ABSTRACT
As the initial stage in developing a curriculum to assist family physicians to diagnose and manage alcohol abuse in their practices, questionnaires were mailed to a selected group of family physicians. A total of 117 physicians (34%) completed the questionnaire. The majority of physicians (70.1%) reported that fewer than 10% of their caseload experienced alcohol-related problems. Most physicians (59.3%) did not use any of the standard diagnostic instruments but reported that screening and detection was the most challenging alcohol-related problem along with patient management. The questionnaire identified a number of areas that could be used in the development of educational strategies to increase the expertise of primary care physicians in the diagnosis and management of alcohol-related problems.
Subject(s)
Family Practice/education , Substance-Related Disorders/diagnosis , Canada , Education, Medical, Continuing , Female , Health Surveys , Humans , Male , Patients , Physician-Patient Relations , Referral and Consultation , Surveys and Questionnaires , WorkforceABSTRACT
A case of pseudologia fantastica with antisocial personality disorder is described. It is important to obtain previous admission records as early as possible so patients can be confronted with the discrepancies in their history. The concept of pathological lying is discussed.