Ricco Jason, Danner Christine, Pereira Chrystian, Philbrick Ann M
University of Minnesota Medical School, Department of Family Medicine and Community Health.
University of Minnesota College of Pharmacy, Department of Pharmaceutical Care and Health Systems.
PRiMER. 2017 Oct 13;1:20. doi: 10.22454/PRiMER.2017.593677. eCollection 2017 Sep.
The United States has seen an evolving perspective on the medical use of cannabis in recent years. Although a majority of states have enacted medical cannabis programs, physicians practicing in these states report a lack of knowledge, lingering concerns, and a need for more training regarding medical cannabis. This study provides a current snapshot of medical cannabis education in an academic family medicine department in a state with a medical cannabis program.
An electronic survey was sent to all 134 faculty physicians and residents within a family medicine department to assess current knowledge and attitudes regarding medical cannabis. Study authors performed descriptive statistical analysis of the survey data.
Of the 61 individuals to complete the survey, 34 were residents and 27 were faculty. Overall, respondents displayed poor understanding of the state's medical cannabis program as well as cannabis regulations. A majority of both faculty and residents reported low self-rated competency levels for medical cannabis efficacy, adverse effects, and safety using Likert scales (1 to 5; 1=low competency, 5=high competency). A majority of faculty (56%) expressed that they did not intend to certify patients for medical cannabis compared to only 33% of residents. Residents were statistically more likely to think of a patient who might benefit from medical cannabis compared to faculty (39% vs 11%, =.004, chi-square).
Increasingly, family physicians will be called on to provide informed patient counseling regarding medical cannabis. These results highlight a knowledge gap for family medicine learners in a changing practice landscape.
近年来，美国对大麻医学用途的看法不断演变。尽管大多数州已制定医用大麻计划，但在这些州执业的医生表示，他们缺乏相关知识，仍有疑虑，且需要更多关于医用大麻的培训。本研究呈现了一个设有医用大麻计划的州的学术性家庭医学科中医用大麻教育的现状。
向一个家庭医学科的所有134名教职医生和住院医师发送了电子调查问卷，以评估他们对医用大麻的现有知识和态度。研究作者对调查数据进行了描述性统计分析。
在完成调查的61人中，34人为住院医师，27人为教职医生。总体而言，受访者对该州的医用大麻计划和大麻法规了解不足。大多数教职医生和住院医师使用李克特量表（1至5；1 = 能力低，5 = 能力高）报告称，他们在医用大麻疗效、不良反应和安全性方面的自我评定能力水平较低。大多数教职医生（56%）表示他们不打算为患者开具医用大麻证明，而住院医师中这一比例仅为33%。与教职医生相比，住院医师在统计学上更有可能想到可能从医用大麻中受益的患者（39% 对11%，P =.004，卡方检验）。
家庭医生越来越多地被要求就医用大麻为患者提供明智的咨询。这些结果凸显了在不断变化的执业环境中家庭医学学习者的知识差距。
