Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida
| العنوان: | Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida |
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| المؤلفون: | Jennifer Jean-Jacques, Brianna Costales, Ruba Sajdeya, R. Nathan Pipitone, Martha S. Rosenthal, Yan Wang, Carly Crump, Sebastian Jugl, Robert L. Cook, Almut G. Winterstein, Luran Manfio, Anna Shavers |
| المصدر: | Journal of Primary Care & Community Health, Vol 12 (2021) Journal of Primary Care & Community Health |
| بيانات النشر: | SAGE Publishing, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | cannabis, Male, medicine.medical_specialty, Computer applications to medicine. Medical informatics, R858-859.7, Medical Marijuana, Physicians, PATIENT PHYSICAL, Medicine, Humans, In patient, guidelines, Practice Patterns, Physicians', Original Research, Aged, Community and Home Care, biology, Practice patterns, business.industry, Online learning, Public Health, Environmental and Occupational Health, Middle Aged, biology.organism_classification, Patient preference, clinical practice, Dispensary, Analgesics, Opioid, Cross-Sectional Studies, Family medicine, Florida, Training needs, Female, Cannabis, Public aspects of medicine, RA1-1270, business, physician training |
| الوصف: | 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. |
| اللغة: | English |
| تدمد: | 2150-1327 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9423b5083224c301e30156292d2855e https://doaj.org/article/3d728ea065d04c1686cb3d62ea5de263 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....d9423b5083224c301e30156292d2855e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 21501327 |
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