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Neuropsychological impairment associated with substance use by physicians
Alexandria G Polles1, Michelle K Williams2, Benjamin R Phalin2
1Professionals Resource Network, Inc., United States.
Journal of the Neurological Sciences
|February 10, 2020
Summary
Physicians face higher risks of substance use disorders, leading to cognitive impairments that affect their practice. This review details substance-induced neurocognitive deficits and discusses clinical management for impaired healthcare professionals.
Area of Science:
- Neuroscience
- Occupational Health
- Addiction Medicine
Background:
- Healthcare professionals exhibit elevated risks for substance use disorders (SUDs) compared to the general population.
- Substance use can lead to significant neurocognitive impairments, potentially compromising safe and effective medical practice.
Purpose of the Study:
- To review neurocognitive deficits associated with various substance classes in physicians.
- To examine the impact of pharmacotherapy for opioid use disorder on cognition.
- To discuss clinical management strategies, including evaluation, treatment, and return-to-work protocols for impaired physicians.
Main Methods:
- Literature review of studies on substance use disorders and neurocognitive function in healthcare professionals.
- Analysis of neurocognitive effects of stimulants, benzodiazepines, cannabis, alcohol, and opioids.
- Review of pharmaceutical treatments for opioid use disorder and their cognitive impact.
Main Results:
- Common neurocognitive deficits identified across different substance classes.
- Specific cognitive impairments linked to stimulant, benzodiazepine, cannabis, alcohol, and opioid use.
- Neurocognitive effects of medications used in opioid use disorder treatment are detailed.
Conclusions:
- Substance use disorders pose significant risks to physicians' cognitive function and professional practice.
- Comprehensive evaluation, treatment, and monitoring are crucial for managing impaired physicians.
- Continued assessment post-treatment is vital for ensuring safe return to practice.
Keywords:
AddictionMedication-assisted treatmentNeurocognitive testingPhysician impairmentSubstance use disorderMore Related Videos
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