no added explanations, asterisks, or fine print:

“Are you currently suffering from any condition for which you are not being appropriately treated that impairs your judgment or that would otherwise adversely affect your ability to practice medicine in a competent, ethical, and professional manner? (Yes/No)”

OPTION 2: Refrain from asking probing questions about an applicant’s health altogether.

OPTION 3: Implement an Attestation Model, like that used in North Carolina and Mississippi. This uses supportive language around mental health from the Board and holds physicians accountable to their well-being, making it clear that their self-care is patient care.

Offer “safe haven” non-reporting options to physicians who are under treatment and in good standing with a recognized physician health program (PHP) or other appropriate care provider.

States with applications not consistent with the above criteria or were not accessible are shown in light teal.

We know that many states are steadily working to make these changes and we look forward to celebrating implementation at that time.

Medical boards that wish to submit updated licensure applications should email ALLIn@drbreenheroes.org.

We also urge all medical boards to make applications publicly available on their website.