In contrast, according to Dr. Skipper’s research, which is the first long-term outcome study based on actual data from records of anesthesiologists, most anesthesiologists can safely return to practice if certain safeguards are in place. In his study, anesthesiologists who were treated and monitored for substance use disorders under the supervision of PHPs had excellent outcomes similar to other physicians. At the end of the five-year follow-up period, 71 percent of anesthesiologists and 64 percent of nonanesthesiologists had completed their contracts and were no longer required to be monitored.
Although they face greater stigma, the research shows that anesthesiologists:
• Were less likely to fail a drug test during monitoring
• Were as likely to complete treatment and return to practice
• Experienced suicide risks, relapse rates and disciplinary rates that were no higher than other physicians
• Did not put their patients at risk of significant harm from relapse
Addiction Treatment for Addicted Anesthesiologists
Treatment for addicted anesthesiologists typically involves specialized drug rehabilitation programs that provide comprehensive assessments, intensive individual and group therapy for professionals, 12-Step support, and extensive aftercare and relapse prevention planning. Certain long-term monitoring measures have proven particularly effective in deterring substance abuse among anesthesiologists:
- Long-acting natlrexone administration
- Regular periodic hair testing (which is more accurate, particularly in detecting opioid abuse, than urine testing)
- Enhanced security measures in and around the operating room (e.g., using witnesses for drug access and disposal, automated distribution devices, monitoring cameras, and spectrometric scanning of waste)
There is a growing body of evidence that the stigma against anesthesiologists returning to work is unwarranted. Although any incidence of overdose, suicide or patient harm is unacceptable, and re-entry must be handled on a case-by-case basis, studies show that addicted anesthesiologists who receive substance abuse treatment and are managed by PHPs have good long-term outcomes, on par with other physicians.
There is still hope.
Our licensed addiction experts can help. Call us today for a confidential assessment.
888-651-7238
Published on January 9, 2012