Published in Academic Medicine, the following study explores the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students. Of 12,500 medical students who were surveyed, 4,402 responded. Of those, 35% met diagnostic criteria for alcohol abuse/dependence. Students who were burned out, depressed, or reported low mental or emotional quality of life were more likely to have alcohol abuse/dependence. Increased educational debt also predicted a higher risk.