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To the Editor The Viewpoint on medical board expectations for physicians recommending marijuana1 summarized model guidelines proposed by the Federation of State Medical Boards (FSMB) for its members.2
We have 2 principal concerns. Regarding conflicts of interest, Dr Chaudhry and colleagues stated, “the physician should not be associated in any way with a dispensary or cultivation center.” This wording is more restrictive than the actual policy ratified by the FSMB. It would impede physicians who wish to collaborate with dispensaries and cultivators in studying which specific cannabinoid:terpenoid ratios patients find effective. Such data collection, in the absence of desperately needed clinical trials, can help unravel the diverse efficacy of various cannabinoids. Such an association for research purposes should not exclude physicians who recommend medicinal cannabis.
Hergenrather J, Robinson SS, Gardner F. Expectations for Physicians Prescribing Marijuana. JAMA. 2016;316(22):2432–2433. doi:10.1001/jama.2016.16103
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