According to the report, Approximately 10–14% of all doctors will become substance dependent over their lifetime; the incidence in anaesthetists being 2.7 times greater than other physician groups.1,2 Including alcohol, studies describe 0.86–2% of anaesthetic trainees and 1.3% of consultants being addicted; if alcohol is excluded, drug addiction occurs in 1.6% of trainees and 1% of non-training grades.1,3,4 Sixty-two per cent of residency programme directors in the USA reported at least one trainee with a substance abuse problem and a worrying progressive increase in incidence was noted, being highest over the 10 yr since 2003.
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