Articles  |   February 2015
Substance Use Disorder (SUD) Prevention
Author Affiliations
  • Keith H. Berge, M.D.
    ASA Task Force on Chemical Dependency Committee on Occupational Health
  • Michael G. Fitzsimons, M.D.
    ASA Task Force on Chemical Dependency
Article Information
Critical Care / Education / CPD / Gastrointestinal and Hepatic Systems / Infectious Disease / Pain Medicine / Patient Safety / Articles
Articles   |   February 2015
Substance Use Disorder (SUD) Prevention
ASA Monitor 02 2015, Vol.79, 44-46.
ASA Monitor 02 2015, Vol.79, 44-46.
Efforts to prevent substance use disorders (SUDs) among physician anesthesiologists have traditionally focused on education, heightened awareness, substance control and diversion prevention measures. Very few studies have evaluated the breadth, scope and effectiveness of these preventative efforts.
The Accreditation Council for Graduate Medical Education Program Requirements for Anesthesiology require that residents demonstrate an understanding and acceptance of their role in the recognition of impairment, including illness and fatigue in themselves and in their peers.1  The ASA Task Force on Chemical Dependency created the Model Curriculum on Drug Abuse and Addiction for Residents in Anesthesiology. This comprehensive document was created more than a decade ago to encourage safety in the workplace.2  However, the education provided to residents in anesthesiology programs is variable. Lutsky reported in 1993 that fewer than 15 percent of physician anesthesiologists could recall any education at all.3  Booth reported an improvement in that all residents noted at least one hour of training in substance abuse during their residency programs by 2002, yet the incidence of SUD did not decrease.4  No recent survey has examined the scope of current prevention efforts and correlation with SUDs. Many programs utilize the “Wearing Masks” video educational series produced by the American Association of Nurse Anesthetists.
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