Boston, MA: Clinicians must have a better understanding of cannabis and its effects so that they may competently and adequately serve their patients, according to a commentary published in the journal JAMA (Journal of the American Medical Association) Network Open.
“Clinicians are increasingly confronted by patients using cannabis, often unsupervised and poorly informed,” the commentary states. “It is no longer defensible for clinicians to remain willfully ignorant. … Medical cannabis is here. Will physicians catch up, or will we, through omission, continue to let patients navigate therapeutic uncertainty alone?”
The commentary demands that medical professionals receive formal training encompassing six core competencies: “endocannabinoid system physiology; pharmacokinetics of tetrahydrocannabinol, cannabidiol, and other cannabinoids; relevant indications (e.g., chronic pain, chemotherapy-induced nausea); risk profiles, dosing and administration methods; legal and regulatory frameworks; and strategies for patient-centered communication and shared decision-making.” An accompanying paper highlighting these topics also appears in the journal.
“Opponents may decry the Schedule I classification as a barrier to training or research. But clinicians routinely practice in ethically fraught and politically charged realms (e.g., abortion, addiction, reproductive health), navigating care even when laws lag. Cannabis demands the same professional responsibility,” the commentary concludes. “We need not wait for the US Drug Enforcement Administration reclassification to act. Education can and must advance based on patient needs, accumulated clinical evidence, and ethical obligations.”
Numerous surveys of medical professionals – including nurses, pharmacists, clinicians, and other health care practitioners – find that health practitioners believe that they are inadequately trained in matters specific to medical cannabis. Separate survey data also report that fewer than 1 in 5 patients think that their primary care providers are sufficiently knowledgeable about cannabis-specific health-related issues. Instead, patients typically acknowledge obtaining cannabis-related information from either “friends and family” or from non-governmental websites.
Full text of the commentary, “Cannabis education – A professional and moral obligation for physicians,” appears in JAMA Network Open.