Physicians at risk. Some epidemiologic considerations of alcoholism, drug abuse, and suicide

Physicians are at high risk of addiction by alcohol and other chemicals. The consequences are costly and disastrous, the scope of the problem is grossly underestimated and underreported, treatment is not overwhelmingly favorable, and prevention is even less successful. A modern treatment facility dealing with the problem is described and suggestions are made regarding the underlying issues and policies that face the administrators of training programs and treatment centers. Even more important is the need to persuade physicians to "cherish themselves" and avoid the dangers of "role strain" - two important self-help behavior modifications that may help lessen an important occupational health risk.