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Updated: Jun 22, 2025

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Addressing Confusion and Inconsistencies Surrounding the Provider Role in Medical Cannabis Programs.

Yi-Lang Tang1, Elizabeth McCord, Paul H Earley

  • 1From the Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA (Y-LT, EMC, KD); Maxwell Cleland Atlanta VA Medical Center, Decatur, GA (Y-LT); and Georgia Professional Health Program, Inc., Atlanta, GA (PHE).

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Summary
This summary is machine-generated.

Medical cannabis programs are expanding to common conditions, but lack of research and provider preparedness create challenges. Guidelines and education are needed for evidence-based patient care and monitoring.

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Area of Science:

  • Medical Sciences
  • Public Health
  • Pharmacology

Background:

  • Over 40 US states have medical cannabis programs.
  • Programs initially focused on rare/terminal conditions but expanded to common medical and mental disorders.
  • This expansion presents challenges including limited research evidence and provider unpreparedness.

Purpose of the Study:

  • To highlight the challenges associated with the expanding scope of medical cannabis programs.
  • To emphasize the need for evidence-based guidelines and improved medical education.
  • To underscore the importance of provider clinical judgment in medical cannabis recommendations.

Main Methods:

  • Review of the current landscape of medical cannabis programs in the United States.
  • Analysis of challenges arising from program expansion.
  • Discussion of necessary steps for medical organizations and providers.

Main Results:

  • Lack of robust research evidence for many conditions approved for medical cannabis.
  • Disparities in provider roles, expectations, and responsibilities across states.
  • Healthcare providers report a sense of unpreparedness in managing medical cannabis use.

Conclusions:

  • Medical organizations must develop expert consensus and guidelines for evidence-based shared decision-making and patient monitoring.
  • Medical education needs to incorporate training on medical cannabis.
  • Providers should prioritize evidence-based treatment, exercise clinical judgment, and take responsibility for recommendations.