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To the Editor: In their study of problem residents, Drs Yao and Wright¹ found that program directors identified less than 2% of residents as having substance abuse or alcohol problems yet 7% of residents in the programs surveyed underwent intervention in a substance abuse rehabilitation program. It would seem that the "screening" methods used by the institutions for identification of substance use disorders are not adequate or, more likely, that the staff had received inadequate training in identifying substance abuse.

The lifetime US rates of alcohol disorders and drug abuse and dependence are 13.5% and 6.2%, respectively.² Chemical dependence is the most frequent disabling illness among medical professionals.³ While residents may not have accumulated enough years of exposure to drugs and alcohol to meet the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition criteria, many of the problem residents included in the category of "depression" or "situational, personal, . . . [Full Text of this Article]

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RELATED ARTICLE

National Survey of Internal Medicine Residency Program Directors Regarding Problem Residents
David C. Yao and Scott M. Wright
JAMA. 2000;284(9):1099-1104.
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