Medical Cannabis for the Primary Care Physician

Slawek, Deepika; Meenrajan, Senthil; Alois, Marika; Barker, Paige C.; Estores, Irene M.; Cook, Robert L.

doi:10.1177/2150132719884838

Cited by 13 publications

(5 citation statements)

References 83 publications

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“…Recent articles also attempt to close this knowledge gap. 23 In addition, it is important to include cannabis education in health professions curricula to expose students to this topic during their training. A 2017 study demonstrated that only 9% of medical schools currently have medical cannabis included in their curricula.…”

Section: Discussionmentioning

confidence: 99%

“…Recent articles also attempt to close this knowledge gap. 23 In addition, it is important to include cannabis education in health professions curricula to expose students to this topic during their training. A 2017 study demonstrated that only 9% of The N for each condition varies depending on self-reported data about having the listed condition and having tried CBD or THC as a treatment.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use and Reported Helpfulness of Cannabinoids Among Primary Care Patients in Vermont

Wershoven

Kennedy

MacLean

2020

J Prim Care Community Health

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Introduction: While cannabis has been medically legal in Vermont since 2004 and recreationally legal since 2018 there has been minimal published research regarding the use and practices in the adult population. This gap in understanding results in primary care providers having difficulty navigating conversations surrounding cannabinoid use. The purpose of this research was to identify current use and perceptions of cannabinoids, including Δ9-tetrahydrocannabinol (THC) and cannabidiol (CBD), in adult primary care patients in Vermont. Methods: An anonymous written survey was given to 1009 Vermont primary care patients aged 18 years and older. All measures were patient-reported and included use of CBD and THC products, perceived helpfulness for certain medical conditions, knowledge of CBD and THC, perceived knowledge of their provider, and concerns regarding cannabis legalization. Results: 45% of adult primary care patients reported using cannabinoids in the past year. Only 18% of patients reported their provider as being a good source of information regarding cannabis. Of the patients who used cannabis in the past year, a majority reported it helpful for conditions such as anxiety and depression, arthritis, pain, sleep, and nausea. Conclusions: Primary care providers need to be knowledgeable about cannabinoids to best support patient care. In addition, with a significant number of patients reporting cannabinoids helpful for medical conditions common in primary care, it is important that research continue to identify the potential benefits and harms of cannabis.

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Section: Discussionmentioning

confidence: 99%

“…Recent articles also attempt to close this knowledge gap. 23 In addition, it is important to include cannabis education in health professions curricula to expose students to this topic during their training. A 2017 study demonstrated that only 9% of The N for each condition varies depending on self-reported data about having the listed condition and having tried CBD or THC as a treatment.…”

Section: Discussionmentioning

confidence: 99%

Use and Reported Helpfulness of Cannabinoids Among Primary Care Patients in Vermont

Wershoven

Kennedy

MacLean

2020

J Prim Care Community Health

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“…As MC becomes more socially acceptable [ 21 ], new physicians will encounter a growing number of patients looking for information on its utility and safety. [ 22 ]. Moreover, medical students tend to be young, and young adults may hold more permissive opinions about cannabis [ 23 ] and perceive it to be less harmful than their older counterparts [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Medical Students’ Perceptions About Medical Cannabis

Jacobs¹,

Kane²,

Caballero³

2022

Cureus

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Background: There has been a recent uptick in interest regarding the therapeutic properties of cannabis. Evidence exists to support the role of medical cannabis (MC) in chronic illness management for conditions such as posttraumatic stress, pain, and cancer. The majority of physicians in the United States report not knowing how to prescribe or answer questions about MC and receive minimal education about it during training. As MC becomes more socially acceptable with federal legalization in process, new physicians will encounter patients looking for information on the utility and safety of MC. The goal of this research was thus to assess the perceived knowledge, beliefs, and perceptions of medical students towards MC, and to obtain a better understanding of factors that may influence their attitudes. Methods: A descriptive, cross-sectional study design was used to investigate the medical students’ knowledge, attitudes, and perceptions regarding MC. Quantitative data were collected from 526 medical students (years one to four) via an anonymous, online, 32-item questionnaire to determine if perceived knowledge, concerns about the potential negative effects of cannabis, and certain beliefs would significantly contribute to their attitudes toward MC. Hypothesis testing was conducted using Spearman-rank order correlation and multivariate linear regression analyses. Results: A statistically significant regression equation was found: ( F (4, 428)=114.826, p <.001 with an R 2 =0.518 [adjusted R 2 =0.513]) indicating greater perception of knowledge about MC, lower concern for possible negative effects of MC use, greater belief in federal legalization of MC, and greater belief in the federal legalization of recreational cannabis significantly contributed to a higher score on positive attitudes and perceptions toward MC. Moreover, while many participants reported physicians should be able to prescribe MC, they reported that little if any MC education had been provided. Conclusions: This study identified the knowledge, concerns, and perceptions of medical students regarding MC as well as several factors contributing to their attitudes about it. Favorable attitudes toward MC among patients exist and as its popularity and acceptance among patients continue, more may be asking their physicians about symptomatic and curative treatment with cannabis-based products. Results from this research have the potential to assist medical educators in understanding students’ perceptions about MC to help guide innovative and contemporary curricular advances as a public health imperative.

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“…In April 2022, the United States House of Representatives passed legislation that attempts to legalize cannabis at the federal level [19]. In this context, early-career physicians will most likely come across patients asking for information on MC's usefulness and safety as it becomes more socially acceptable [20,21], and legalization continues to expand. In light of these recent events, MC may likely become a significant issue for the healthcare profession and medical trainees in particular who might be expected to inform patients of its efficacy, recommend it, and develop treatment plans.…”

Section: Introductionmentioning

confidence: 99%

“…As MC increases its social acceptability [20] and laws begin to change in favor of legalization, newly trained physicians will be faced with an increased number of patients looking for treatment options and information on the safety of medical cannabis [21]. To date, however, there are few if any, instruments available that can measure students' perceptions of MC, including concerns and willingness to use MC in their post-residency practice.…”

Section: Introductionmentioning

confidence: 99%