Throwaway for obvious reasons. 25 y/o MS2. I’ve been prescribed suboxone for the last 8 years after struggling with pain and painkillers through my teens. Heavily addicted, but well-managed with suboxone. I’ve come off it twice but always went back on for fear of relapse. Never “actually” relapsed because of the safety net. Going into clinicals and residency, I’m extremely worried about how this will effect my career. Literally no one can give me a straight answer, even my psychiatrist who works with doctors. I know I’m going to need to take drug tests, and suboxone will come up. Will the school/hospital/attendings be notified, even if I have a prescription? Will I need to put it on residency applications? Will PDs be Informed? Will this affect malpractice insurance and liability? Will I be able to be employed? Will I need to register with a PHP even if I never truly “fail” a drug test (really bad - PHPs cost 30,000 a year!) The only information I can find is that about 2/3 of US States, including mine, permit physicians to practice while taking suboxone as part of a PHP. Ideally I would not be enrolled in a PHP. If you have any knowledge of this situation, please help. I know there’s gonna be a few people who will say “just get off suboxone!” I’ve done this a few times, and it simply is not an option for me.