When the physician is the patient: dealing with substance use disorder

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Physicians experience substance use disorder (SUD) at rates comparable to the general population.

Evidence shows that prevention, early detection, timely intervention, effective treatment and ongoing monitoring are critical to achieving positive outcomes for those struggling with SUD.

CPSA recognizes that SUD is a medical condition and as part of our mandate to protect patients in Alberta, we support the safety, health and well-being of physicians. Early identification of SUD in a physician, along with appropriate monitoring and treatment, can often help ensure the ongoing provision of safe, high-quality care, preventing harm to both the physician and their patients.

Help is available

There are resources available for physicians dealing with SUD. In addition to the affected physician’s own healthcare provider, the Alberta Medical Association’s Physician and Family Support Program (PFSP) provides a confidential, toll-free support line to assist physicians in accessing appropriate resources for SUD and other issues.

Despite the availability of support, many physicians face significant barriers to seeking help for SUD. These include fear of professional consequences, denial, shame, stigma, rationalization, financial concerns and colleagues or family members concealing the issue.

A duty to report

It is important to recognize that all regulated members in Alberta have a professional, ethical and legal obligation to report to CPSA if they believe that themselves or a colleague may be suffering from a condition—such as SUD—that could negatively impact their ability to provide safe patient care. This duty to report is outlined in the Health Professions Act and CPSA’s Standards of Practice:

• Duty to Report Self
• Duty to Report a Colleague

We also have an Advice to the Profession document with more information on how, what and when to report.

While this responsibility may seem difficult and unnerving, reporting concerns about SUD or other health issues helps ensure early intervention and protects patients. As physician health and wellness continues to gain attention across the profession, awareness and education are key to breaking down the barriers and stigma surrounding SUD. CPSA’s Health & Practice Conditions Monitoring (HPCM) is here to confidentially guide regulated members through the process, which is outlined on our website.

Questions about physician health or duty to report? Email physicianhealth@cpsa.ab.ca.