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Prescribing Practices and Management of Chronic Pain and Substance Use Disorder

7-Night Mexican Riviera
Round-trip San Diego, California
March 24 - 31, 2019
Holland America's <em> Nieuw Amsterdam</em>
Holland America's Nieuw Amsterdam
21.0 AMA PRA Category 1 Credit(s)TM
21.0 Contact Hours
$1549.00
10% Early Course Registration Discount!

Target Audience
Physicians, Attorneys, Nurses, Physician Assistants, Nurse Practitioners, Psychologists
Program Purpose / Objectives
COURSE OBJECTIVES:

At the conclusion of the course, attendees should be able to:
  1. Identify and prevent the common causes of prescribing-related patient injury.
  2. Integrate satisfaction of patients and families with medication treatment.
  3. Recognize and protect patients' legal rights such as informed consent relating to medications.
  4. Recognize and comply with clinicians' legal responsibilities relating to medications.
  5. Integrate supervision by physicians of mid-level practitioners who prescribe or monitor medication therapy.
  6. Illustrate cooperation among members of the health care team relating to medications.

Prescribing Practices and Management of Chronic Pain and Substance Use Disorder

Course Overview:

This course on prescribing practices and management of chronic pain and substance use disorder is an intensive 2½ day course designed for physicians, dentists, nurse practitioners, physician assistants, and other clinicians in all specialties, who need or wish to increase their knowledge and ability to effectively prescribe and control medications while reducing the risk for abuse. This course is approved by the California Medical Board as meeting the coursework requirements of physician probation.

Research indicates that up to one third of the disciplinary actions taken by Medical Boards are related to physician misprescribing practices. Learn proper prescribing practices and how best to document prescriptions for controlled substances. Learn to avoid common pitfalls including: inappropriate dispensing of medications from physicianapos;s offices, prescribing large amounts of narcotics at frequent intervals, or prescribing to family members, friends, or a person with a known history of substance abuse.

This course has been developed to enhance the physician's ability to effectively prescribe controlled medications, while minimizing their misuse whenever possible.

Program Content:
  1. Proper indications for prescribing.
  2. Choosing the medication.
  3. Requirement of adequate prior examination.
  4. Identifying contra-indications before prescribing.
  5. Identifying potential medication interactions before prescribing.
  6. Non-prescription (over-the-counter) drugs and nutritional supplements.
  7. Herbal remedy interactions.
  8. Food interactions.
  9. Alcohol interactions.
  10. Pharmacokinetics.
  11. Pharmacodynamics.
  12. Dosing errors.
  13. Informed consent for medications.
  14. Instructions to patients on medications.
  15. Medication warnings for patients.
  16. Safe patient monitoring, and recognizing adverse reactions and therapeutic failure.
  17. Preventing, identifying and managing medication non-compliance.
  18. Collaborative (split) treatment.
  19. Terminating care of a patient on medication.
  20. Controlled substances prescribing requirements.
  21. Treating addicted patients.
  22. Drug-seeking patients.
  23. Substance-abusing patients.
  24. Fraudulent prescriptions.
  25. Prescribing excessive quantities of medications.
  26. Clinician storage and dispensing of controlled substances.
  27. Chronic pain diagnosis.
  28. Chronic pain medication treatment.
  29. Classes of medications associated with increased risk.
  30. Medications prescribed for psychoactive effects.
  31. Prescribing function-enhancing medications.
  32. Internet medication prescribing.
  33. Internet medication purchases by patients.
  34. Aiding and abetting of unlicensed practice.
  35. Prescribing by supervised nurse practitioners, naturopaths and physician assistants.
  36. Formulary conflicts.
  37. Acceptable off-label medication prescribing.
  38. Deviations from pharmaceutical manufacturers' recommendations.
  39. Sources of information for prescribing medications.
  40. Illegible, ambiguous and contradictory medication orders.
  41. Verbal orders, standing orders, PRN orders.
  42. Self-prescribing by clinicians.
  43. Prescribing for family members or friends.
  44. Common bases for actions by regulatory agencies relating to medications.
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the University at Sea® meeting group through University at Sea® at 800-926-3775 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Faculty

S. Sandy Sanbar, MD, PhD, JD

S. Sandy Sanbar, MD, PhD, JD
Dr. Sanbar was born in Haifa, and received his MD at the American University of Beirut in Lebanon. He did a residency in Internal Medicine at the Oklahoma University Health Sciences Center, and earned a Ph.D. at the Universities of Oklahoma and Michigan Medical Centers, and a Cardiovascular fellowship at the Michigan Heart Association. His JD is from Oklahoma City University.

Since 1970's, he has practiced in Oklahoma City both as an Attorney at Law and Internal Medicine and Cardiology. Dr. Sanbar is a Past President of the American College of Legal Medicine and he has received numerous awards from the American College of Legal Medicine. He was the Chairman of the American Board of Legal Medicine (ABLM); and is Adjunct Professor of Medical Education, University of Oklahoma Medical Center, Oklahoma City, OK. 

Sanbar authored over 200 articles, and serves as editor of several books in his specialties. He publishes a monthly article for the LAW AND MEDICINE section of the Oklahoma County Medical Society. He is a member of the Oklahoma Bar, the Oklahoma County Bar, the Oklahoma State Medical Association and the Oklahoma County Medical Society. He is a State, National and International Lecturer on Legal Medicine and Medical Malpractice.

Marvin Firestone, MD, JD, FCLM

Marvin Firestone, MD, JD, FCLM
Dr. Firestone is a Past President of the American College of Legal Medicine and a certified specialist in Legal Medicine/Medical Jurisprudence by the American Board of Law in Medicine. He is a frequent lecturer at national legal medicine and medical law conferences. Dr. Firestone holds a medical degree from Temple University (1964) and a law degree from the University of Colorado (1980). 

He was the Editor-in-Chief of Medical Legal Lessons, is Editor-in-Chief Emeritus of Legal Medicine Questions and Answers, and is on the Editorial Board of the Journal of Legal Medicine and Textbook of Legal Medicine, publications of the American College of Legal Medicine. He formerly held the Hirsh Chair at the George Washington University in Washington, D.C. where he was professor at its Medical and Law Schools and School of Health Services Administration, teaching Legal Medicine, Psychiatry and the Law, and Legal Aspects of Hospital Administration.

Dr. Firestone provides medical-legal consultation and practices medical law. His legal practice primarily involves representation of physicians in cases involving hospital staff privileges, licensure, medical practice disputes and other complex medicolegal issues.

Pricing and Ports | Itinerary | Questions? E-mail us |

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

DATE PORT OF CALL ARRIVE DEPART
Sun Mar 24 San Diego, California
 - 5:00 pm
Mon Mar 25 *At Sea - Cruising
 - -
Tue Mar 26 Cabo San Lucas, Mexico
 10:00 am 6:00 pm
Wed Mar 27 Mazatlan, Mexico
 8:00 am 6:00 pm
Thu Mar 28 Puerto Vallarta, Mexico
 8:00 am 11:00 pm
Fri Mar 29 *At Sea - Cruising
 - -
Sat Mar 30 *At Sea - Cruising
 - -
Sun Mar 31 San Diego, California
 7:00 am -
*Tentative course schedule, actual class times may differ.
Mexican Riviera

Ports of Call

San Diego, California - Easygoing San Diego embodies the Southern California surfer town fantasy, with its more than 300 days of sun, mild year-round temperatures and accessible, sporty pastimes and tourist attractions. Hike the Torrey Pines State Natural Reserve to get a glimpse of whale migrations, go sailing in the bay and, of course, surf the famous swells of Del Mar, Oceanside and La Jolla (among many other superb spots). Old Town, North Park, Point Loma and Coronado are all within a few miles of the port, while the bustling Gaslamp Quarter and Little Italy are within walking distance.
And while there are lots of things to do for everyone on a San Diego Cruise—from visiting the country’s largest urban park to taking in the famous horse-racing season in Del Mar to riding the charming Old Town Trolley—definitely don’t pass up the chance to investigate San Diego’s quickly growing reputation as a culinary destination. Its inventive new restaurants and huge craft-brewing industry are something to be explored.

At Sea - Cruising - Cruising

Cabo San Lucas, Mexico - This sleepy fishing village turned celebrity vacation haven is known for its snorkeling, coral reefs galore, and a nightlife that rivals the biggest party destinations in the world. Located at the southern end of California’s Baja Peninsula, Cabo San Lucas is growing in popularity, attracting everyone from Hollywood stars to nature lovers with its tropical ease and natural beauty. Fishing enthusiasts are encouraged to bring their catch of the day to local restaurants, who will grill your fish onsite for you. On a Panama Canal cruise, a stop in Cabo San Lucas isn’t complete without a margarita or a wildly-popular local tequila tasting.

While on your Cabo cruise, don’t miss iconic sites like El Arco de Cabo San Lucas, where tourists flock to catch the sunset glittering off the massive arch-shaped rock formation. Snorkel and see the coral reefs along the Sea of Cortez, or do nothing but sunbathe at Lover’s Beach. When you need a slower day away from the incredible beaches and nightlife of Cabo San Lucas, head north for a day trip to the Todos Santos for art galleries, sleepy cafes, and a relaxed vibe.

Mazatlan, Mexico - If you're ready to experience some of the finest sailing and sport fishing available, then you're ready for Mazatlan. This is an exquisite seaside resort by anyone's standards. Of course, you don't have to partake in world-class water sports to enjoy Mazatlan. You can relax on one of its soft-sand beaches caressed by trade winds that are even softer. Or shop for silver jewelry and Mexican crafts in the shops of "The Golden Zone", where you can also celebrate your purchases at one of the area's lively cantinas.

Puerto Vallarta, Mexico - Puerto Vallarta has all the amenities of a classic beach resort ‐ surf, sand and sun‐ but it also offers so much more. Perfect for honeymooners, families and seniors alike, Puerto Vallarta offers sport fishing, golfing, horseback riding, hiking and whale watching. Boasting mountains, jungles, beaches, rivers, and waterfalls, this port is completely different from any other destination in Mexico. Puerto Vallarta is a modern destination that remains loyal to its traditional Mexican roots. And that's just scratching the surface.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Pricing and Ports | Itinerary | Questions? E-mail us |
SHORE EXCURSIONS
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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