Prescribing Controlled Drugs: Critical Issues & Common Pitfalls of Misprescribing
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Elizabeth A. Jenkins, PhD
Karen J. Nicholson, PhD
Research indicates that up to one third of the disciplinary actions taken by Medical Boards are related to misprescribing practices. Common problematic behaviors include inappropriately dispensing controlled substances from office practices, prescribing overly large doses or quantities of drugs to individual patients, prescribing at too-frequent intervals, and/or failing to document completely (or at all) the rationale for treatment. Misprescribing also includes writing scripts for family members, friends, or known drug addicts (before other forms of therapy have been tried).
The UF College of Medicine is pleased to be able to offer a 3-day CME course, originally developed by Dr. Andy Spickard and his colleagues at Vanderbilt Medical Center, which was designed to address misprescribing issues.
For those attending the Prescribing Controlled Drugs Course, typical problem behaviors have included the inappropriate dispensing of medications from physician’s offices, prescribing large amounts of narcotics at too frequent intervals, or prescribing to family members, friends, or person with known histories of substance abuse. Oftentimes, the records of the physicians’ prescribing practices are poorly documented or non-existent.
This three day course includes components examining:
- The participants’ professional practices
- Experiential exercises emphasizing increased self-awareness
- Strategies to improve management of difficult patient problems
- Establishing appropriate physician boundaries
- Individualized learning through brief homework
- Development of new skills in substance abuse identification and prescribing practice using the technique of role play
- Specific case studies and discussions augment the experiential exercises
- Development of a plan for changing ideas, skills, attitudes and behaviors that have contributed to misprescribing
Physicians, Physicians Assistants, Nurses, Pharmacists, and any professionals who prescribe, or have access to, controlled substances to patients.
Upon the completion of this program, the participant should be able to:
- Analyze state-of-the-art information on proper prescribing practices of controlled substances
- Identify risky prescribing practices of controlled substances
- Implement strategies to avoid risky behaviors
- Identify the drug-seeking patient
- Diagnose chemical dependency
- Identify appropriate treatment resources for the dependent patient
- Review information on State Physician Health Programs
The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Florida College of Medicine designates this live activity for a maximum of 21.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
If you must cancel your registration, the UF CME office will refund your registration fee, less $500.00, provided you notify us 30 days prior to the start of the course. No refunds will be made after that time. Exceptions will be made on a case by case basis for justifiable emergencies. Registration may be transferred to another course date provided the request is made more than 30 days prior to the start of the course you are registered for. In the event of cancellation or rescheduling of this CME activity due to unforeseen circumstances, registration fees will be refunded in full. UF is not responsible for non-transferable, non-refundable airline tickets, or hotel accommodations purchased in connection with attendance at this CME activity .
Misprescribing Physicians Program Agenda
|8:00||Registration, Continental Breakfast Available|
|8:45||Course Overview: Review of Syllabus & Toolkit|
|9:15||Session 1: The physician in the Pipeline: How Did I Get That Way?|
|10:45||Session 2: Tensions in the Physician’s world|
|12:00||Lunch – provided on site|
|1:00||Session 3: DEA/Medical Board and Office Practices|
|2:45||Session 4A: The Power of Shame:Session 4B: Part 1 – Understanding the Family SystemHomework Assignment Family Questionnaire/Baugh Relationship Index (BRI)/FACESII/ACE|
2 hours of evening homework required
|8:00||Continental Breakfast Available|
|8:30||Session 4B: Part 2 – Understanding the Family System: How Has the Past Affected My Recent Behaviors?|
|10:30||Session 5: Substance Abuse Discussion|
|12:00||Lunch – Provided on site|
|1:00||Session 6 : Protecting You–Protecting Patients/Role Plays|
|2:45||Session 7: Guidelines for Proper Opioid Prescription|
|4:15||Session 8: Homework/BRI Evaluations – Explaination and overview of FACES II and ACE Survey Reports/Intention to Change Behaviors/Consent Form|
1 hour of homework required during the evening.
|8:00||Continental Breakfast Available|
|8:30||Group Discussion: Review Bridge Story|
|9:00||Session 9: 12 Steps to Trouble Discussion|
|10:00||Session 10: Patient Interview|
|12:00||Working Lunch – (provided on site) Continue Session 10|
|1:00||Session 8 (cont.): BRI Feedback Session/FACES II/Intent to Change/Understanding the Family System: How Has the Past Affected My Recent Behaviors?|
|2:45||Complete Post Tests and Course Evaluation/Final Feedback|
* Agenda is subject to change