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Letters
JAMA. 1998;280(8):699-700. doi: 10.1001/jama.280.8.699

Mistreatment and Maladaptations During Medical Internship

  1. Don A. Rockwell, MD
  1. University of California
    Los Angeles School of Medicine

Since this article does not have an abstract, we have provided the first 150 words of the full text.

To the Editor.—Buried in Dr Daugherty and colleagues'1 interesting article are numbers that are profoundly disturbing. The 1274 interns apparently identified at least 134 colleagues impaired by alcohol and 44 colleagues impaired by prescription drug abuse or illegal drug use in the course of a single year. The authors' minimization of these findings "alcohol use as a reason for impairment was reported by less than 15%. . . . While prescription drug abuse and illegal drug use were cited by only 5.0%" underscores the medical profession's denial of this serious problem. Lack of sleep pales in comparison with these data, especially in view of the reported number of hours worked (56.9 hours), a number comparable to hours worked by the average clinician in practice.

References

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  1. Murad Alam, MD
  1. College of Physicians and Surgeons
    Columbia University
    New York, NY

To the Editor.—Having completed a medical internship last year, I found the work by Dr Daugherty and colleagues1 characterizing resident satisfaction in …

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