McNamara R M, Margulies J L
Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia.
Ann Emerg Med. 1994 May;23(5):1072-6. doi: 10.1016/s0196-0644(94)70106-7.
To evaluate the educational background, knowledge, and experiences regarding chemical dependency among emergency medicine program directors. The program directors' awareness of substance use and alcohol abuse among emergency medicine residents was examined by comparing their estimates with the actual rates reported by the residents.
An anonymous survey mailed in March 1992.
The program directors of all 86 Accreditation Council for Graduate Medical Education-approved emergency medicine residencies.
None.
The 67 responding program directors represented 1,637 (77%) of the 2,130 emergency medicine residents on duty at the time of the survey. Thirty-three (49%) had suspected chemical dependency in a resident at least once, 22 (33%) had identified a chemically dependent resident, and nine (13%) hired a resident known to be in recovery. Substantial percentages reported no or slight knowledge regarding physician impairment issues. Twenty program directors (30%) received no education or only informal education regarding physician impairment. Compared to a February 1992 survey of emergency medicine residents, the program directors' estimates of resident use rates in the past year for seven substances were fairly accurate. However, the program directors estimated that only 16 (1.0%) of their current residents were impaired by alcohol; the resident survey yielded CAGE scores consistent with presumed or suspected alcoholism in 12.5% of emergency medicine residents.
Emergency medicine program directors must be more attentive to potential alcohol abuse among emergency medicine residents and should receive additional education regarding chemical dependency.
评估急诊医学住院医师培训项目主任的教育背景、关于药物依赖的知识及经验。通过将项目主任的估计与住院医师报告的实际发生率进行比较，来考察他们对急诊医学住院医师药物使用和酒精滥用情况的认知。
1992年3月邮寄的一项匿名调查。
所有86个经毕业后医学教育认证委员会批准的急诊医学住院医师培训项目的主任。
无。
67位回复的项目主任代表了调查时在职的2130名急诊医学住院医师中的1637名（77%）。33位（49%）至少有一次怀疑住院医师存在药物依赖，22位（33%）确认有住院医师存在药物依赖，9位（13%）聘用过已知正在康复的住院医师。相当比例的人表示对医生职业受损问题了解很少或几乎不了解。20位项目主任（30%）未接受过关于医生职业受损的教育或仅接受过非正式教育。与1992年2月对急诊医学住院医师的调查相比，项目主任对过去一年中七种物质的住院医师使用率的估计相当准确。然而，项目主任估计他们目前的住院医师中只有16名（1.0%）存在酒精滥用问题；住院医师调查显示，12.5%的急诊医学住院医师的CAGE评分与假定或怀疑的酗酒情况相符。
急诊医学住院医师培训项目主任必须更加关注急诊医学住院医师中潜在的酒精滥用问题，并应接受关于药物依赖的更多教育。
