January 8, 2019
Ten Reasons to Attend Our 2019 Family Medicine Clinical Forum
A new year means new opportunities! The Family Medicine Clinical Forum, March 29-31 in Monterey, is our largest meeting of the year and provides practice-based learning in a caring environment among friends and colleagues. This year, we have some amazing speakers and sessions planned for you. Here are ten reasons to register:
1. Save $50 when you register today
2. Our schedule has 24 excellent educational sessions – from our popular Family Medicine Update to the latest information on infectious diseases, risks and benefits of medical cannabis use, and managing crucial conversations with patients – you won’t find this much top-notch education in one place elsewhere!
3. MOC credits are available at two group KSA sessions: Genomics and Women’s Health
4. Ask your burning clinical questions at our Practice Inquiry session on Saturday afternoon
5. A dynamite keynote address: Science-based Strategies for Cultivating Sustainable Behavior Change, Health, and Well-being among Our Patients and Ourselves by author Michelle Segar, PhD, MPH
6. Experience professional development in the company of your family medicine family in a relaxed environment
7. Get some fresh air at the CAFP Foundation’s Sunday morning 5K Fund Run/Walk along the Monterey Bay Coastal Trail
8. Participate in a service project to clean up the beach and give back to Monterey
9. Earn up to 31 CME credits
10. Have you seen the ocean, sand, whales, and otters lately? Nature is good for your soul!
We look forward to seeing you in Monterey!
New Law Requires Prescribers to Offer Naloxone Prescription
On January 1, 2019, AB 2760 (Wood) took effect, requiring a prescriber to offer a naloxone prescription concurrently with an opioid prescription if:
1. The opioid prescription dosage is 90 or more morphine milligram equivalents per day;
2. The opioid is prescribed concurrently with benzodiazepine; or
3. The patient presents with an increased risk for overdose, “including a patient with a history of overdose, a patient with a history of substance use disorder, or a patient at risk for returning to a high dose of opioid medication to which the patient is no longer tolerant.”
AB 2760 also requires the prescriber to provide education to the patient, parent/guardian, or person designated by the patient on “overdose prevention and the use of naloxone hydrochloride or another drug approved by the United States Food and Drug Administration for the complete or partial reversal of opioid depression.” This does not apply when prescribing to an inmate or a youth under the jurisdiction of the Department of Corrections and Rehabilitation or the Division of Juvenile Justice within the Department of Corrections and Rehabilitation.
California Academy of Family Physicians (CAFP) believes the government should not legislate the practice of medicine, and that physicians and patients should determine an appropriate treatment plan for the individual. While CAFP strongly supports the use of naloxone and patient education, it opposed AB 2760 because naloxone does not require a prescription and the author would not amend the bill to replace the requirement to offer a prescription with language to inform patients about the availability of naloxone. The author of the bill also declined to amend the education requirements to allow whoever is physically dispensing the prescription to provide the patient education. Finally, the author declined to remove the language stating that noncompliance with any provision of this bill is unprofessional conduct.
In response to AB 2760, CAFP recommends that family physicians:
- Familiarize themselves with the three scenarios described above – they trigger the response obligations under AB 2760.
- Consistently document the offer of a naloxone prescription and the provision of patient education in the patient’s medical record, as is consistent with the existing standard of care.
CAFP has developed a sample patient education card you may provide to your patients when you prescribe naloxone. CAFP wants to hear from members if and how AB 2760 creates a burden on your practice; how you are adhering to the new law; and how CAFP can help you to meet your obligations under the law. Members are invited to provide their feedback to Conrad Amenta, Director of Health Policy, at email@example.com.
- “Preventing an Opioid Overdose” printable tip card - U.S. Department of Health and Human Services, Centers for Disease Control and Prevention
- “How to Prevent an Overdose” printable tip card - www.prescribetoprevent.org
- “Opioid Overdose Reversal with naloxone (Narcan, Evzio)” web page - National Institute on Drug Abuse
- “Naloxone Access Options in California” PDF - California Health Care Foundation
New Law Requires Physicians to Update Rx Pads
On January 1, 2019, a new California law (AB 1753) took effect requiring all security prescription forms to have a uniquely serialized number. The Department of Justice has released an Approved List of Vendors through which physicians can update their forms. Physician prescribers are encouraged to update their prescription forms as soon as possible, as pharmacies and pharmacists will identify prescribers who do not transition to the new security prescription forms in a timely manner to the appropriate prescribing board so that compliance can be encouraged.
Have You Shared Your Story of Family Medicine?
Every family physician has a unique journey into practice. In celebration of our 70th anniversary, CAFP is collecting stories from our members to shine a spotlight on their unique experiences. Share your story of family medicine with your colleagues and the Academy today.
Webinar to Help Parkinson's Disease Registry Reporting
On July 1, 2018, the California Department of Public Health (CDPH) launched the California Parkinson’s Disease Registry (CDPR), a statewide population-based registry used to measure the incidence and prevalence of Parkinson's disease. CDPH has posted an on-demand webinar (webinar password: CPDRdec2018) to provide an overview of the registry and help mandated reporters understand how to submit data. The first deadline for data submission is March 29, 2019 for cases encountered during the first quarter the law was in effect (July 1 to September 30, 2018). If you need assistance submitting case information to the registry, please contact CDPH at CPDRhelp@cdph.ca.gov or (916) 731-2500.
January Member of the Month: Grace Yu, MD
Congratulations to our January Member of the Month, Dr. Grace Yu! Dr. Yu is a graduate of Stanford University School of Medicine and completed her residency at the Stanford-O’Connor Residency Program where she continues to practice and teach. An active member of the Santa Clara Chapter, Dr. Yu also is a Legislative Key Contact, supports both the CAFP Foundation and Family Physicians PAC, and represents District VII as a District Director on the CAFP Board. “My best experience to date as a CAFP member was attending Lobby Day in Sacramento last March…it was inspiring to hear about the advocacy work that CAFP is doing and its impact on communities across California.”