So Dr. Webster any reason why you avoid using the word "addiction" in your eight prescribing principles for providers?  You can't possibly think that the DEA or the U.S. Senate investigating you doesn't notice your avoidance of the word -- can you?

Now moving on to Scott M. Fishman, MD on the US Senate radar and potentially the DEA's, we have the following information shown on the Federation of State Medical Boards (FSMB) website.  The FSMB is the voice to the medical boards throughout the U.S. on safely prescribing opioids.  This is how they go about it compliments of Dr. Fishman:

The Federation of State Medical Boards (FSMB)

Foundation has published an electronic version of its book, “Responsible Opioid Prescribing™: A Clinician’s Guide,” available for Kindles, Nooks, iPads and other popular platforms.

The book, written by pain medicine specialist Scott M. Fishman, MD, offers clinicians effective strategies for reducing the risk of addiction, abuse and diversion of opioids that they prescribe for their patients in pain. It is part of the FSMB’s ongoing initiative to address the rise of opioid abuse and related deaths in the United States by better educating physicians and other clinicians about their risks and proper use. Dr. Fishman is a leading pain medicine clinician, researcher, teacher, lecturer and writer, serving as Chief of the Division of Pain Medicine and professor of Anesthesiology at the University of California, Davis.

The Foundation has created an easy-order web page for the eBook, which can be accessed at www.fsmb.org/book. The electronic version of the book, produced by publisher Waterford Life Sciences, is available on ePub, Kindle Apple iBooks platforms and can be read on devices ranging from computers and tablets to iPhones.

The book is priced at $16.95, and is certified for up to 7.25 AMA PRA Category 1 Credits™ by the University of Nebraska Medical Center. The revised and expanded 2nd edition of “Responsible Opioid Prescribing” offers new material — including research on opioid prescribing and risk management that was not available when the first edition was published in 2007 — along with updated recommendations for prescribers.

The "revised and expanded 2nd edition" of Dr. Fishman's book offers new material from 2007? I don't think so - in 2007 the book avoided the word "addiction" now the rise in opioid addictions and deaths to over 400% in a decade has made the fire a little too hot for Fishman and the FSMB.  Therefore, "new material" was offered by Fishman although it was far from new material to him as well as the FSMB in 2007.  And the medical profession bought what Fishman and the FSMB were selling - hook, line and sinker in the form of his well promoted book.

The FSMB pushed Fishman's book to physicians in all 50 states compliments of their website and via Lisa Robin, Chief Advocacy Officer.

From the FSMB website:

Robin successfully worked with the Wyoming, Delaware and South Carolina state medical boards to adopt pain policies and will continue efforts to reach out to additional states to adopt or update their pain policies.  (See copy of Dr. Fishman's book advertised on the FSMB website shown below).

Robin said:

"If the medical boards will take affirmative actions or conduct policymaking in the area of pain management, having a policy framework that will support good practice is important."

"Since learning about communications and media strategies at the training, Robin has learned different tricks to dealing with the media and interviews."

I bet the "tricks" in dealing with the media and interviews were extremely helpful in an increase of 400% in opioid addictions and deaths in the past decade.  After all, the medical profession bought into the "tricks" and didn't concern themselves with addiction as a result of prescribing opioids.  I'll remember to tell the 75 year old woman with back pain the definition of "addiction" -- as she experiences it first hand.  Some cruel "trick" FSMB -- still think you are untouchable?

 

LICENSURE EXAMINATIONS (USMLE/PLAS/SPEX) CREDENTIALS VERIFICATION (FCVS) LICENSURE APPLICATION (UA) PHYSICIAN DATA (FPDC) EDUCATION & MEETINGS ADVOCACY & POLICY FSMB FOUNDATION PUBLICATIONS & MEDIA CONTACT A STATE MEDICAL BOARD CERTIFICATIONS	Overview FSMB Model Policy Resources FSMB Foundation RESPONSIBLE OPIOID PRESCRIBING: REVISED AND EXPANDED SECOND EDITION  Early reactions to the Clinician's Guide include:  “Since 2009, Michigan has distributed 70,000 copies of the earlier Physician’s Guide to health professionals – including an initial distribution to all physicians, dentists, pharmacists, podiatrists, physician assistants, and mid level nurses in 2009, and annual distributions to all such newly licensed providers… We are delighted to be able to continue the annual distribution of our customized version of this expanded Clinician’s Guide, and fully expect to continue receiving very positive feedback from our licensed health professionals.” Rae Ramsdell, Director Bureau of Health Professions Michigan Department of Licensing and Regulatory Affairs Now Available — Newly Revised and Expanded Responsible Opioid Prescribing: A Clinician’s Guide Read Chapter 1 To receive CME credit, print your certificate and complete the online post-test and evaluation click here. To purchase a paperback or eBook format, please click here. Responsible Opioid Prescribing: A Clinician's Guide offers clinicians effective strategies for reducing the risk of addiction, abuse and diversion of opioids that they prescribe for their patients in pain. Written by pain medicine specialist Scott M. Fishman, M.D., this revised and expanded edition offers important new material, including research on opioid prescribing that was not available when the first edition was published in 2007, and updated recommendations for prescribers. The update is especially important given the rise of opioid abuse and related deaths in the United States as well as the ongoing need for legitimate patient access to pain medications. Revised and Expanded The expanded Clinician's Guide translates best-practice guidelines from leading pain medicine societies and the Federation of State Medical Boards into pragmatic steps for risk reduction and improved patient care, including: Patient evaluation, including risk assessment Treatment plans that incorporate functional goals Informed consent and prescribing agreements Periodic review and monitoring of patients Referral and patient management Documentation Compliance with state and federal law Patient education on safe use, storage and disposal of opioid medication Termination strategies for chronic opioid therapy Since publication of the first edition in 2007, Responsible Opioid Prescribing has been widely used and supported in the medical and regulatory communities as the leading continuing medical education (CME) activity for prescribers of opioid medications. About the Author Scott M. Fishman, MD, is a leading pain medicine clinician, researcher, teacher, lecturer, and writer. He is Chief of the Division of Pain Medicine and Professor of Anesthesiology at the University of California, Davis. He has been board certified in Internal Medicine, Psychiatry, Hospice and Palliative Medicine, and Pain Medicine, is Past President of the American Academy of Pain Medicine, and Past Chair of the Board of the American Pain Foundation, and is author of The War on Pain and Listening to Pain, coauthor of Spinal Cord Stimulation, and coeditor of Bonica's Management of Pain and Essentials of Pain Medicine and Regional Anesthesia.
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