The American Medical Association’s (AMA) Code of Medical Ethics outlines the reporting responsibilities of physicians who suspect that a colleague might be impaired: Physicians’ responsibilities to colleagues who are impaired by a condition that interferes with their ability to engage safely in professional activities include timely intervention to ensure that these colleagues cease practicing and receive appropriate assistance from a physician health program (PHP)…. Ethically and legally, it may be necessary to report an impaired physician who continues to practice despite reasonable offers of assistance and referral to a hospital or state physician health program. The duty to report...may entail...reporting to the licensing authority. This decision to report can be difficult and physicians are encouraged to seek guidance from others, including experts in physician health and substance abuse, that can assist with the justification for action. 137 Conclusion Providers who prescribe controlled substances are responsible for ensuring these potentially dangerous medications are used as safely and as effectively as possible. Providers can use many tools to assist in prescribing controlled substances, including thorough history taking, professional documentation, patient–provider agreements, and informed consent. Keeping up to date with current guidelines and regulatory information will help providers stay informed on ever-changing controlled substance recommendations. Preventing substance use disorders from developing by appropriately prescribing controlled substances following state and federal regulations can help slow the trends of drug abuse nationwide.
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