• Anesthesia and analgesia · Aug 2008

    Random drug testing to reduce the incidence of addiction in anesthesia residents: preliminary results from one program.

    • Michael G Fitzsimons, Keith H Baker, Edward Lowenstein, and Warren M Zapol.
    • Department of Anesthesia and Critical Care, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. mfitzsimons@partners.org
    • Anesth. Analg. 2008 Aug 1; 107 (2): 630-5.

    AbstractSubstance abuse occurs in approximately 1%-2% of anesthesia residents and nearly 80% of programs have had one or more resident (s) with such a problem. Education and control efforts have failed to reduce the frequency of substance abuse. Anesthesia providers have a professional obligation to be drug-free for the well being of their patients. We have instituted a program of preplacement and random urine testing of residents in anesthesiology in an attempt to decrease the incidence of substance abuse. We demonstrate that such a program is feasible, despite logistic and cultural obstacles. Larger multi-institutional studies will be required to determine whether instituting a program of random urine testing decreases the incidence of substance abuse in anesthesiology residents.

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