Prescribing of Controlled Substances for Non-Patients in the Educational Setting: Review of the Ethical, Legal, and Moral Dilemma for Residents

Article English OPEN
Halldorsson, Ari (2009)
  • Publisher: Co-Action Publishing
  • Journal: Medical Education Online (issn: 1087-2981, eissn: 1087-2981)
  • Related identifiers: doi: 10.3402/meo.v12i.4460
  • Subject:
    mesheuropmc: education

Prescription drug abuse is an enormous problem in modern society. Studies have shown that it results in more injuries and deaths to Americans than all illegal drugs combined.1 In this review, the author discusses the prescribing of controlled substances by residents as it relates to intercollegial and other non-patient workplace encounters. Physician drug abuse, medical/legal issues regarding controlled substance prescriptions, and ethical conflicts will be discussed. These issues will be specifically addressed as they relate to the academic institutions where residents can potentially be placed in a moral, ethical and legal dilemma by supervisors and co-workers. Finally, a recommendation for an institutional policy will be suggested to help residents and other physicians recognize and deal with drug seeking behavior by coworkers. Also, a recommenda­tion regarding strict institutional regulation of resident prescription practices regarding controlled substances will be presented. Keywords: ethics, prescribing, controlled substances, residents
  • References (32)
    32 references, page 1 of 4

    Psychiatr Clin North Am. 1986;9:475-90.

    Dhai A, Szabo CP, McQuoid-Mason DJ. The impaired practitioner - scope of the problem and ethical challenges. S Afr Med J. 2006 Oct;96:1069- 72.

    4. Flaherty JA, Richman JA. Substance use and addiction among medical students, residents, and physicians. Psychiatr Clin North Am. 1993;16:189-97.

    Wilkerson M. Effective components of treatment for the chemically dependent physician. J Okla State Med Assoc. 2006;99:547-8.

    7. Taub S, Morin K, Goldrich MS, Ray P, Benjamin R, Council on Ethical and Judicial Affairs of the American Medical Association. Physician health and wellness. Occup Med (Lond). 2006;56:77- 82.

    8. Lloyd G. One Hundred Alcoholic Doctors: A 21- year follow-up. Alcohol Alcohol. 2002;37:370- 4.

    Hyde GL, Wolf J. Alcohol and drug use by surgery residents. J Am Coll Surg. 1995;181:1-5.

    10. Talbott GD, Benson ED. Impaired physicians: the dilemma of identification. Postgrad Med.

    11. Centrella M. Physician addiction and impairment - current thinking: a review. J Addict Dis. 1994;13:91-105.

    23. Gibbs LS, Haddox JD. Lawful prescribing and the prevention of diversion. J Pain Palliat Care Pharmacother. 2003;17:5-14.

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