Module 2 - Guidance on the Recommendation of Medical Cannabis

Guidance on the Recommendation of Medical Cannabis

Created by Meredith Fisher-Corn, MD and Stephen B. Corn, MD

Editors' Note: Medical marijuana has become an important area of study in healthcare. Doctors and healthcare professionals must understand the medical, legal, and social issues to best respond to their patients' questions and attend to their needs. This content area is not intended to encourage or dissuade the use of medical marijuana, but has been created to provide a balanced portrayal of the research in this area.

The opening section of this comprehensive course describes the endocannabinoid system, the cannabis plant, and how the components of the cannabis plant (the phytocannabinoids) interact with the endocannabinoid system. Thus, it lays the foundation for a discussion on medical cannabis therapy. Considering that the practice of medicine is based on scientific evidence, and the literature is used to help guide healthcare providers in making decisions about the use of medications, we will now provide a broad overview of the significant current cannabis literature and research. We will also discuss guidelines for the recommendation of medical cannabis.

This section explores work done by the National Academies of Science, Engineering and Medicine, the U.S. Food and Drug Administration, the National Institute on Drug Abuse, and the Federation of State Medical Boards (FSMB).

Learning Objectives

After reading this material, a participant will be able to:

  • Describe The National Academies of Science, Engineering and Medicine 2017 report The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research and recognize this document as a resource for clinical information on the effects of cannabis 
  • Explain why the findings from studies examining recreational cannabis use may not be applicable to medical cannabis use 
  • Discuss the differences between medical and recreational cannabis with patients and colleagues
  • Describe the Federation of Medical State Boards' (FSMB) "Model Guidelines for the Recommendation of Marijuana in Patient Care" and use these guidelines in clinical practice 
  • Describe the FDA drug approval process and contrast the FDA drug approval process with the testing performed on medical cannabis 

Faculty

Editors: 
Meredith Fisher-Corn, MD   
Editor-in-Chief 
TheAnswerPage.com  

Stephen B. Corn, MD   
Founding Editor-in-Chief
TheAnswerPage.com 

Reviewer:
Alan Ehrlich, MD
Clinical Associate Professor, University of Massachusetts School of Medicine (UMMS)

Author:
Meredith Fisher-Corn, MD
Editor-in-Chief of TheAnswerPage.com

Course Fees

Massachusetts Medical Society (MMS) Member: $30.00
Non-MMS Member: $55.00
Allied Health Professionals: $24.00

Format 

Text & Graphics

CME Credit

2.50 AMA PRA Category 1 Credit(s)™  

Accreditation Statement for Joint Providership
This activity has been planned and implemented in accordance with the accreditation requirements and
policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint
providership of the Massachusetts Medical Society and The Answer Page, Inc. The 
Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for 
physicians.  

AMA Credit Designation Statement 
The Massachusetts Medical Society designates this enduring material for a maximum of 2.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk mangement study.

National Commission on Certification of Physicians Assistants (NCCPA).

Physician Assistants may claim 2.50 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society.

Continuing Education Credit for Pharmacists
The Board of Registration in Pharmacy in Massachusetts, (BOARD), accepts three continuing education types:  ACPE,  AMA PRA Category 1 Credit™ , and continuing education activities approved by any State Board of Pharmacy.  Click here for a list of all state Boards of Pharmacy.

A score of 70% or higher is required to receive  AMA PRA Category 1 Credit(s)™.  

Activity Term

Original Release Date: June 15, 2017
Review Date: N/A
Termination Date: June 15, 2020

System requirements:

Desktops/Laptops
Windows, XP, Vista, 7, 8 
Mac OSX 10.6 higher 
Most modern browsers including: 
IE8,9,10 
Firefox 18.0+ 
Chrome 26+ 
Safari 5+ 
Flash player is required for some Online CME courses.

Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices) 
Android devices including tablets and phones. 
Windows RT and tablets on Windows 8 are also supported.


General Information about Medical Marijuana under Federal Law

    Overview

    This syllabus topic reviews Federal Laws concerning medical marijuana, as well as many of 
    the medical legal issues that U.S. clinicians will face. This course is not intended to serve as 
    legal advice or guidance.

    Course Objectives

    After reading this material, a participant will be able to:

    • Describe the Federal Controlled Substances Act (CSA) of 1970 and how medical marijuana is treated under the CSA
    • Explain the difference between recommending a medication and prescribing a medication
    • Define medical malpractice and professional misconduct  

    Course Fee

    The course fees are as follows:   
    Massachusetts Medical Society (MMS) Member: $12.00   
    Non-MMS Member: $22.00   
    Allied Health Professionals: $9.60

    Faculty/Authors and Editors 

    Yulian Shtern,  Esq.,  
    Associate, Abrams Fensterman 

    Elizabeth Kase,  Esq.,  
    Partner, Abrams Fensterman

    Meredith Fisher-Corn  , MD 
    Editor-in-Chief 
    The Answer Page, Inc   
      
    Stephen B. Corn,  MD 
    Founding Editor-in-Chief 
    The Answer Page, Inc

    Format

    Text

    Course Credit

    Deadline for completing the course is September 25, 2020.

    1.00 AMA PRA Category 1 Credit™

    Accreditation Statement for Joint Providership
    This activity has been planned and implemented in accordance with the accreditation requirements and olicies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Massachusetts Medical Society and The Answer Page, Inc. The Massachusetts Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

    AMA Credit Designation Statement
    The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™.   Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

    This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk mangement study.

    National Commission on Certification of Physician Assistant (NCCPA)

    Physician Assistants may claim a maximum of 1.00 Category 1 credits for completing this activity. NCCPA accepts  AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

    Continuing Education Credit for Pharmacists
    The Board of Registration in Pharmacy in Massachusetts, (BOARD), accepts three continuing education types:  ACPE,   AMA PRA Category 1 Credit™, and continuing education activities approved by any State Board of Pharmacy.  Click here for a list of all state Boards of Pharmacy.

    A score of 70% or higher is required to receive  AMA PRA Category 1 Credit™.

    Activity Term

    Original Release Date: September 25, 2017
    Review Date: N/A
    Termination Date: September 25, 2020

    System Requirements

    Desktops/Laptops
    Windows, XP, Vista, 7, 8 
    Mac OSX 10.6 higher

    Browsers
    IE8, 9, 10 
    Firefox 18.0+ 
    Chrome 26+ 
    Safari 5+

    Mobile/Tablet
    iOS devices beginning with OS version 5 or higher (includes, iPhone, iPad and iTouch devices) 
    Android devices including tablets and phones 
    Windows RT and tablets on Windows 8 are also supported. 
    Flash Player  and  Adobe Reader  are required for some online CME courses.

     


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