Five Ways You Can Meet the State’s New CME Licensing Requirements

The state Board of Registration in Medicine notified physicians this week of new regulations that require them to complete CME courses in pain management and end of life care during the license renewal or obtaining a new license. Pain management: Effective Feb. 1, physicians who prescribe controlled substances (Schedules I through VI) must complete at [...]

Board of Medicine Moves to Require CME Credits in Pain Management and End of Life Care

We learned today that the Massachusetts Board of Registration in Medicine is notifying physicians by email that effective Feb. 1, it will require continuing medical education (CME) credits on two specific clinical topics as a condition of licensure and re-licensure: pain management and end of life care. It will require three hours of CME credits [...]

Coming Jan. 1: New Requirement for Physician Licensure

Starting Jan. 1, every physician applying to renew or obtain a new Massachusetts license must complete at least three credits of education and training in pain management and opioid education. According to state regulations, such education includes “but is not limited to, training in how to identify patients at high risk for substance abuse and [...]

MOLST Expands End-of-Life Planning for Physicians, Patients

Too often, palliative care experts say, physicians are unable to carry out their patients end-of life wishes because they were contained in a document that was incomplete, too vague, not legally binding, or simply misplaced by family members. Massachusetts is poised to join more than 14 other states with formal Physician Orders for Life-Sustaining Treatment [...]

MOLST: A New Approach for End-of-Life Care

An estimated 75 percent of patients will be unable to make some of their own medical decisions at the end of their lives. More physicians and clinicians are now finding that advanced directives and living wills are often too vague or unenforceable to ensure optimal care for dying patients. To ensure patients receive the end-of-life [...]

Preserving the Concept of Physician-Led ACOs

In the recent New England Journal of Medicine article Launching Accountable Care Organizations- The Proposed Rule for the Medicare Shared Savings Program, Dr. Donald Berwick noted that “a critical foundation of the proposed rule (on ACOs) is an unwavering focus on patients.” The best way to focus on patients is to ensure that decisions are [...]

Do Accountable Care Organizations Have Staying Power?

Recently, some physicians and health care administrators have expressed doubts about the viability of accountable care organizations (ACOs). Does this viewpoint stand up to scrutiny? If you’re talking about the Medicare ACO program, as proposed by the Centers for Medicare and Medicaid Services this past spring, the naysayers probably have a point. The proposed regulations [...]

Has the “Art of Medicine” Gone by the Wayside?

Numerous studies and surveys conducted throughout the past 10 years have determined that physician burnout is high, and physician morale is low.  This conundrum creeps into the daily practice of medicine and ultimately into patient/physician relationships and physician/physician communication. Has the “art of medicine” gone by the wayside? All physicians are artists in their own [...]

If Your Patient Was Abusing Drugs, Would You Know?

In 2009, nearly 22 million Americans aged 12 or older were current (past month) illicit drug users. This included seven million people who used a prescription drug non-medically. Yet many physicians fail to regularly ask patients about their drug use. Why should physicians and other health care providers regularly screen their patients for substance abuse? [...]