The prevalence of substance use disorders in American physicians

Oreskovich, Michael R.; Shanafelt, Tait D.; Dyrbye, Lotte N.; Tan, Litjen; Sotile, Wayne M.; Satele, Daniel; West, Colin P.; Sloan, Jeff A.; Boone, Sonja

doi:10.1111/ajad.12173

Cited by 324 publications

(222 citation statements)

References 39 publications

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“…This program was implemented in response to a resident suicide. 42 Investigation into the benefits of this program remain to be published, but is an important move towards helping surgeons deal with burnout and its dangerous consequences 13,14,43 …”

Section: Discussionmentioning

confidence: 99%

Surgeon Burnout: A Systematic Review

Dimou

Eckelbarger

Riall

2016

Journal of the American College of Surgeons

298

211

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Section: Discussionmentioning

confidence: 99%

Surgeon Burnout: A Systematic Review

Dimou

Eckelbarger

Riall

2016

Journal of the American College of Surgeons

298

211

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“…Burnout has a significant impact on personal well‐being. In physicians, burnout is associated with an increase in alcohol use disorders, depression, and suicide . Burnout is also linked to stress‐related health outcomes, including headache, fatigue, gastrointestinal issues, musculoskeletal pain, hypertension, cardiovascular disease, and sleep disturbances .…”

Section: Impact Of Burnoutmentioning

confidence: 99%

Addressing burnout in clinical pharmacy: What can we learn from other health care disciplines?

Haase

2019

J Am Coll Clin Pharm

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Burnout is a growing concern across health care disciplines. Burnout is a prolonged response to persistent work-related stressors and includes elements of exhaustion, depersonalization, and perceived ineffectiveness. The body of literature exploring the causes and consequences of burnout has grown substantially. Rates of burnout in clinical pharmacists are similar to those reported for other health care professionals.However, many aspects of burnout have not been adequately characterized in clinical pharmacists. This manuscript outlines key findings from the literature on burnout in other health care disciplines and establishes relevant connections to clinical pharmacy. Burnout has negative consequences related to personal well-being and is linked to stress-related health outcomes. Burnout is associated with increased job turnover, decreased productivity, and quality concerns, including both patient safety and satisfaction. A variety of factors contribute to the development of burnout, including provider characteristics, practice specialization, type and quantity of work expectations, work environment, social and organizational support, and reward. Interventions that focus on individual providers have been shown to modestly improve burnout. Interventions that emphasize organizational change may have a more significant impact, and several groups have outlined organization-focused strategies to improve well-being in the workplace. Such strategies include enhancing communication, promoting true collaboration and community, addressing staffing shortages, empowering employee decision-making, and developing and promoting institutional values. Best practices for improving well-being within an organization include a multidisciplinary, multimodal approach that is supported by both resources and leadership engagement. K E Y W O R D S job satisfaction, occupational stress, pharmacists/psychology, professional burnout

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“…Researchers have suggested that substance use in medical school may be the root of the ongoing problem of increased substance use in practicing physicians [8–10]. Hence, identifying the rates and risks of substance use and the social patterns that promote or inhibit use during medical education is an increasingly important task.…”

Section: Introductionmentioning

confidence: 99%

Prevalence, perceptions, and consequences of substance use in medical students

Ayala

Roseman

Winseman

et al. 2017

Medical Education Online

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Background: Research regarding the health and wellness of medical students has led to ongoing concerns regarding patterns of alcohol and drug use that take place during medical education. Such research, however, is typically limited to single-institution studies or has been conducted over 25 years ago. Objective: The objective of the investigation was to assess the prevalence and consequences of medical student alcohol and drug use and students’ perceptions of their medical school’s substance-use policies. Design: A total of 855 medical students representing 49 medical colleges throughout the United States participated in an online survey between December 2015 and March 2016. Results: Data showed that 91.3% and 26.2% of medical students consumed alcohol and used marijuana respectively in the past year, and 33.8% of medical students consumed five or more drinks in one sitting in the past two weeks. Differences in use emerged regarding demographic characteristics of students. Consequences of alcohol and drug use in this sample of medical students included but were not limited to interpersonal altercations, serious suicidal ideation, cognitive deficits, compromised academic performance, and driving under the influence of substances. Forty percent of medical students reported being unaware of their medical institution’s substance-use policies. Conclusions: Findings suggest that substance use among medical students in the US is ongoing and associated with consequences in various domains. There is a lack of familiarity regarding school substance-use policies. Although there has been some progress in characterizing medical student alcohol use, less is known about the factors surrounding medical students’ use of other substances. Updated, comprehensive studies on the patterns of medical student substance use are needed if we are to make the necessary changes needed to effectively prevent substance-use disorders among medical students and support those who are in need of help.

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The prevalence of substance use disorders in American physicians

Cited by 324 publications

References 39 publications

Surgeon Burnout: A Systematic Review

Surgeon Burnout: A Systematic Review

Addressing burnout in clinical pharmacy: What can we learn from other health care disciplines?

Prevalence, perceptions, and consequences of substance use in medical students

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