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<blockquote data-quote="Dr.LeoSpaceman" data-source="post: 21985668" data-attributes="member: 45499"><p>Substance dependence matters for fitness to practice medicine. Judgment and discretion matter for fitness to practice medicine. Would you trust an alcoholic to operate on you just because their BAC is 0.0? They might not be acutely intoxicated, but if their time spent outside the hospital is used for getting plowed, it doesn't exactly inspire confidence that they will 1) be on top of their professional game 2) available if something urgent happens.</p><p></p><p></p><p></p><p>Best believe that if residencies and hospitals had a way to test for binge drinkers, they would do it and use it to make personnel decisions. In fact, in the era of social media, it already happens...without an objective test. This comparison to alcohol use/abuse gets brought up continually, even though it makes no sense. There's this perception that PDs or hospital administrators are cool with people going out and getting ****canned on the reg as long as they don't show up drunk. People have absolutely been fired for alcohol use issues, and the issue is not that it's "permitted" but simply harder to detect.</p><p></p><p></p><p></p><p>Raryn already pointed out that it remains illegal at the federal level. But regardless, the legality is a strawman. Being a pot smoker isn't a protected class, and you can be fired for it regardless of whether it's legal or illegal. Same goes for licensure.</p><p></p><p></p><p>You mean like the history of physicians smoking on rounds and having a drink at lunch?</p></blockquote><p></p>
[QUOTE="Dr.LeoSpaceman, post: 21985668, member: 45499"] Substance dependence matters for fitness to practice medicine. Judgment and discretion matter for fitness to practice medicine. Would you trust an alcoholic to operate on you just because their BAC is 0.0? They might not be acutely intoxicated, but if their time spent outside the hospital is used for getting plowed, it doesn't exactly inspire confidence that they will 1) be on top of their professional game 2) available if something urgent happens. Best believe that if residencies and hospitals had a way to test for binge drinkers, they would do it and use it to make personnel decisions. In fact, in the era of social media, it already happens...without an objective test. This comparison to alcohol use/abuse gets brought up continually, even though it makes no sense. There's this perception that PDs or hospital administrators are cool with people going out and getting ****canned on the reg as long as they don't show up drunk. People have absolutely been fired for alcohol use issues, and the issue is not that it's "permitted" but simply harder to detect. Raryn already pointed out that it remains illegal at the federal level. But regardless, the legality is a strawman. Being a pot smoker isn't a protected class, and you can be fired for it regardless of whether it's legal or illegal. Same goes for licensure. You mean like the history of physicians smoking on rounds and having a drink at lunch? [/QUOTE]
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