Current through Reg. 47, No. 249; December 28, 2021
Effective July 1, 2012, physicians who have not met the
qualifications set forth in subsections (1) through (6), below, shall have
successfully completed a pain medicine fellowship that is accredited by the
Accreditation Council for Graduate Medical Education (ACGME) or a pain medicine
residency that is accredited by ACGME. Prior to July 1, 2012, physicians
prescribing or dispensing controlled substance medications in
pain-management clinics registered pursuant to Section
458.3265,
F.S., must meet one of the following qualifications:
(1) Board certification by a specialty board
recognized by the American Board of Medical Specialties (ABMS) and holds a
sub-specialty certification in pain medicine;
(2) Board certification in pain medicine by
the American Board of Pain Medicine (ABPM);
(3) Successful completion of a pain medicine
fellowship that isaccredited by the Accreditation Council for Graduate Medical
Education (ACGME) or a pain medicine residency that is accredited by the
ACGME;
(4)
(a) Successful completion of a residency
program in physical medicine and rehabilitation, anesthesiology, neurology,
neurosurgery, family practice, internal medicine, orthopedics or psychiatry
approved by the ACGME; or
(b)
Sub-specialty certification in hospice and palliative medicine or geriatric
medicine recognized by ABMS;
(5)Current staff privileges at a
Florida-licensed hospital to practice pain medicine or perform pain medicine
procedures;
(6) Three (3) years of
documented full-time practice, which is defined as an average of 20 hours per
week each year, inpain-management and, attendance and successful completion of
40 hours of in-person, live-participatory AMA Category I CME courses in pain
management that address all the following subject areas:
(a) The goals of treating both short term and
ongoing pain treatment;
(b)
Controlled substance prescribing rules, including controlled substances
agreements;
(c) Drug screening or
testing, including usefulness and limitations;
(d) The use of controlled substances in
treating short-term and ongoing pain syndromes, including usefulness and
limitations;
(e) Evidenced-based
non-controlled pharmacological pain treatments;
(f) Evidenced-based non-pharmacological pain
treatments;
(g) A complete pain
medicine history and a physical examination;
(h) Appropriate progress note
keeping;
(i) Comorbidities with
pain disorders, including psychiatric and addictive disorders;
(j) Drug abuse and diversion, and prevention
of same;
(k) Risk management;
and
(l) Medical ethics.
In addition to the CME set forth in subsection (6) above,
physicians must be able to document hospital privileges at a Florida-licensed
hospital; practice under the direct supervision of a physician who is qualified
in subsections (1) through (4)above; or have the practice reviewed by a
Florida-licensed risk manager and document compliance with all recommendations
of the risk management review.
(7) Upon completion of the 40 hours of CME
set forth above, physicians qualifying under (6)above,must also document the
completion of 15 hours of live lecture format, Category I CME in pain
management for every year the physician is practicing pain
management.
