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Drug testing is considered a major part of monitoring medical professionals disciplined by licensing boards. Drug testing can serve two different roles when used by a licensee; the other to help the licensee maintain abstinence. The results of the drug tests themselves can also be confounding. As with all medical tests, a drug test may be accurate or yield a false positive or a false negative. For example, a board may learn from other sources a licensee is using drugs, but a drug test is negative. A licensee may insist they are not using drugs, but a drug test is positive. We discuss the role of drug testing in helping boards and the technical aspects of testing, to help boards decide when to use drug tests and how to interpret them.

The Use of Drug Testing in Monitoring the Impaired Medical Professional