Prescribing Controlled Drugs:
Critical Issues and Common Pitfalls of Misprescribing
June 11-13, 2008
August 13-15, 2008
September 24-26, 2008
November 12-14, 2008 University of South Florida
Tampa, Florida
Sponsored By:
Course Description
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:
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
Target Audience
Physicians, Physicians Assistants, Nurses, Pharmacists, and any professionals who prescribe, or have access to, controlled substances to patients.
Objectives
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
Accreditation
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.
Program Agenda*
Day One
8:00 - 8:30am
Registration, Continental Breakfast Available
8:30 - 8:45am
Welcome, Logistics
8:45 - 9:10am
Opening Remarks; Review of Syllabus & Toolkit
9:10 - 10:30am
Session 1: Tensions in the Physician’s world
10:30 - 10:50am
Break
10:50 - 12:00pm
Session 2: The Physician in the Pipeline. How Did I Get That Way
12:00 - 1:00pm
Lunch - on site
1:00 - 2:15pm
Session 3: Seven Boundaries of Prescribing Controlled Drugs
2:15 - 2:30pm
Break
2:30 - 4:30pm
Session 4A: The Power of Shame
Session 4B: Family of Origin - Connections Between Past and Present
Homework: Genogram Exercise/Baugh Relationship Index(BRI)
4:30pm
Complete evaluation form for Wednesday, Adjourn
1 hour of Genogram homework, working independently during the evening required.
Day Two
8:00 - 8:30am
Continental Breakfast Available
8:30 - 10:30am
Session 4C:(cont.) Genogram continued: How has the past affected my present behaviors?
10:30 - 10:45am
Break
10:45 - 12:00pm
Session 5: Prescribing Pitfalls
12:00 - 1:00pm
Lunch - on site: Substance Abuse Discussion
1:00 - 1:45pm
Session 6: 12 Steps to Trouble
1:45 - 2:00pm
Break
2:00 - 3:45pm
Session 7: Prescribing Pitfalls, Clinical Vignettes, Role Play
3:45 - 4:00pm
Session 8: Consent Form
4:00 - 4:30pm
Session 9: BRI Evaluations: Ron Neufeld Intention to changed Beahviors, Explanation and overview
4:30pm
Complete evaluation form for Thursday, Adjourn
1 hour of BRI homework, working independently during the evening required
Day Three
8:00 - 8:30am
Continental Breakfast Available
8:30 - 9:00am
Group Check-in
9:00 - 10:30am
Session 10: Discussion and Presentation of Clinical Cases
10:30 - 10:45am
Break
10:45 - 12:00pm
Session 11: Patient Interview
12:00 - 12:30pm
Lunch - on site
12:30 - 1:00pm
12-Step Discussion
1:00 - 2:30pm
Session 9 (cont.): BRI Feedback Session/Intention to Change
2:30 - 2:45pm
Break
2:45 - 3:30pm
Session 12: Course Evaluation Final Feedback
3:30pm
Adjourn
* Agenda is subject to change
Faculty
Course Faculty
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
Volunteer Faculty
Jamie Smolen, MD
Department of Psychiatry and Behavioral Medicine
University of South Florida College of Medicine
Tampa, Florida
Registration
Registration Fees: $2,250. Includes course syllabus and materials, continental breakfast, and lunches.
For questions regarding course content or availability, please call (813) 396-9217 or email Karee Parks at kparks@health.usf.edu.
***Each course is limited to 12 participants.
Please call or email to confirm course availability
Cancellations must be received in writing at least one month prior to the start of the CME activity and will be subject to a $100 processing fee for this course. No refunds on the deposit will be given if cancelled within 30 days of the CME activity. USF reserves the right to cancel this program due to unforeseen circumstances in which case a full refund will be given to participants. USF will not be responsible for travel expenses incurred by the participant in the unlikely event that the program is canceled.
Location
University of South Florida - College of Medicine
Department of Psychiatry and Behavioral Medicine
3515 East Fletcher Avenue, Tampa, FL 33613
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 Hotel (813) 977-7066
Wingate Inn-USF (800) 228-1000
LaQuinta Inn North-USF (813) 910-7500
Please contact the hotel directly to make your arrangements. Early reservations are strongly encouraged.
Accommodations for Disabilities
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.
Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity.