Presented by Seddon R Savage MD MS Survey Goals Learn current and anticipated engagement by NH clinicians in use of herbal marijuana for therapeutic purposes Assess clinician understanding of marijuana effects and side effects ID: 1041403
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1. NH Medical SocietyHerbal Marijuana SurveyPresented by Seddon R. Savage MD, MS
2. Survey GoalsLearn current and anticipated engagement by NH clinicians in use of herbal marijuana for therapeutic purposesAssess clinician understanding of marijuana effects and side effects
3. Link mailed to 2642 physicians with four reminders900 APNPs on one occasionTotal 3540 467 responses239 physicians64 APRNs164 unknownsResponse rate overall: 13.2%
4. If you know a patient uses or want to try MJ, how often do you advise them on risks & benefits
5. How often have you recommended a trial of marijuana for clinical purpose
6. How often have you recommended a trial of cannabinoid medications?
7. Will you be willing to certify a patient’s medical condition and symptoms for certification to use MJ?
8. Would you want to be on a list of physicians willing to certify patients for Clinical Cannabis?
9. How would you rate your knowledge of herbal marijuana/cannabis effects?
10. Marijuana Knowledge ChallengesHerbal marijuana primarily studied in terms of outcomes and effects of illicit useCannabinoids studied in terms of therapeutic effects and side effectsLess research on therapeutic effects of herbal MJHighly variable herb with 50-200 biologically active chemicals (>50 cannabinoids all with different actions)Cannot extrapolate from research on cannabinoids to herbal marijuanaCannot extrapolate from one strain of marijuana to another strain
11. Marijuana Sources of “Evidence”Research related to illicit useFew research studies of therapeutic useFew randomized controlled clinical trialsObservation and experienceClinical case reports in popular mediaExtrapolation from cannabinoid researchExpert consensus reached by any or all of above
12. Perception of Evidence Acute Therapeutic Effects
13. Perception of Evidence Acute Side-Effects
14. Perception of Evidence Chronic Side-Effects
15. Key MessagesEducation is needed to enhance clinician understanding of Potential effects and side effectsPossible risksPatient counseling is needed to ensure understandingPotential effects and side effectsPossible risksData collection and research are needed to determine actual effects, side-effects & risks
16. Thank you to NHMS for launching survey