Rhode Island Board of Medical Licensure and Discipline: Illustration of the disciplinary process as it pertains to cases involving opioid prescribing

2016 ◽  
Vol 12 (5) ◽  
pp. 355 ◽  
Author(s):  
James V. McDonald, MD, MPH
Keyword(s):  
Prescription Drug ◽  
Rhode Island ◽  
Opioid Prescribing ◽  
Disciplinary Process ◽  
Drug Overuse ◽  
State Medical Boards

Prescription-drug overuse/overdose and misuse is an important and pivotal issue to state medical boards. This is an illustration of how some cases involving overprescribing of opioids have been addressed by the Rhode Island Board of Medical Licensure and Discipline.

scholarly journals The Special Purpose Examination: An Evaluation of Physicians Taking SPEX and their Pass Rates

2014 ◽  
Vol 100 (1) ◽  
pp. 9-14
Author(s):  
Frances E. Cain ◽  
Phil Davignon ◽  
Thomas R. Henzel ◽  
Andrea Ciccone ◽  
Aaron Young
Keyword(s):  
Medical Knowledge ◽  
Assessment System ◽  
Future Research ◽  
Pass Rates ◽  
National Board ◽  
Disciplinary Process ◽  
Basic Medical Knowledge ◽  
State Medical Boards ◽  
Medical Examiners ◽  
Basic Medical

ABSTRACT State medical boards have long recognized the importance of evaluating the ongoing knowledge and competence of licensed physicians under a variety of circumstances. Before granting or renewing a license, it may be necessary for state boards to evaluate physicians as part of a disciplinary process or following a period of inactivity for either disciplinary or non-disciplinary reasons. The Post-Licensure Assessment System (PLAS), a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME), has played a role in assisting state boards with evaluating physicians' basic medical knowledge in all of these circumstances by providing the Special Purpose Examination (SPEX). While SPEX has been administered since 1988, there has not been a nationally published study summarizing the characteristics of physicians taking the exam and their examination pass rates. To address this, we examined physicians who took SPEX between 2003 and 2011, and the outcomes of their exams. Our research demonstrates that the majority of examinees take SPEX for non-disciplinary reasons, with those who take SPEX for disciplinary reasons having lower pass rates. Future research should focus on evaluating the ultimate outcomes for physicians taking SPEX, including the ability to attain and retain a license to practice medicine.

The effect of a statewide prescription drug monitoring program on opioid prescribing patterns

2021 ◽  
pp. 103262
Author(s):  
Samuel J. Rubin ◽  
Judy J. Wang ◽  
Ariana Y. Nodoushani ◽  
Bharat B. Yarlagadda ◽  
Jacqueline A. Wulu ◽  
...  
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Prescribing Patterns ◽  
Opioid Prescribing ◽  
Prescription Drug Monitoring Program

scholarly journals Effect of Florida’s Prescription Drug Monitoring Program and Pill Mill Laws on Opioid Prescribing and Use

2015 ◽  
Vol 175 (10) ◽  
pp. 1642 ◽  
Author(s):  
Lainie Rutkow ◽  
Hsien-Yen Chang ◽  
Matthew Daubresse ◽  
Daniel W. Webster ◽  
Elizabeth A. Stuart ◽  
...  
Keyword(s):  
Prescription Drug ◽  
Drug Monitoring ◽  
Monitoring Program ◽  
Opioid Prescribing ◽  
Prescription Drug Monitoring Program

scholarly journals Review of Disciplinary Actions Regarding Controlled Substances, Rhode Island 2012–2017

2019 ◽  
Vol 105 (1) ◽  
pp. 22-27
Author(s):  
Luke Barre ◽  
Justin Gallo ◽  
James V. McDonald
Keyword(s):  
Public Health ◽  
Medical Education ◽  
Rhode Island ◽  
Health Resources ◽  
Opioid Epidemic ◽  
Academic Detailing ◽  
Disciplinary Actions ◽  
Controlled Substances ◽  
State Medical Boards ◽  
Effective Use

ABSTRACT Inappropriate and excessive prescribing is an important cause of the opioid epidemic. A retrospective review of disciplinary actions related to controlled substances in Rhode Island from 2012–2017 was undertaken from publicly available data. There were 47 physicians with opioid related disciplinary actions. All of them were male and the average age was 63. Providing targeted academic detailing and stratified continuing medical education to physicians who have been in practice longer than others provides state medical boards with a means of primary prevention of inappropriate and excessive prescribing. This approach may provide a more effective use of limited public health resources.

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