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Occupational Challenges in Physicians with Substance Use Disorder: A Qualitative Study.
Darshan Shadakshari1, Krishna Prasad Muliyala1, Deepak Jayarajan1
1Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian Journal of Psychological Medicine
|June 3, 2022
Summary
Physicians with substance use disorders (SUDs) face significant occupational challenges, impacting patient care and career progression. Understanding these difficulties is crucial for early intervention and support, especially where physician health programs are absent.
Area of Science:
- Medical Ethics
- Addiction Medicine
- Occupational Health
Background:
- Substance use disorders (SUDs) in physicians pose risks to patient care and professional duties.
- Early identification and support are vital, particularly in areas lacking specialized physician health programs.
Purpose of the Study:
- To investigate the specific workplace challenges encountered by physicians diagnosed with SUDs.
- To inform strategies for supporting physicians with SUDs and mitigating negative impacts on healthcare delivery.
Main Methods:
- Qualitative in-depth interviews were conducted with 21 physicians undergoing treatment for SUDs.
- Inductive content analysis of interview transcripts identified key themes and subthemes related to occupational challenges.
Main Results:
- Physicians with SUDs experienced challenges including substance effects on performance, impaired clinical care, and issues with punctuality.
- Workplace environment changes, varied colleague/administrative responses, ethical dilemmas, and career growth impacts were also identified.
Conclusions:
- SUDs significantly affect physicians' work performance, patient interactions, and career trajectories.
- Understanding these occupational challenges is essential for addressing the severity of SUDs in the medical profession.
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