title: Attitudes towards alcohol of emergency department doctors trained in the detection of alcohol misuse.
abstract: BACKGROUND
  Alcohol misuse creates an immense burden for society, with problem drinkers too often constituting a neglected group. The Paddington Alcohol Test (PAT) is a useful screening tool in emergency departments.
  
  
  METHODS
  Using a questionnaire, we assessed the attitudes of 127 emergency department junior doctors over 5 years to misuse detection using the PAT, in a centre with a well-defined protocol for detection and referral.
  
  
  RESULTS
  The majority (99%) thought early detection important, and the emergency department an appropriate place for screening (98%). Most thought that treatment could be successful (98%), and the PAT a useful instrument for early detection (87%). However, 63% reported that they misuse alcohol at least once a month and 30% once or more a week.
  
  
  CONCLUSIONS
  Junior doctors trained in the detection of alcohol misuse have a very positive view of this work. However, this professional insight is in marked contrast to their personal misuse of alcohol. This paradox reflects the entrenched culture of alcohol use in the medical profession, perhaps learnt at medical school.
authors.affiliation: Department of Accident and Emergency Medicine, St Mary's Hospital NHS Trust, London, UK.
authors.forename: James S
authors.initials: JS
authors.lastname: Huntley
authors.forename: Robert
authors.initials: R
authors.lastname: Patton
authors.forename: Robin
authors.initials: R
authors.lastname: Touquet
mesh_terms: D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology*; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D042241:Early Diagnosis; D004636:Emergency Service, Hospital; D006801:Humans; D008485:Medical Audit; D008505:Medical Staff, Hospital / Q000523:psychology*; D011795:Surveys and Questionnaires