How would I recognize a substance use disorder in myself or a colleague?

This is a difficult question to answer without writing a lengthy essay. If you are concerned about yourself, a colleague or a family member, we would encourage you to contact the program for individual advice.

Some general points are worthy mentioning however:

• Physicians are rarely the first to recognize their own impairment. Hence, colleagues, staff and family need to have a heightened awareness of the signs of impairment. We should not be afraid to reach out to a colleague who is experiencing difficulty or to help the individual in obtaining assistance.
• Early detection, assessment, treatment and rehabilitation are essential in assisting a colleague who is experiencing difficulty. Delays increase the likelihood of damage to the physician's health, reputation and livelihood.
• Most physicians do not drink or use drugs on the job - unless their addiction is very advanced. The problem, therefore, is not easily recognized at work. Given the stress of our work, we are often granted latitude with our behaviours and appearance. However, it is important to remember that these changes in attitudes, actions and appearance can also be indicative of an impaired physician.
• Hence, the best answer to the original question is to obtain an unbiased comprehensive assessment. Remember that the worst thing to do when you suspect someone is in trouble is nothing!

You can discuss your concerns with one of the program physicians.