title: The "general recognition and acceptance" standard of objectivity for good faith in prescribing: legal and medical implications.
abstract: The United States Court of Appeals for the 4th Circuit has ruled that a jury considering charges of drug trafficking against a pain management physician should be instructed that the defendant's good faith is a defense to the charges. The court rejected a subjective standard of good faith, and instead ruled that the good faith of the defendant must be evaluated from an objective perspective. This objective standard requires that the jury determine whether the defendant was practicing in accordance with the standard generally recognized and accepted in the United States. General recognition and acceptance are determined on a case-by-case basis, within the context of a defendant's practice. Simply because a physician's practice is out of the norm for many physicians does not mean it can't be generally recognized and accepted within the standard of medical practice. Expert witness testimony of pain management physicians will assist juries in the application of this standard for good faith in prescribing.
authors.affiliation: College of Pharmacy, University of Florida, Gainesville, FL 32611-0484, USA. brushwud@cop.ufl.edu
authors.forename: David B
authors.initials: DB
authors.lastname: Brushwood
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D003416:Criminal Law; D004335:Drug and Narcotic Control / Q000331:legislation & jurisprudence*; D004992:Ethics, Medical; D006801:Humans; D010146:Pain / Q000188:drug therapy*; D014481:United States
chemical_list: D000701:Analgesics, Opioid