House Officer Responses to Impaired Physicians

Reuben, David B.; Noble, Sarah

doi:10.1001/jama.1990.03440070046030

Cited by 18 publications

(3 citation statements)

References 9 publications

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“…In our interviews with program directors, they repeatedly stressed the importance of timely, accurate evaluations of residents. Fellow house officers have been shown to be able to detect impaired residents 64 . Ideally, residents would feel comfortable confronting their colleagues in a supportive way, as well as notifying the chief residents and program director.…”

Section: Resultsmentioning

confidence: 99%

The challenge of problem residents

Yao

Wright

2001

J Gen Intern Med

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Internal medicine residency training is demanding and residents can experience a wide variety of professional and personal difficulties. Residency programs everywhere have had and will continue to have problem residents. Training programs should be equipped to effectively identify and manage residents who experience problems. Previous articles that have been published on the topic of problem residents primarily addressed concerns such as impairment due to depression and substance abuse. The content of this article is derived from a comprehensive review of the literature as well as other data sources such as interviews with program directors and workshops at national professional meetings. This article focuses primarily on four issues related to problem residents: their identification, underlying causes, management, and prevention. The study attempts to be evidence-based, wherever possible, highlighting what is known. Recommendations based on the synthesis of the data are also made. Future ongoing studies of problem residents will improve our understanding of the matters involved, and may ultimately lead to improved outcomes for these trainees.

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Section: Resultsmentioning

confidence: 99%

The challenge of problem residents

Yao

Wright

2001

J Gen Intern Med

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“…A survey of the National Institute of Drug Abuse zs indicated that the number of Americans using cocaine decreased by half from 1985 to 1988. 26 The number of people using any illicit drug, including marijuana, declined in that same period from 12% of the population to 7%. The reduced recreational use of marijuana and cocaine by anesthesiologists in our survey would appear to parallel this general trend.…”

Section: Discussionmentioning

confidence: 99%

“…While we do not know how many of the respondents chose to individually confront their substance-using peers, it is known that physicians often fail to act in the case of impaired colleagues. 26 The structure of our survey instrument may have led to over-enumeration with several respondents reporting the same incident of substance use; thus this occurrence data must be interpreted with some caution. It is disturbing from a standpoint of intervention and recovery that a substantial number of incidents of substance abuse involving residents (n = 63) and faculty (n = 20) went unreported.…”

Section: Discussionmentioning

confidence: 99%