Management of the impaired doctor.

BACKGROUND: The lifetime prevalence of substance abuse disorders among doctors in Australia has been estimated to be approximately 8%. These disorders can interfere with a doctor's ability to function and pose a risk to patient welfare and safety.'

OBJECTIVE: This article identifies key indicators to the development of problem alcohol and drug use in a general practitioner, associated possible psychiatric morbidity, work deficits, and the need for colleagues to recognise and respond in a timely manner to resolve these events.

DISCUSSION: Where intervention, treatment and monitoring are initiated early in problem drug use, outcomes for the GP are typically positive. Outcomes are better where there is adequate support by friends and colleagues, and where there is a clearly defined management strategy.