title: Rules and values: a coordinated regulatory and educational approach to the public health crises of chronic pain and addiction.
abstract: Chronic pain and opioid addiction are 2 pressing public health problems, and prescribing clinicians often lack the skills necessary to manage these conditions. Our study sought to address the benefits of a coalition of an academic medical center pain faculty and government agencies in addressing the high unintentional overdose death rates in New Mexico. New Mexico's 2012-2013 mandated chronic pain and addiction education programs studied more than 1000 clinicians. Positive changes were noted in precourse and postcourse surveys of knowledge, self-efficacy, and attitudes. Controlled substance dispensing data from the New Mexico Board of Pharmacy also demonstrated safer prescribing. The total morphine and Valium milligram equivalents dispensed have decreased continually since 2011. There was also a concomitant decline in total drug overdose deaths.
authors.affiliation: Joanna G. Katzman, Cynthia M. A. Geppert, George D. Comerci, Sanjeev Arora, Summers Kalishman, Lisa Marr, Chris Camarata, Daniel Duhigg, Jennifer Dillow, Eugene Koshkin, and Denise E. Taylor are with the University of New Mexico (UNM) Health Sciences Center, Albuquerque. Michael Landen is with the New Mexico Department of Health, Santa Fe. Larry Loring is with the New Mexico Board of Pharmacy, Albuquerque. Steven M. Jenkusky is with the New Mexico Medical Board, Santa Fe.
authors.forename: Joanna G
authors.initials: JG
authors.lastname: Katzman
authors.forename: George D
authors.initials: GD
authors.lastname: Comerci
authors.forename: Michael
authors.initials: M
authors.lastname: Landen
authors.forename: Larry
authors.initials: L
authors.lastname: Loring
authors.forename: Steven M
authors.initials: SM
authors.lastname: Jenkusky
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Arora
authors.forename: Summers
authors.initials: S
authors.lastname: Kalishman
authors.forename: Lisa
authors.initials: L
authors.lastname: Marr
authors.forename: Chris
authors.initials: C
authors.lastname: Camarata
authors.forename: Daniel
authors.initials: D
authors.lastname: Duhigg
authors.forename: Jennifer
authors.initials: J
authors.lastname: Dillow
authors.forename: Eugene
authors.initials: E
authors.lastname: Koshkin
authors.forename: Denise E
authors.initials: DE
authors.lastname: Taylor
authors.forename: Cynthia M A
authors.initials: CM
authors.lastname: Geppert
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy*; D062787:Drug Overdose / Q000517:prevention & control; D011307:Drug Prescriptions; D004502:Education, Medical, Continuing / Q000379:methods; D006801:Humans; D009516:New Mexico; D009293:Opioid-Related Disorders / Q000517:prevention & control*; D059408:Pain Management; D011634:Public Health
chemical_list: D000701:Analgesics, Opioid