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 USF 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. Dr. Spickard collaborated with USF to allow expansion of this valuable CME resource.

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

Physicians: The University of South Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of South Florida College of Medicine designates this educational activity for a maximum of 24 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses: The University of South Florida College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for 24 contact hours.

8:00 - 8:30am

Session 4B:  Family of Origin - Connections Between Past
and Present

Homework: Genogram Exercise & Baugh Relationship Index (BRI)

Complete evaluation form for Wednesday, Adjourn

2 hours of Genogram homework and ½ hour of Baugh Relationship Index (working independently) during the evening required.

8:00 - 8:30am

Session 4B: (cont.) Genogram continued: How has the past affected my present behaviors? (includes 15 minute break)

12:00 - 1:00pm

Lunch – provided on site

1:00 - 2:30pm

Session 5: Prescribing Pitfalls, Clinical Vignettes, Role Play

2:30 - 2:45pm

Break

2:45 - 3:45pm

Session 6:  Substance Abuse Discussion

3:45 - 4:30pm

Session 7:  Documentation: Keeping the BME and DEA Away

4:30 - 4:45pm

Break

4:45 - 5:30pm

Session 8:  Intention to Changed Behaviors, Explanation and Overview

5:30pm

Complete evaluation form for Thursday, Adjourn

8:00 - 8:30am

Continental Breakfast Available

8:30 - 9:00am

Group Discussion

9:00 - 10:30am

Session 9: Discussion and Presentation of Clinical Cases & 12 Steps to Trouble

10:30 - 10:45am

Break

10:45 - 12:00pm

Session 10: Patient Interview

12:00 - 1:45pm

Working Lunch – (provided on site) Continue Session 10

1:45 - 3:00pm

Session 8 (cont.): BRI Feedback Session/Intent to Change

3:00pm

Course Evaluation and Adjourn

Martha Brown, M.D.
Associate Dean for Faculty Development
Associate Professor
Director, Division of Addiction Medicine and Professional Health Services
Department of Psychiatry and Behavioral Medicine
University of South Florida
College of Medicine
Tampa, Florida

Elizabeth A. Jenkins, Ph.D.
Courtesy Assistant Professor
Department of Psychiatry and Behavioral Medicine
University of South Florida
College of Medicine
Tampa, Florida

Jamie Smolen, MD
Department of Psychiatry and Behavioral Medicine
University of South Florida
College of Medicine
Tampa, Florida

Karen J. Nicholson, PhD
Staff Psychologist
James A. Haley Veteran's Hospital
Tampa, Florida

DIRECTIONS:
From I-275:
Take Exit 52 East Fletcher Avenue
Travel East on Fletcher for 4 miles
Turn Right onto Magnolia Drive (1st Traffic light past Bruce B. Downs Blvd)
Turn left into the clinic parking lot entrance

From I-75:
Take Exit 266 West-Fletcher Avenue
Travel West on Fletcher for 4.5 miles
Turn left on Magnolia Drive (1st traffic light past John Knox Village)
Turn left into the clinic parking lot entrance

ACCOMMODATIONS:

Should you require accommodations while attending this conference, local hotels include:

• Embassy Suites Tampa – USF/Busch Gardens
  3705 Spectrum Boulevard
  Tampa, Florida 33612
  813-977-7066
  Embassy Suites USF Website
  Located at edge of USF campus; Complimentary local shuttle service.
  
  
• Hampton Inn & Suites – Tampa North
  8210 Hidden River Parkway & Fletcher Ave.
  Tampa, FL 33637
  813-903-6000
  Hampton Inn Website
  
  
• Wingate by Wyndham Tampa
  3751 East Fowler Ave.
  Tampa, FL 33612
  813-979-2828
  Wingate Tampa Website
  Complimentary local shuttle service.
  
  
• Hilton Garden Inn – Tampa North
  13305 Tampa Oaks Blvd.
  Temple Terrace, FL 33637
  813-342-5000
  www.tampanorth.stayhgi.com
  Complimentary local shuttle service
  
  
• AmeriSuites Tampa – Near Busch Gardens
  11408 North 30th Street
  Tampa, FL 33612
  813-979-1922
  AmeriSuites Website
  
  
• Residence Inn by Marriott – Tampa North
  13420 North Telecom Parkway
  Tampa, FL 33637
  813-972-4400
  Marriott Website
  
  
• TownePlace Suites by Marriott – Tampa North
  6800 Woodstork Road
  Tampa, FL 33637
  813-975-9777
  TownPlace Website

Please contact the hotel directly to make your arrangements. Early reservations are strongly encouraged.

Please notify the CPD Office, 12901 Bruce B. Downs Blvd., MDC Box 60, Tampa, Florida, 33612 or call (813) 974-4296 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed.