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Canadian Journal of Anesthesia, Vol 41, 561-567, Copyright © 1994 by Canadian Anesthesiologists' Society

ARTICLES

Use of psychoactive substances in three medical specialties: anaesthesia, medicine and surgery

I Lutsky, M Hopwood, SE Abram, JM Cerletty, RG Hoffman and JP Kampine
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee.

In order to determine the prevalence of psychoactive substance use in three specialty groupings, 1,624 questionnaires were sent to physicians in medicine, surgery and anaesthesia; all had trained at the same academic institution. A response rate of 57.8% was achieved. Comparison of prevalence of impairment rates showed no differences between Surgery (14.4%), Medicine (19.9%) and Anaesthesia (16.8%). Substance abuse was clearly associated with a family history of abuse; 32.1% of the abusers had a family history of such abuse compared with 11.7% of the non-abusers. Increased stress at various career stages did not appear to increase substance abuse; problem areas during medical life times were similar for each specialty. Substances most frequently used were marijuana (54.7%), amphetamines (32.9%); and benzodiazepines (25.1%). Seventy-three used psychoactive drugs which were non-prescribed. Drug counselling programmes were judged inadequate by most. Use of alcohol and drugs by faculty members was reported by a number of respondents.


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Copyright © 1994 by the Canadian Anesthesiologists' Society.