Substance use in emergency medicine training programs

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Brian D McBethR M McNamara

Abstract

To explore the prevalence of substance use among emergency medicine (EM) residents and compare to a prior study conducted in 1992. A voluntary, anonymous survey was distributed in February 2006 to EM residents nationally in the context of the national in-service examination. Data regarding 13 substances, demographics, and perceptions of personal patterns of substance use were collected. A total of 133 of 134 residencies distributed the surveys (99%). The response rate was 56% of the total EM residents who took the in-service examination (2,397/4,281). The reported prevalence of most illicit drug use, including cocaine, heroin, amphetamines, and other opioids, among EM residents are low. Although residents reporting past marijuana use has declined (52.3% in 1992 to 45.0% in 2006; p < 0.001), past-year use (8.8%-11.8%; p < 0.001) and past-month use (2.5%-4.0%; p < 0.001) have increased. Alcohol use appears to be increasing, including an increase in reported daily drinkers from 3.3% to 4.9% (p < 0.001) and an increase in number of residents who indicate that their consumption of alcohol has increased during residency (from 4% to 12.6%; p < 0.001). Self-reported use of most street drugs remains uncommon among EM residents. Marijuan...Continue Reading

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Citations

Nov 20, 2014·Medical Education Online·Lee Ann RiesenbergBrian W Little
Jan 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Brian D McBethBrent R Asplin
Oct 1, 2010·Emergency Medicine Australasia : EMA·Peter Jones, Karen Schimanski
May 28, 2019·The Western Journal of Emergency Medicine·Christine R StehmanAdam R Kellogg

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