The disruptive radiologist

Hospital and regulatory organizations recognize the downstream impact of interpersonal relationships on patient safety. There are many contributors to interpersonal dynamics, one of which includes disruptive physicians. This can stem from overt or passive behaviors and has been categorized in the literature by terms that include disruptive physicians, professionalism and burnout. The contributing factor factors to such behavior are varied and may include burnout, stress, skill deficiencies, and impairment. These behaviors can be impacted through personal and systemic influences that are difficult for administrators to elucidate due to physician and organizational confidentiality concerns. However, there are opportunities and tools where radiology practice leaders and organizations can intervene to assist the disruptive radiologist. These include during residency/fellowship training, clarifying employee expectations during the time of radiologist hiring, offering interventions during practice, providing resources such as employee assistance programs, and addressing systemic challenges. Utilizing these tool sets can improve healthcare team dynamics and increase both staff and physician retention.