MaybeRuralDoc
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Hello all,
I'm FM boarded but have been working overseas for over a decade (non-military). Frankly one of the huge benefits, for me, working overseas was the complete lack of having to deal with benzo and opioid issues in the clinic. Basically I worked in a couple countries where it's not customary if use these medications, and where the population does just fine without them in the biopsychosocial chemically naive state (hard to imagine if you've never seen the natural history of disease without bzds and opioids, but that's another subject).
My question for the hive mind here is whether or not anyone is familiar with any anecdotes of someone running a private clinic in the midwest where scheduled pain meds and benzos simply aren't prescribed. I don't know if medical boards nowadays require, for example, an opioid for an obviously sprained ankle or minor finger fracture or whatever. I trained in a rural program in the Midwest, but that was generally before the meth/opioid epidemic and the economy really went to crap. I'd like to do some Norman Rockwell doctoring with a big sign on the front that says no opioids/benzos. Is this doable from an "accepted standard of care" standpoint? Does it vary by state? I don't want to go without a DEA number for rare instances, but if I will be obligated to give out opioids for sprains...I'm not sure that I'll pursue opening a practice. Plan otherwise is to do a DPC arrangement.
Thanks for your input!
I'm FM boarded but have been working overseas for over a decade (non-military). Frankly one of the huge benefits, for me, working overseas was the complete lack of having to deal with benzo and opioid issues in the clinic. Basically I worked in a couple countries where it's not customary if use these medications, and where the population does just fine without them in the biopsychosocial chemically naive state (hard to imagine if you've never seen the natural history of disease without bzds and opioids, but that's another subject).
My question for the hive mind here is whether or not anyone is familiar with any anecdotes of someone running a private clinic in the midwest where scheduled pain meds and benzos simply aren't prescribed. I don't know if medical boards nowadays require, for example, an opioid for an obviously sprained ankle or minor finger fracture or whatever. I trained in a rural program in the Midwest, but that was generally before the meth/opioid epidemic and the economy really went to crap. I'd like to do some Norman Rockwell doctoring with a big sign on the front that says no opioids/benzos. Is this doable from an "accepted standard of care" standpoint? Does it vary by state? I don't want to go without a DEA number for rare instances, but if I will be obligated to give out opioids for sprains...I'm not sure that I'll pursue opening a practice. Plan otherwise is to do a DPC arrangement.
Thanks for your input!