Volume 28, Issue 1
DOI: 10.53555/03276716.2019.1095
Evaluating Substance Use Disorder Risk and Its Impact on Anesthesiology Residency and Post-Training Outcomes
Abstract
This analysis aimed to look at which factors and outcomes were common in substance use disorder (SUD) among physicians participating in accredited anesthesiology residency programs. For each person diagnosed with SUD during their anesthesiology residency training from 1975 to 2009, two controls (768) were chosen to match their age, gender, program and start date. Factors looked at were where training occurred and how well students performed during the In-Training Examination in anesthesia. Results, evaluated through December 31, 2013, with people followed up for an average of 12.2 years with cases and 15.1 years with controls, included death and different career data. Learning to be a physician in the local area alone was shown to raise the risk of SUD for residents, regardless of initial test scores. Individuals with a history of SUD were more likely to die following the training program (HR 7.9 [95% CI, 3.1–20.5]), not complete residency (OR 14.9 [9.0–24.6]) and not become board-certified after residency (OR 10.4 [7.0–15.5]). Of the cases, 54 (14.1%) died by the time the observation was complete, compared with only 10 (1.3%) controls and 28 cases died during their residency, none of the controls did. A significant number of death and negative licensing-related problems from SUD happen during and after resident training.
Keywords
Substance Use Disorder, Anesthesiology Residency, Risk Factors, Mortality, Medical Licensure Outcomes