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ATTITUDES AND PRACTICE PATTERNS OF CANADIAN PHYSIATRISTS REGARDING MEDICAL CANNABIS.
Karen Ethans1, Harpal Chaudhary1, Alan Casey1
1Section of Physical Medicine and Rehabilitation, Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Canadian physiatrists recognize the medicinal value of medical cannabis (MC) but require more education and clearer guidelines. Increased experience correlates with comfort in authorizing MC for conditions like pain and spasticity.
Area of Science:
- Physical Medicine and Rehabilitation
- Pain Management
- Cannabinoid Science
Background:
- Physiatrists possess expertise in managing pain and spasticity, conditions often considered for medical cannabis (MC).
- Understanding physiatrist practice patterns and attitudes towards MC is crucial for patient care optimization.
Purpose of the Study:
- To assess the practice patterns and attitudes of Canadian physiatrists regarding medical cannabis (MC).
- To identify factors influencing physiatrists' comfort levels and prescribing habits for MC.
Main Methods:
- A structured, web-based survey was distributed to 109 physiatrists across Canada.
- Inferential statistical analysis was used to evaluate survey responses.
Main Results:
- A majority of physiatrists acknowledged the medicinal value of MC, with 61% comfortable discussing it, but only 31% comfortable authorizing it.
- Physiatrists with over 21 years of experience were more likely to authorize MC, particularly for neuropathic pain, musculoskeletal pain, and spasticity.
- Most respondents felt medical education and residency programs provided insufficient training on MC, and guidelines were unclear.
Conclusions:
- Enhanced education on cannabinoids in medical school and residency is vital for improving patient care, safety, and preventing misuse.
- Clearer governmental and institutional guidelines, alongside further research, will empower physiatrists to utilize MC more effectively and improve patient outcomes.
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