Abstract
Objective
The authors assessed whether current methods of evaluating residency applicants and residents identify psychiatrists who later develop evidence of impairment.
Method
Residency admissions and performance data for all physicians who were enrolled in a psychiatry residency between 1965 and 1994 and who were referred to an impaired physician program up to 35 years later were matched for age and gender with a nonreferred physician from the same class.
Results
There were no significant differences between groups in admission interview assessments, performance ratings, or narrative observations by faculty during residency.
Conclusions
Standard approaches do not identify physicians at risk of later impairment.
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References
Reuben DB, Noble S: House officer responses to impaired physicians. JAMA 1990; 263: 958–960
Skipper GE: Treating the chemically dependent health professional. J Addict Dis 1997; 16: 67–73
Flaherty JA, Richman JA: Substance use and addiction among medical students, residents and physicians. Psychiatr Clin North Am 1993; 16: 189–197
Sansone RA, Wiederman MW, Sansone LA: Physician mental health and substance abuse. Arch Fam Med 1999; 8: 448–451
Wall BW, Appelbaum KL: Disabled doctors: the insurance industry seeks a second opinion. Bull Am Acad Psychiatry Law 1998; 26: 7–19
Roy A: Suicide in doctors. Psychiatr Clin North Am 1985; 8: 377–387
Ratzan RM: Broken wings, mandalas, impaired physicians, and medical examining boards. J Emergency Med 1997; 15: 885–888
Collins GB: New hope for impaired physicians: helping the physician while protecting patients. Cleveland Clinic J Med 1998; 65: 101–106
Brooke D: Impairment in the medical and legal professions. J Psychosomatic Res 1997; 43: 27–34
Strang J, Wilks M, Wells B, et al: Missed problems and missed opportunities for addicted doctors: we need a special service for doctors addicted to drugs or alcohol. Br Med J 1998; 316: 405–406
Pelton C, Lang DA, Nye GS, et al: Physician diversion programs experience with successful graduates. J Psychoactive Drugs 1993; 25: 159–164
Shapiro J, Prislin MD, Larsen KM, et al: Working with the resident in difficulty. Fam Med 1987; 19: 368–375
Urbach JR, Levenson JL, Harbison JW: Perceptions of housestaff stress and dysfunction within the academic medical center. Psychiatr Qu 1989; 60: 283–295
Hurwitz TA, Beiser M, Nichol H, et al: Impaired interns and residents. Can J Psychiatry 1987; 32: 165–169
Forney MS, Ripley WK, Forney PD: A profile and prediction study of problem drinking among first-year medical students. Int J Addictions 1988; 23: 767–779
Hughes PH, Conard S, Baldwin DC, et al: Resident physician substance use in the United States. JAMA 1991; 265: 2073
Westermeyer J: Substance use rates among medical students and resident physicians. JAMA 1991; 265
Papadakis MA, Hodgson CS, Teherani A, et al: Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Acad Med 2004; 79: 244–249
Bissell L, Skonna JK: One hundred alcoholic women in medicine: an interview study. JAMA 1987; 257: 2939–2944
Hughes PH, Baldwin DC, Sheehan DV, et al: Resident physician substance use, by specialty. Am J Psychiatry 1992; 149: 1348–1354
McNamara RM, Marquiles JL: Chemical dependency in emergency medicine residency programs: perspective of the program directors. Ann Emerg Med 1994; 23: 1072–1076
Anonymous. The problem resident: learning from our mistakes. Fam Med 1999; 31: 729–731
American Medical Association: Directory of Graduate Medical Education Programs. Chicago, AMA, 1992
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Dubovsky, S.L., Gendel, M., Dubovsky, A.N. et al. Do Data Obtained From Admissions Interviews and Resident Evaluations Predict Later Personal and Practice Problems?. Acad Psychiatry 29, 443–447 (2005). https://doi.org/10.1176/appi.ap.29.5.443
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DOI: https://doi.org/10.1176/appi.ap.29.5.443