One of the attending from another division seems to be having memory difficulty

You are an attending physician at a university hospital. One of the attending from another division seems to be having memory difficulty. You have found hint twice in the hallway having forgotten where he was going. The residents tell you on the side that they don’t rely on him at all because “he forgets everything we say anyway.” The chief of service knows but doesn’t have enough attending to fill the yearly schedule so he retrains in place supervising troth resident performance as well as patient crier.
What should you do?

Nothing; the chief of service already knows.
Talk to him directly.
Tell your division head.
Report him to the state licensing board.

Explanation:

(d) Report him to the state licensins board.
Reports of physician impairment should go first to the local supervisory personnel. If this is either unsuccessful or not applicable then report it to a higher level such as a state licensing board. Tclling your own division head is inapproprrate because that person supervrses you, not the potentially impaired physician.