Patrick J. Skerrett

Doctors aren’t immune to addiction

It’s easy to think of doctors as paragons of the health and wellness they try to restore in their patients or help them maintain. Some are, and some definitely aren’t. One in 10 physicians develop problems with alcohol or drugs at some point during their careers.

Those who admit they have an addiction to alcohol or drugs, as well as those who slip up and get reported, usually have to go through an intense substance abuse program before they can practice medicine again. Such physician health programs are pretty effective, helping around 80% of doctors recover from their problems. But these programs raise some ethical questions, according to Harvard Medical School’s J. Wesley Boyd and John R. Knight, who wrote a review of physician health programs in the Journal of Addiction Medicine. They should know, having spent a total of 20-plus years as associate directors physician health programs.

According to Boyd and Knight, many of these programs last 90 days, about three times longer than addiction-curbing programs for the rest of us. They can be expensive, costing almost $40,000. They can also be coercive. Once a physician health program recommends monitoring, “physicians have little choice but to cooperate with any and all recommendations if they wish to continue practicing medicine,” Boyd and Knight wrote.

Because doctors have high-stakes jobs, strict requirements and intensive treatment may not be a bad idea, argues Dr. Stuart Gitlow, acting president of the American Society of Addiction Medicine, in a blog post about the paper. Some hospitals have even started random drug testing to identify doctors, nurses, and others with a problem, but they are few and far between.

Is your doctor impaired?

Given that drug- or alcohol-impaired doctors aren’t rare, it’s possible you may encounter one someday. I asked Dr. Boyd if there were any tipoffs. He said you might suspect a drug or alcohol problem if your doctor

  • slurs words
  • stumbles
  • lacks coordination
  • forgets beyond what is reasonable
  • looks unusually disheveled
  • is irritable or easily angered
  • becomes overly emotional

These aren’t specific to drug or alcohol abuse, Boyd cautions. They could be the result of drug or alcohol use. They could also be due to many other issues, such as a personal problem (marital difficulty or death of a loved one, among others), a medical illness (such as diabetes or the onset of dementia), or another mental health problem. Keep in mind that doctors, like the rest of us, can be very good about hiding an addiction, said Boyd, whose latest book, Almost Addicted, was published last month.

What should you do if you think one of your doctors has a drug or alcohol addiction? For your own protection, it would make sense to find a new doctor, though this might be difficult if there aren’t many in your area. If the doctor you are concerned about works in a group practice or a hospital setting, talk with the practice administrator, clinic chief, division head, ombudsman, or other doctor in the practice in an objective and matter-of-fact way. They are obligated to ensure that their colleagues are safe to practice medicine.

If your suspicions are strong enough, and you don’t trust the doctor’s colleagues to take appropriate action, voice your concerns to the state board of medicine. Someone there will then be obliged to do some investigating.

Related Information: Almost Addicted

Comments:

  1. Bryan

    This is a great article. Everyone has a chance of becoming addicted to anything. Smoking is an addiction that many humans suffer from. Dr’s know the harm of these addictions but are still vulnerable.

  2. Terrence Kommal

    Congratulations in a fantastic article. Indeed there human challenges are there for even us as doctors who are constanstly under abnormal stressors and workloads.

    I have recent had to assess a colleague for work impairment due to abuse of various legal substances. The sad reality is that due to sever inderstanffing in facilities in South Africa, the stresses ans stressors are indeed great.

    It would be interesting if you could advise if you have had any material on colleagues being certified work impaired due to abuse of substances.

    Kind regards,
    Terrence Kommal MD

  3. Hannah Gwin Munden

    Great article. I happen to be married to a physician who was addicted to drugs and alcohol(which is a drug). My husband sought help and went to a long term residential treatment program in May of 1985. He has been sober since and practiced in addiction medicine in Austin, Texas. He has been very active in the recovery community and helped many physicians,veterinarians, dentist, nurses and others who work in healthcare.
    The disease of addiction does not discriminate by job title or anything else!
    Addiction is a huge national problem and unfortunately the medical community is way behind in recognizing the disease and lacks training in how to address this problem! It is not their fault since the curriculum was not there in medical school.
    Dr. Munden has just written a wonderful book titled, There’s an Addict in My Closet
    The Truth About Addiction. It is available on amazon.com. His name is Herbert C. Munden M.D.
    Wake up America this is a major health problem!
    Hannah G. Munden BSN

  4. Dave

    It’s an unfortunate commentary on life that we all can be affected by addiction. Doctors are human beings, just like the rest of us, and have a high amount of stress. I’d rather have a recovered doctor, who knows what addiction feels like, because they can directly relate to their patients battling the same issues. As for the cost of the treatment program, it is too expensive, expecially for a practice that may already be losing patients. Great article!

    Dave, Editor, thejeffriestube

  5. Dr. James Meschino

    This blog is a great source of information. Thank you very much for giving me such important information.
    Thanks
    Dr. James Meschino

  6. Ricy Mardona

    Hi Thanks A lot about Your Articles … very Nice.

  7. Jerome

    Massive respect for Doctor’s! and YES, we are all Homsapians!

  8. Dino Albarn

    Great Article. Of course Doctors also human, they can get addiction to the drugs too. My doctors was have addiction to smoking, he smoke cigarettes almost everyday. Too bad for him, he was dead because of lung cancer last year.