Factors to Consider When You Step Outside Your Clinical Role

Providing direct patient care may not be the only type of job psychiatrists might perform during their career. There are times when opportunity knocks or one searches for professional development and growth outside of everyday practice.

Physicians, though not solely defined by their profession, are expected to uphold the ethical norms including fidelity to patients and respect for patient self-determination, according to the AMA Principles of Medical Ethics. When one commits to other interests and obligations outside of the office, it is imperative to have clear guidelines and understanding of what is expected. Since people may primarily see you as a physician, you want to be sure your other roles and responsibilities are clearly known to limit the risk that might exist when stepping outside of the office or health care setting.

Whether offering services for community outreach with a religious organization, volunteering in an underserved area, or exploring an opportunity to sit on a charitable board, ask questions about the opportunity before committing. When you pivot between different roles, you want to be sure you know what “hat” you are wearing. For example, are you being recruited to provide clinical recommendations under your medical license or are you simply serving as a general advisory committee member at your child’s school? Using your expertise to help in the community can be rewarding, but psychiatrists must consider the liability implications before lending a hand. Below are some tips for mitigating risk when considering these roles.