Block 4 PSYCH Exam -- Impaired Physician
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- How does prevalence of physician sub. abuse compare to gen. pop.?
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SAME as rate in general population
Estimates are at about 14% - How does prevalence of physician depression compare to gen. pop.?
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HIGHER than in general population
(particularly among women) - How do physician suicide rates compare to gen. pop.?
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HIGHER than both general population AND other professionals
(particularly in women) - % of Americans that drink alcohol
- Over 70%
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Physician recovery rates from substance abuse/dependence
(compared to gen. pop.) -
Recovery rate much higher in physicians
75 - 95% from alcoholism
(lower for cocaine and opiate addiction) - What are the 3 main risk factors for relapse into substance abuse?
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Family history
Comorbid psychiatric illness
Opioid use
NOTE: risk of subsequent relapse is increased after first relapse -
Bad things that physicians have higher rates of than gen. pop.
(4 listed in lecture slides) -
CV disease
Anxiety
Depression
Suicide
Remember, rate of substance abuse is SAME as that in gen. pop. - Some symptoms of mild burnout
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Frequent loss of temper
Lack of enthusiasm
Feelings of futility
Resentment
Boredom
Working harder but accomplishing less - Some symptoms of moderate burnout (5)
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Mild depression
Somatic complaints
Frequent conflicts
Indifference to people
Social isolation - Some symptoms of severe burnout (3)
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Clinical depression
Lack of professional effectiveness
Emotional breakdown