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 November 8, 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:
“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.
We know that many states are steadily working to make these changes and we look forward to celebrating implementation at that time.