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Halldorsson, Ari (2009)
Publisher: Co-Action Publishing
Journal: Medical Education Online
Languages: English
Types: Article

Classified by OpenAIRE into

mesheuropmc: education
Prescription drug abuse is an enormous problem in modern society. Studies have shown that it results in more injuries and deaths to Americans than all illegal drugs combined.1 In this review, the author discusses the prescribing of controlled substances by residents as it relates to intercollegial and other non-patient workplace encounters. Physician drug abuse, medical/legal issues regarding controlled substance prescriptions, and ethical conflicts will be discussed. These issues will be specifically addressed as they relate to the academic institutions where residents can potentially be placed in a moral, ethical and legal dilemma by supervisors and co-workers. Finally, a recommendation for an institutional policy will be suggested to help residents and other physicians recognize and deal with drug seeking behavior by coworkers. Also, a recommenda­tion regarding strict institutional regulation of resident prescription practices regarding controlled substances will be presented. Keywords: ethics, prescribing, controlled substances, residents
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    • Psychiatr Clin North Am. 1986;9:475-90.
    • Dhai A, Szabo CP, McQuoid-Mason DJ. The impaired practitioner - scope of the problem and ethical challenges. S Afr Med J. 2006 Oct;96:1069- 72.
    • 4. Flaherty JA, Richman JA. Substance use and addiction among medical students, residents, and physicians. Psychiatr Clin North Am. 1993;16:189-97.
    • Wilkerson M. Effective components of treatment for the chemically dependent physician. J Okla State Med Assoc. 2006;99:547-8.
    • 7. Taub S, Morin K, Goldrich MS, Ray P, Benjamin R, Council on Ethical and Judicial Affairs of the American Medical Association. Physician health and wellness. Occup Med (Lond). 2006;56:77- 82.
    • 8. Lloyd G. One Hundred Alcoholic Doctors: A 21- year follow-up. Alcohol Alcohol. 2002;37:370- 4.
    • Hyde GL, Wolf J. Alcohol and drug use by surgery residents. J Am Coll Surg. 1995;181:1-5.
    • 10. Talbott GD, Benson ED. Impaired physicians: the dilemma of identification. Postgrad Med.
    • 11. Centrella M. Physician addiction and impairment - current thinking: a review. J Addict Dis. 1994;13:91-105.
    • 23. Gibbs LS, Haddox JD. Lawful prescribing and the prevention of diversion. J Pain Palliat Care Pharmacother. 2003;17:5-14.
    • 12. Farber NJ, Gilibert SG, Aboff BM, Collier U, Weiner J, Boyer EG. Physicians' willingness to report impaired colleagues. Soc Sci Med. 2005;61:1772-5.
    • 13. Roberts LW, Warner TD, Rogers M, Horwitz R, Redgrave G; Collaborative Research Group on Medical Student Health Care. Medical student illness and impairment: a vignette-based survey study involving 955 students at 9 medical schools. Compr Psychiatry. 2005;46:229-37.
    • 14. Knight JR. A 35-year-old physician with opioid dependence. JAMA. 2004;292:1351-7.
    • 15. Ossi J. Substance abuse and dependence in the hospital workplace: detection and handling. Perspect Healthc Risk Manage. 1991;11:21-6.
    • 16. Denning RA. Hospitals face substance abuse problems. Tex Hosp. 1987;43:14-6.
    • 24. Hill CS Jr. Pain management in a drug-oriented society. Cancer. 1989;63(11 Suppl):2383-6.
    • 25. American Medical Association [homepage on the Internet]. H 292.972 Education regarding prescribing controlled substances. Chicago: The Association; c1995-2007 [cited 2007 Mar 12] [about 1 screen]. Available http://www.webcitation.org/ 5NI14RKeA.
    • 26. American Medical Association [homepage on the Internet]. H295.955 Teacher-learner relationship in medical education. Chicago: The Association; c1995-2007 [cited 2007 Mar 12] [about 2 screens]. Available from http://www.webcitation. org/5NI11o4tD.
    • 27. Rosenbaum JR, Bradley EH, Holmboe ES, Farrell MH, Krumholz HM. ources of ethical conflict in medical housestaff training: a qualitative study. Am J Med. 2004;116:402-7.
    • 17. Arshem EE. Dealing with substance abuse in the medical workplace. Med Group Manage J. 1993;40:46-51.
    • 28. Egan EA. Organizational ethics in residency training: moral conflict with supervising physicians. Camb Q Healthc Ethics. 2003;12:119-23.
    • 18. Clark AW, Kay J, Clark DC. Patterns of Psychoactive Drug Prescriptions By House Officers for Nonpatients. J Med Educ. 1988;63:44-50.
    • 29. Shreves JG, Moss AH. Residents' ethical disagreements with attending physicians: an unrecognized problem. Acad Med. 1996;71:1103-5.
    • 19. Fleming MF, Manwell LB, Kraus M, Isaacson JH, Kahn R, Stauffacher EA. Who teaches residents about the prevention and treatment of substance use disorders? A national survey. J Fam Pract. 1999;48:725-9.
    • 20. Longo LP, Parran T Jr, Johnson B, Kinsey W. Addiction: Part II. Identification and management of the drug-seeking patient. Am Fam Physician. 2000;61:2401-8.
    • 21. Clark HW. Policy and medical-legal issues in the prescribing of controlled substances. J Psychoactive Drugs. 1991;23:321-8.
    • 22. Gilson AM, Joranson DE. U.S. policies relevant to the prescribing of opioid analgesics for the treatment of pain in patients with addictive disease.
    • 30. Levi BH. Ethical conflicts between residents and attending physicians. Clin Pediatr. 2002;41:659- 67.
    • 31. Jones JW, McCullough LB, Richman BW. Clinical disagreements between residents and faculty surgeons. J asc Surg. 2004;39:270-2.
    • 32. Reuben DB, Noble . House officer responses to impaired physicians. JAMA. 1990;263:958-60.
    • 33. Mott JS. Dealing with the impaired supervisor. Physician Assist. 1990;14:93-4,99-101.
    • 34. Baldwin DC Jr, Daugherty SR, Rowley BD. Unethical and unprofessional conduct observed by residents during their first year of training. Acad Med. 1998;73:1195-200.
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