The Medical Association of Georgia's Impaired Physicians Program. Review of the first 1000 physicians: analysis of specialty
G. D. Talbott, K. V. Gallegos, P. O. Wilson and T. L. Porter
Risk factors for the disease of chemical dependence, or addiction to
alcohol and/or drugs, for physicians have not been clearly defined. Yet
chemical dependence is believed to be a leading occupational hazard for
physicians. This study compares the specialties of a population of
physicians assessed for the presence of impairment (study group, N = 1000)
with the distribution of specialties for all US physicians. Only 21 of the
total were found to be free of impairment from chemical dependence or
psychiatric disease, while 920 physicians (92.0%) had a primary diagnosis
of chemical dependence, and 59 (5.9%) had a major psychiatric illness.
Anesthesia and family and general practice were found to be overrepresented
in the population under study, as compared with all US physicians. There
were significant differences between the study group and all US physicians
with respect to age, sex, and practice activity status. The authors urge
these apparent high-risk specialties, as well as the medical profession
itself, to develop control or prevention strategies that will reduce risk
for chemical dependence through education, early identification,
intervention, and treatment of those individuals with the disease.
Doctors' health and fitness to practise: treating addicted doctors
Marshall
Occup Med (Lond) 2008;58:334-340.
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Life After Death: The Aftermath of Perioperative Catastrophes
Gazoni et al.
Anesth. Analg. 2008;107:591-600.
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Random Drug Testing to Reduce the Incidence of Addiction in Anesthesia Residents: Preliminary Results from One Program
Fitzsimons et al.
Anesth. Analg. 2008;107:630-635.
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Chemical Dependency Treatment Outcomes of Residents in Anesthesiology: Results of a Survey
Collins et al.
Anesth. Analg. 2005;101:1457-1462.
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The prevalence of alcohol, cigarette and illicit drug use and problems among dentists
KENNA and WOOD
Journal of the American Dental Association 2005;136:1023-1032.
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Risk Factors for Relapse in Health Care Professionals With Substance Use Disorders
Domino et al.
JAMA 2005;293:1453-1460.
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Physician Substance Abuse and Recovery: What Does It Mean for Physicians--and Everyone Else?
Gastfriend
JAMA 2005;293:1513-1515.
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Commentary: Quality Improvement and Psychiatric Fitness-for-Duty Evaluations of Physicians
Wettstein
J Am Acad Psychiatry Law 2005;33:92-94.
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Substance Abuse Among Physicians: A Survey of Academic Anesthesiology Programs
Booth et al.
Anesth. Analg. 2002;95:1024-1030.
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Physicians Disciplined by a State Medical Board
Morrison and Wickersham
JAMA 1998;279:1889-1893.
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Missed problems and missed opportunities for addicted doctors
Strang et al.
BMJ 1998;316:405-406.
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RISK FACTORS FOR DRUG AND ALCOHOL ABUSE IN PHYSICIANS
JWatch General 1987;1987:8-8.
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