What should a QME do if an injured worker uses abusive language during an evaluation?

Discontinuing the evaluation when an injured worker uses abusive language is appropriate because it ensures a safe and respectful environment for both the evaluator and the examinee. Abusive language can create a hostile situation and may hinder the ability to conduct an effective evaluation. By discontinuing the evaluation, the QME maintains professionalism and responds appropriately to unprofessional behavior.

Furthermore, this approach allows the QME to protect their own well-being and sets a clear boundary regarding acceptable behavior during the evaluation process. It also provides an opportunity to reassess the situation and determine if the evaluation can be resumed at a later date or under different conditions, ensuring that the integrity of the evaluation process is upheld.

In contrast, while proceeding with the evaluation could be seen as fulfilling the duty, it risks escalating the situation and compromising the evaluation's effectiveness. Ignoring the language may also send a message that abusive behavior is tolerable, which is not conducive to maintaining professional standards. Simply documenting the behavior without taking action may not effectively address the immediate issue or protect the integrity of the evaluation process. Therefore, prioritizing the safety and professionalism of the evaluation setting by discontinuing the evaluation is vital.