Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States
2008

Five Year Outcomes for Physicians Treated for Substance Use Disorders

Sample size: 904 publication Evidence: moderate

Author Information

Author(s): A Thomas McLellan, Gregory S Skipper, Michael Campbell, Robert L DuPont

Primary Institution: Treatment Research Institute

Hypothesis

The effectiveness of US state physician health programmes in treating physicians with substance use disorders will lead to positive long-term outcomes.

Conclusion

About three quarters of US physicians with substance use disorders managed in this subset of physician health programmes had favourable outcomes at five years.

Supporting Evidence

  • 19.3% of physicians failed the programme, usually early during treatment.
  • 78.7% of physicians were licensed and working at five year follow-up.
  • Only 11% of participants moved out of their programme's jurisdiction.

Takeaway

Most doctors who had problems with drugs or alcohol got better after going through special programs that help them recover and keep working.

Methodology

Five year, longitudinal, cohort study of physicians admitted to 16 state physician health programmes.

Potential Biases

The study may have selection bias as it only included programmes with electronic records.

Limitations

The sample may not be nationally representative and relied on objective records, limiting the broader understanding of participants' health.

Participant Demographics

Predominantly male (87%), average age 44 years, with various marital statuses and specialties.

Digital Object Identifier (DOI)

10.1136/bmj.a2038

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