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December 13, 2000

Alcohol and Substance Abuse Among Medical Residents

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(22):2874. doi:10.1001/jama.284.22.2869

To the Editor: In their study of problem residents, Drs Yao and Wright1 found that program directors identified less than 2% of residents as having substance abuse or alcohol problems yet 7% of residents in the programs surveyed underwent intervention in a substance abuse rehabilitation program. It would seem that the "screening" methods used by the institutions for identification of substance use disorders are not adequate or, more likely, that the staff had received inadequate training in identifying substance abuse.

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