Laufenburg H F, Barton B A
University of Wisconsin Medical School, Madison, USA.
Fam Med. 1997 Oct;29(9):625-8.
As health care institutions adopt policies on substance use and abuse and mandatory substance abuse testing in the workplace, applicants for house staff positions may become the subjects of testing as a requirement for acceptance into a residency program. This study attempted to learn what directors of family practice residency programs feel about mandatory preemployment drug testing and its effect on house staff recruitment.
We surveyed the directors of 420 US family practice residency programs, as listed by the American Academy of Family Physicians, in November 1994. All programs (community based, university affiliated, university based, and military) were included in the survey.
A total of 308 (73%) program directors responded. Of these, almost half disagreed with mandatory substance abuse testing and felt it should not be a condition of acceptance for a house staff position. Eighty-eight percent believed that the existence of a policy did not hinder recruitment. None felt it was an enhancement.
Preemployment drug testing for potential house staff remains a controversial issue, and it is unlikely that it will be universally implemented in the near future.
随着医疗机构采用有关药物使用与滥用的政策以及工作场所强制药物滥用检测，住院医师职位申请者可能会被要求接受检测，作为被住院医师培训项目录取的条件。本研究试图了解家庭医学住院医师培训项目主任对强制入职前药物检测及其对住院医师招聘的影响的看法。
1994年11月，我们对美国全科医师学会列出的420个美国家庭医学住院医师培训项目的主任进行了调查。所有项目（社区型、大学附属型、大学型和军队型）均纳入调查范围。
共有308名（73%）项目主任回复。其中，近一半人不同意强制药物滥用检测，认为这不应该作为住院医师职位录取的条件。88%的人认为有这样一项政策不会阻碍招聘。没有人认为这有促进作用。
对潜在住院医师进行入职前药物检测仍然是一个有争议的问题，近期不太可能普遍实施。
