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Related Experiment Videos

Substance-impaired physicians probationary and voluntary treatment programs compared

H D Nelson1, A M Matthews, D E Girard

  • 1Department of Medicine, Oregon Health Sciences University, Portland, USA.

The Western Journal of Medicine
|July 1, 1996
PubMed
Summary
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Physician substance abuse treatment programs show similar relapse rates. The Diversion Program for Health Professionals intervened earlier with younger physicians in training compared to the Oregon Board of Medical Examiners program.

Area of Science:

  • Medical Ethics
  • Addiction Medicine
  • Physician Health Programs

Background:

  • Physician impairment due to substance abuse poses risks to patient safety and the medical profession.
  • Monitoring and treatment programs are crucial for addressing substance use disorders among healthcare professionals.
  • Different program structures may influence physician characteristics and treatment pathways.

Purpose of the Study:

  • To compare the characteristics and treatment outcomes of substance-impaired physicians in two distinct Oregon monitoring programs.
  • To identify differences in physician demographics, substance use patterns, and treatment approaches between the programs.
  • To evaluate short-term relapse rates in relation to program type and physician characteristics.

Main Methods:

Related Experiment Videos

  • Retrospective medical record review of 41 physicians from the Oregon Board of Medical Examiners program and 56 from the Diversion Program for Health Professionals.
  • Data collection included demographic variables, substance use history, treatment choices, and concurrent mental health diagnoses.
  • Statistical comparison of characteristics and short-term relapse rates between the two monitoring programs.

    • Main Results:

    • Physicians in the Diversion Program were younger, more likely to be in training, and less likely to have concurrent mental illness diagnoses compared to the Oregon Board group.
    • Diversion Program participants were more frequently reported by immediate contacts and opted for in-state inpatient treatment.
    • Short-term relapse rates were statistically similar between the two programs (22.0% for Oregon Board vs. 14.3% for Diversion Program).

    Conclusions:

    • The Diversion Program appears to facilitate earlier intervention, particularly for younger physicians in training.
    • Despite differing characteristics and intervention timing, both programs demonstrated comparable short-term relapse rates.
    • These findings highlight the importance of program structure in physician monitoring and the potential for early identification of substance use disorders.