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Help for the chemically dependent physician: a treatment program and its outcomes
Abstract:
The Donwood Institute in Toronto is a public hospital dedicated to the treatment of chemical dependency. The standard program consists of three phases: detoxification and orientation to the program; active hospital treatment which includes individual, group, and family therapy, relaxation training, nutrition counselling and education; and a continuing education program after discharge. In this study, 125 chemically dependent physicians were treated at the institute. After inpatient treatment, 62% were in remission six months later. Those dependent on alcohol only had the best outcomes (72.5% remission rate), followed by those dependent on drugs only (66.7% remission rate), while the poorest outcome was for those dependent on both alcohol and drugs (48.1% remission rate). The findings of this study are encouraging when compared with other treatment programs for chemically dependent physicians.
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Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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