A locum emergency doctor submits a timesheet claiming excessive overtime and a conversation leads you to suspect they are suffering from mania. How can you protect patient safety while, at the same time, being compassionate and fair? In this episode, host Dr David Rankin presents this difficult scenario to Dr David Fenn, a psychiatrist who is the Deputy Chief Medical Officer at Royal Melbourne Hospital and the Director of Quality and Reform for Royal Melbourne’s Mental Health Services. Together they discuss the critical balance between patient safety, staff well-being, and supporting a struggling doctor. And Dr Fenn offers insights and practical strategies for dealing with this sensitive and high-stakes situation.

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