Reducing the Incidence of Substance Use Disorders in Anesthesiology Residents: 13 Years of Comprehensive Urine Drug Screening

Anesthesiology
Michael G FitzsimonsWarren M Zapol

Abstract

WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: The incidence of substance use disorders in the United States among residents in anesthesiology is between 1% and 2%. A recent study reported that the incidence of substance use disorders in U.S. anesthesiology residents has been increasing. There are no reports of effective methods to prevent substance use disorder in residents. A comprehensive drug testing program including a random component may reduce the incidence of substance use disorders. The authors initiated a comprehensive urine drug screening program of residents, fellows, faculty physicians, and certified nurse anesthetists. The authors performed 3,190 tests over 13 yr. The authors determined the incidence of substance use disorders among residents in our large anesthesiology residency program during the decade before (January 1, 1994, to December 31, 2003) and for the 13 yr after (January 1, 2004 to December 31, 2016) instituting a random urine drug testing program. A total of 628 residents trained in the program over these 23 yr; they contributed a total of 1,721 resident years for analysis. Fewer faculty and certified nurse anesthetists were studied, so we do not include them in our analysis. The incidence of ...Continue Reading

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Citations

Oct 28, 2019·Workplace Health & Safety·T'Anya CarterMaria R Shirey
Jan 14, 2021·Anesthesia and Analgesia·Michael G FitzsimonsKeith Baker
Jan 26, 2021·Anaesthesia and Intensive Care·Colin Rw Baird
Apr 13, 2021·Brazilian Journal of Anesthesiology·Gabriel Soares de SousaCláudia Marquez Simões
Jun 2, 2021·Anaesthesia·E PlunkettK Hawton
May 25, 2021·Anesthesiology Clinics·Vanessa Mazandi, Emily Gordon

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