Substance Use in Emergency Medicine Training Programs

McBeth, Brian D.; Ankel, Felix; Ling, Louis J.; Asplin, Brent R.; Mason, Emily J.; Flottemesch, Thomas J.; McNamara, Robert M.

doi:10.1111/j.1553-2712.2007.00008.x

Cited by 11 publications

(17 citation statements)

References 31 publications

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“…Los datos obtenidos sobre la prevalencia del consumo del alcohol coinciden con otros resultados obtenidos en estudiantes de Medicina (Voigt et al, 2009), en médicos residentes (Hughes et al, 1991;Martínez, Medina-Mora, y Rivera, 2004;McBeth et al, 2008;Pérez Milena et al, 2010) y médicos adjuntos (Kenna y Wood, 2005;Rodríguez Fernández, Espí Martínez, Canteras Jordana, y Gómez Moraga, 2001;Rosta y Aasland, 2010). El patrón de consumo es de tipo anglosajón, ligado al ocio y relacionado con el modelo binge-drinking, de forma superior a la población general y a los médicos adjuntos (Blancafort et al, 2009;Hull, DiLalla, y Dorsey, 2008;Rosta, 2008;Voigt et al, 2009) pero similar al de la población joven (Observatorio Español sobre Drogas, 2010;Pérez Milena et al, 2007) y al de los estudiantes varones de medicina, donde un 30% pueden superar un consumo de 60 gramos por ocasión de consumo (Hull et al, 2008;Voigt et al, 2009).…”

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“…En general los estudios presentan prevalencias muy dispares de consumo de drogas ilegales en facultativos (Hughes et al, 1991;Martinez et al, 2004;McBeth et al, 2008McBeth et al, , 2009, lo que dificulta conocer el porcentaje real de consumo de drogas ilegales entre los sanitarios, aunque parece ser inferior al de la población general (Observatorio Español sobre Drogas, 2009). El consumo se centra en el uso del cannabis, predominando en hombres y siendo inferior al que presentan los estudiantes de medicina, que podría extenderse hasta una tercera parte de los universitarios (Voigt et al, 2009).…”

Section: Discussionunclassified

“…Hay pocos estudios sobre los hábitos de consumo de drogas y la relación con el consejo clínico entre los especialistas internos residentes (Blancafort et al, 2009;Ferrero et al, 2004;Hughes et al, 1991;McBeth et al, 2008), por lo que este estudio puede aportar un referente para otras poblaciones de EIR a nivel nacional. Aunque los resultados pueden estar influenciados por los sesgos de respuesta y memoria, parecen ser bastantes representativos dado el bajo número de pérdidas en el estudio frente a otros similares (Blancafort et al, 2009;McBeth et al, 2008) y tratarse de un cuestionario previamente validado con una alta accesibilididad y confidencialidad (Pérez Milena et al, 2007).…”

Section: Discussionunclassified

“…Aunque los resultados pueden estar influenciados por los sesgos de respuesta y memoria, parecen ser bastantes representativos dado el bajo número de pérdidas en el estudio frente a otros similares (Blancafort et al, 2009;McBeth et al, 2008) y tratarse de un cuestionario previamente validado con una alta accesibilididad y confidencialidad (Pérez Milena et al, 2007).…”

Section: Discussionunclassified

“…Así, los estudiantes de medicina presentaron un porcentaje de fumadores superior a la población general (entre el 22% y el 29%) (La Torre et al, 2012;Voigt et al, 2009), un consumo de alcohol frecuente que llega a superar, en algunos estudiantes masculinos, los 60 gramos diarios, y un uso de drogas ilegales elevado (40% en hombres y 15% en mujeres). Hay menos estudios sobre médicos residentes, mostrando un consumo frecuente y regular de alcohol y tabaco, y en menor proporción marihuana (Handel, Raja, y Lindsell, 2006;Hughes, Conard, Baldwin, Storr, y Sheehan, 1991;La Torre et al, 2012;McBeth et al, 2008). En España (Blancafort, Masachs, Valero, y Arteman, 2009) se ha encontrado un consumo de tabaco entre los especialistas internos residentes (EIR) de un 30%, sin diferencias por sexos y con una edad media de inicio de 19 años, un consumo de sustancias psicoactivas en el último mes cercano al 4% y un bajo consumo de alcohol.…”

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Consumo de drogas entre los Especialistas Internos Residentes de Jaén (España) y su relación con el consejo clínico

2013

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Resumen AbstractThere are few studies on the prevalence of alcohol, tobacco and illegal drugs consumption among Specialist Interns (EIR) and their counseling to the patients. A multicenter cross-sectional study is carried out, consisting in a self-administered validated questionnaire to describe the consumption of the EIR of 17 health centers in Jaén (Andalusia) (4 hospitals, 13 primary care) and their relationship with their counseling. 215 EIR participate with 81% of valid questionnaires: mean age 31,2 years (±0,7), 70% women, 13%foreigners, only 6% nursing. Of them 78% consumed alcohol (onset age 16,8 years ± 0,3), 81% occasionally and 17% weekend. The alcohol average weekly intake was 5,9(±5,8) UBE, especially beer and cocktails; 17% show a binge-drinking pattern (more frequent in men, p= ,001χ2). 19% smoke.A total of 71% smoke on a daily bases (mean of 8,9±1,6 cigarettes/day); the nicotine dependence is low (68%) and two thirds have tried to quit.Only 3% use cannabis. A fifth part of EIR does not usually advise against smoking use (21%), a third part does not advise against alcohol (34%) and almost half of them neither advises against drugs (44%) (p= ,001χ2).Logistic regression showns greater clinical advice from older EIR. Advice against drinking alcohol provided by EIR women is more frequent (OR 2,93) and, probably, even more in EIR that binge drink (OR 2,32). Late smoking onset is related to less clinical advice against illegal drugs (OR 0,76).

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Consumo de drogas entre los Especialistas Internos Residentes de Jaén (España) y su relación con el consejo clínico

2013

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Characterization of Problematic Alcohol Use Among Physicians: A Systematic Review

et al. 2022

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ImportanceProblematic alcohol use in physicians poses a serious concern to physicians' health and their ability to provide care. Understanding the extent and characteristics of physicians with problematic alcohol use will help inform interventions.ObjectiveTo estimate the extent of problematic alcohol use in physicians and how it differs by physician sex, age, medical specialty, and career stage (eg, residency vs practicing physician).Evidence ReviewPreferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020-compliant systematic review, searching Medline, Embase, and PsychInfo from January 2006 to March 2020. Search terms included Medical Subject Headings terms and keywords related to physicians as the population and problematic alcohol use as the primary outcome. The quality of studies was assessed using the Newcastle-Ottawa Scale. We included articles where problematic alcohol use was measured by a validated tool (ie, Alcohol Use Disorders Identification Test [AUDIT], AUDIT Version C [AUDIT-C], or CAGE [Cut down, Annoyed, Guilty, and Eye-opener] questionnaire) in practicing physicians (ie, residents, fellows, or staff physicians).FindingsThirty-one studies involving 51 680 participants in 17 countries published between January 2006 and March 2020 were included. All study designs were cross-sectional, self-reported surveys. Problematic alcohol use varied widely regardless of measurement method (0 to 34% with AUDIT; 9% to 35% with AUDIT-C; 4% to 22% with CAGE). Reported problematic alcohol use increased over time from 16.3% in 2006 to 2010 to 26.8% in 2017 to 2020. The extent of problematic use by sex was examined in 19 studies, by age in 12 studies, by specialty in 7 studies, and by career stage in 5 studies. Seven of 19 studies (37%) identified that problematic alcohol use was more common in males than females. Based on the wide heterogeneity of methods for included studies, limited conclusions can be made on how problematic alcohol use varies based on physician age, sex, specialty, and career stage.Conclusions and RelevanceStudies about problematic alcohol use in physicians demonstrate a high degree of heterogeneity in terms of methods of measurement, definitions for problematic alcohol use, and cohorts assessed. Most studies are primarily self-reported, precluding the ability to determine the true prevalence among the profession. Few studies provide relevant comparisons to aid in identifying key risk groups for targeted interventions.

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Is it time to rethink education and training? Learning how to perform under pressure: An observational study

Hinzmann

Haneveld

Heininger³

et al. 2022

Medicine

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Emergency medicine workers are exposed daily to various stressors, especially work-related stress, which have been aggravated by the current SARS-CoV 2 pandemic and impact their physical and mental wellbeing. Nonetheless, although the efficacy of programs and strategies to improving the health of medical staff and patient care has been demonstrated, such programs and strategies are scarce. To assess the prevalence, types and consequences of stress in emergency medical workers in healthcare institutions and explore tools to cope with stressful situations at workplace. Two surveys were conducted. Survey 1 assessed the subjective stress levels and stressors of 21 emergency medicine professionals. Survey 2 was conducted amongst 103 healthcare workers at 3 hospitals in Germany. It comprised selected aspects of the German Mental Risk Assessment and a validated workload scale. None. The answer frequencies on Likert scales were descriptively evaluated. Survey 1: Emergency medical professionals experienced and reported the following high stress levels in acute situations: multitasking during a complex situation; factors associated with the work environment; fear of not appropriately controlling the situation; and lack of sleep. Survey 2: The highest stress levels were experienced in the areas “work environment” and “work organization.” The highest scores on the workload scale were obtained for statements on work division, exhaustion, insufficient patient care due to time constraints, regulations, and lack of information. Approximately 80% of healthcare workers had experienced emotionally stressful situations at the workplace, and > 30% had lost a colleague to suicide. There are effective and proven methods to learn how to deal with stress that can easily be established in everyday clinical practice. Healthcare workers are subjected to numerous stressors in their work environment and observe the consequences of these stressors on their own and their colleagues’ wellbeing. Coping strategies for high-pressure reduces and resists the job- immanent pressure and stress in healthcare workers.

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Substance Use in Emergency Medicine Training Programs

Cited by 11 publications

References 31 publications

Consumo de drogas entre los Especialistas Internos Residentes de Jaén (España) y su relación con el consejo clínico

Consumo de drogas entre los Especialistas Internos Residentes de Jaén (España) y su relación con el consejo clínico

Characterization of Problematic Alcohol Use Among Physicians: A Systematic Review

Is it time to rethink education and training? Learning how to perform under pressure: An observational study

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