The Journal of the Arkansas Medical Society Issue 1 Vol 115 | Page 17
“We are asking you to contribute
$500 or more and to ask your
colleagues back home to also
contribute.”
– Dr. Amy Cahill
meeting right now. Still, they must report their
contribution to this database, and they must
list every physician in attendance here today
[rather than the Society as a whole]. That’s very
misleading.
Drs. Lee Archer and Joe Stallings
justified in the medical record. If you write
too many antibiotics for no reason, that’s
excessive,” he said. “And as Dr. Joe Beck used
to say, ‘for some patients, one pill is excessive.’
It just depends on what it is.”
Wroten shared what the regulation says to
those who are prescribing narcotics. “The rule
discourages writing over 90 MME, but it doesn’t
prohibit it,” he explained. “For those writing
more than 50 MME per day for chronic pain,
this rule establishes a list of things that must
be documented in the medical record. Most
are common sense items that you’re already
documenting anyway.”
Finally, Wroten shared that ASMB is work-
ing on a rule requiring one hour of CME on
prescribing narcotics each year as part of the
already required 20 hours (not in addition to).
Misleading Press Relating to
Open-Door Contributions
Wroten asked members to share their
wishes related to recent press that portrayed
physicians in a bad light related to contributions
from pharmaceutical companies.
According to a CMS open-door policy,
pharmaceutical companies must report all
contributions to physicians and other provider
groups to a national database. Such information
can prove misleading. As a for instance,
Wroten used the hypothetical example of
a pharmaceutical company sponsoring our
event. “If they were to sponsor our event,” he
supposed, “say they decided to give us $300.
They have no control over our agenda. They
are not speakers. Their exhibits are out in
the hall, and they’re not in the room as we’re
NUMBER 1
Medical Board
Legal Issues?
“From time to time, a story comes out
that capitalizes on this. Recently, a misleading
story by CNN on opioids – it was a national
story on money to physicians from opioid
manufacturers; there was some relatively
accurate reporting in it, talking about money
contributed to physicians for research, clinical
trials, etc., but then there were blanket
statements that insinuated that doctors were
getting cash contributions by the thousands.
Shortly after this story, a reporter for the
Democrat Gazette – not someone I’m familiar
with – suggested that 1500 Arkansas doctors
were getting money for opioid prescriptions. In
the same way, that was very misleading, and
we got a few phone calls about it. A couple of
folks wondered if we should write an op-ed
piece responding to it.”
In asking trustees their thoughts on the
matter, the consensus was that a carefully
constructed rebuttal was a promising idea.
The rebuttal should convey the considerable
work Arkansas physicians are doing to address
the opioid epidemic and show physicians that
their Society is responding to poor press and
protecting their interests in this way. Wroten
agreed to have the Society work up a rebuttal
and request that The Arkansas Democrat-
Gazette print it.
Other matters discussed included concern
by physicians over BCBS compensation
initiatives. “We just ran an article in The Journal
about this, and we’re watching for more from
BCBS soon,” said Wroten. “We can’t ignore this.
We need to be aware of this and see what we
can do to help.”
Dr. Scott Ferguson asked trustees also for
help and support for his bid as an AMA Board
of Trustees member. To help with Ferguson’s
campaign, reach him at 870-735-5555 or
[email protected].
Call
Pharmacist/Attorney
Darren O’Quinn
1-800-455-0581
www.DarrenOQuinn.com
Little Rock, Arkansas
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JULY 2018 • 17