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Interpersonal versus technological orientations and alcohol abuse in future physicians.

J A Richman1, C E Pyskoty

  • 1Department of Psychiatry, University of Illinois, Chicago 60612.

British Journal of Addiction
|September 1, 1991
PubMed
Summary

Medical students with alcohol abuse issues show higher interest in technology and status over interpersonal connections. This highlights potential risk factors for substance use in future physicians.

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Area of Science:

  • Medical Education
  • Physician Well-being
  • Substance Abuse Research

Background:

  • Physician impairment due to alcohol is a recognized issue.
  • Previous research identified risk factors like family history and distress.
  • The role of future practice orientations in medical student alcohol abuse was less understood.

Purpose of the Study:

  • To investigate the relationship between future practice orientations and alcohol abuse in medical students.
  • To identify specific concerns (technological/status vs. interpersonal) associated with alcohol abuse.
  • To explore differences in these orientations across future medical specialties.

Main Methods:

  • A cohort of medical students was surveyed at two time points: entrance and second year.

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  • Data collected included demographic information and future practice orientation assessments.
  • Statistical analyses were used to compare alcohol abusers and non-abusers.

    • Main Results:

    • Medical students with alcohol abuse, especially those with onset during medical school, reported significantly higher technological/status concerns.
    • These students also reported significantly lower interpersonal concerns compared to non-abusers.
    • Distinct patterns of practice orientation differences were observed across various future medical specialties.

    Conclusions:

    • Future practice orientations, particularly a focus on technological/status over interpersonal aspects, are salient factors in medical student alcohol abuse.
    • These findings suggest a need to consider career aspirations when addressing substance use in medical training.
    • Further longitudinal research is required to establish causal links and inform targeted interventions for physician well-being.