Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida.
Background: Little is known about the clinical training or practice experiences among physicians who certify patients for medical marijuana. The objective of this study was to determine information sources, factors influencing recommendations, clinical practices in patient assessment, communications...
| Publicado en: | Journal of Primary Care & Community Health Vol. 12; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/272021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152141388&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152141388 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21501319 AZBE jtl: Journal of Primary Care & Community Health issn: 21501319 maglogo: Y pubinfo: dt: 8/272021 vid: 12 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 152141388 152141388 152141388 10.1177/21501327211042790 152141388 ppf: 1 ppct: 11 formats: tig: atl: Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida. aug: au: Sajdeya, Ruba Shavers, Anna Jean-Jacques, Jennifer Costales, Brianna Jugl, Sebastian Crump, Carly Wang, Yan Manfio, Luran Pipitone, R. Nathan Rosenthal, Martha S. Winterstein, Almut G. Cook, Robert L. affil: University of Florida, Gainesville, FL, USA sug: subj: Medical Marijuana Eligibility Determination Practice Patterns Evaluation Physicians Education Funding Source Florida Human Female Male Middle Age Aged Cross Sectional Studies Descriptive Statistics Patient Assessment Information Resources Communication Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background: Little is known about the clinical training or practice experiences among physicians who certify patients for medical marijuana. The objective of this study was to determine information sources, factors influencing recommendations, clinical practices in patient assessment, communications, and recommendations, and priority areas for additional training among physicians who certify patients for medical marijuana. Methods: A cross-sectional state-wide anonymous survey of registered medical marijuana physicians in Florida between June and October 2020 was administered. Numerical responses were quantified using counts and percentages. The frequencies for "often" and "always" responses were aggregated when appropriate. Results: Among 116 respondents, the mean (standard deviation) age was 57 (12) years old, and 70% were male. The most frequently used information sources were research articles (n = 102, 95%), followed by online sources (n = 99, 93%), and discussions with other providers and dispensary staff (n = 84, 90%). Safety concerns were most influential in patient recommendations (n = 39, 39%), followed by specific conditions (n = 30, 30%) and patient preferences (n = 26, 30%). Ninety-three physicians (92%) reported they "often" or "always" perform a patient physical exam. Eighty-four (77%) physicians provided specific administration route recommendations. Half (n = 56) "often" or "always" provided specific recommendations for Δ-9-tetrahydrocannabinol: cannabidiol ratios, while 69 (62%) "often" or "always" provided specific dose recommendations. Online learning/training modules were the most preferred future training mode, with 88 (84%) physicians "likely" or "very likely" to participate. The top 3 desired topics for future training were marijuana-drug interactions (n = 84, 72%), management of specific medical conditions or symptoms (n = 83, 72%), and strategies to reduce opioids or other drugs use (n = 78, 67%). Conclusions: This survey of over 100 medical marijuana physicians indicates that their clinical practices rely on a blend of research and anecdotal information sources. While physicians report clinical factors as influential during patient recommendation, patient assessment practices and treatment regimen recommendations vary substantially and rely on experimental approaches. More research is needed to inform evidence-based practice and training, especially considering details on drug interactions, risk-benefit of treatment for specific clinical conditions, and strategies to reduce opioid use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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