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Student Athlete Physicals and Cardiac Screening Module — Still not available from the state
The State is in the final stages of completing the Student Athlete Cardiac Screening Module that is now required to be completed by physicians and other providers performing and signing off on student athlete physicals. This law came about after the Legislature was challenged to respond to the sudden cardiac deaths of student athletes in New Jersey. Dr. Steven Rice, pediatrician with Jersey Shore Medical Center, took control of this issue and Chaired the Task Force in charge with implementation. Dr. Jeffrey Rosenberg, NJAFP member and family physician with The Summit Medical Group, was actively involved in the task force to ensure that this requirement was implemented in a way that did not overburden family physicians.
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Reminder: New NJ Prescription Blanks deadline approaching: Aug. 18, 2014: Out with the old, In with the new
Prescriber Frequently Asked Questions

1. When do I need to use the new prescription blanks?
Aug. 19, 2014. As of Aug. 19, 2014, all prescribers writing/issuing a prescription must use the new prescription blank format.

2. Must I use a new prescription blank for lab tests, medical devices or medical procedures?
If a prescription is required under the rules of the Board/Committee, the new prescription blank format must be used as of Aug. 19, 2014.

3. Do the changes to the prescription blanks apply to prescriptions solely for controlled dangerous substances (CDS)?
No. The changes apply to all prescriptions issued on or after Aug. 19, 2014.

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New Jersey Prescription Blanks and Certificate of Destruction NJPBs information
New Jersey State Board of Medical Examiners
This is a reminder that the "old" New Jersey Prescription Blanks (NJPBs) may be used by practitioners for validly written prescriptions dated on or before Aug. 18, 2014. After this date, practitioners must use the new NJPBs to issue prescriptions written for their patients. Patient prescriptions originally written on or before Aug. 18, 2014 will be filled at a New Jersey pharmacy pursuant to the guidelines set forth in N.J.A.C. 13:39-7.3 for non-Controlled Dangerous Substances (non-CDS) and N.J.A.C. 13:45H-7.5 for Controlled Dangerous Substances (CDS).

Information on the new NJPBS and a vendor list are available on the New Jersey Board of Medical Examiners website at

Note: The Certification of Destruction of New Jersey Prescription Blanks (NJPBs) form needs to be completed and submitted to the New Jersey Drug Control Unit. The form is available at and click on Certification of the Destruction of New Jersey Prescription Blanks (NJPBs). For questions regarding the form, please contact the Drug Control Unit by telephone at (973) 504-6200 or by email at Destruction and documentation of destroying the old prescription blanks can help prevent unauthorized use of old NJPBs and help protect prescribers against fraudulent prescriptions written in their name.

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End of Life CME approved in 2011 now being implemented for next license renewal for NJ BME
The New Jersey Board of Medical Examiners requires 100 continuing medical education credits, of which at least 40 of such credits shall be in Category I. Commencing with this biennial renewal period which started on July 1, 2013, two of the 40 credits in Category I courses shall, pursuant to P.L. 2011, c. 145 (C.45:9-7.7), be in programs or topics related to end-of-life care. The Board is aware that many hospitals and a wide variety of other CME providers are offering a variety of courses that will satisfy this two hour requirement.
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Prescription Drug Monitoring Program — Get registered and use it
Sindy M. Paul, M.D., M.P.H., FACPM and Douglas S. Collier, M.A., DEA Ret.
Nationally, prescription monitoring programs were created through funding from Congress via the Fiscal Year 2002 United States — Department of Justice Appropriations Act (Public Law 107-77). Their purpose is to help prevent and detect the diversion and abuse of pharmaceutical controlled substances by enhancing the ability of regulatory and law enforcement agencies to collect and analyze controlled substance prescription data. Prescription monitoring programs focus on the retail level where the prescribed medications are purchased.
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Physicians can now prescribe Naloxone for NJ patients and their families
Sindy M. Paul, M.D., MPH, FACPM
New Jersey Board of Medical Examiners

Prescription drug abuse is considered the fastest growing drug problem in the United States. The major increase is in unintentional drug overdose from opioid analgesics, which has caused more overdose-related deaths since 2003 than cocaine and heroin combined.

In New Jersey, the number of drug treatment admissions for opioid pill addictions tripled from 2006 to 2011, with more than 8,600 admissions in 2011. Nearly half of these patients were age 25 or younger. Prescription drug abuse related mortality increased by 51 percent in New Jersey from 6.5/100,000 population in 1999 to 9.8/100,000 population in 2010. The epidemic of prescription drug abuse triggered a resurgence in heroin abuse by young people. Heroin is a less expensive analogue of prescription pain killers that delivers a stronger high and is currently more readily available than ever in areas with suburban and rural zip codes.

Overdose Prevention Act Summary

Overdose Prevention Act FAQs

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What physicians need to do to prescribe Naloxone to patients and their families
Any healthcare professional prescribing or pharmacy dispensing an opioid antidote to a patient shall ensure the person receiving the prescription receives "patient overdose information." This information shall include, but is not limited to (1) opioid overdose prevention and recognition, (2) how to perform rescue breathing and resuscitation; (3) opioid antidote dosage and administration; (4) the importance of calling 911 for assistance with an opioid overdose; and (5) care for an overdose vicitim after administration of the opioid antidote. We have included some examples of what you can provide patients to comply with these requirements.

Naloxone administration guidelines

SJAA naloxone program intake form

Drug overdose emergency procedures

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2014 Tar Wars National Poster Contest — Washington DC, July 21-22
NJAFP was proud to escort 2014 NJ State Tar Wars poster contest winner, Emilia Wheatley to Washington D.C. to the National Tar Wars Poster Contest. Emilia's inspiring message "I want to light up the stage — not cigarettes" won her national recognition as she placed in the Top 10 at the conference! Emilia (bottom right), her mom, Maria and younger sister Anabel visited with Sen. Cory Booker (D), District 7's Congressman Leonard Lance (R) and Sen. Robert Menendez's (D) health aide, Steve Lieberman. We also enjoyed a personal Capitol tour provided by Sen. Booker's team — who took us through interesting areas of the Capitol we had never seen before! See the 3rd quarter issue of Perspectives for the full story.
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Slower US healthcare cost rise extending life of Medicare fund
Tamer spending at U.S. hospitals and expected savings from President Barack Obama's healthcare overhaul are shoring up the funding outlook for the Medicare program for the elderly, trustees of the program said. Medicare's trust fund for hospital bills will run out of money in 2030, four years later than previously estimated, the trustees said in a report. The trustees, however, reiterated a warning that the Social Security program would run out of money to fully pay disability benefits by 2016 and could not meet all of its obligations on pensions after 2033.
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Doctors say new rules will worsen physician shortage
USA Today
Many specialists are balking at what they say are onerous new rules to get recertified, warning the demands will force some physicians out of practice at a time when the nation faces a shortage. Doctors say the new requirements have made maintaining specialty certifications a never-ending process. Younger doctors already retake an arduous exam every seven to 10 years to keep their credentials, long considered the gold standard of expertise, but physicians of all ages must now complete a complex set of requirements every two to three years.
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Does telehealth diminish physician-patient relationships?
As the use of telehealth services with on-call physicians mushrooms, organized medicine is trying to come to grips with the fact that these remote consultations take place outside of an established relationship between a local physician and a patient. While such consultations have long been part of rural telemedicine, the rapid spread of telehealth across the nation is placing pressure on the traditional physician-patient relationship, which still focuses mostly on face-to-face encounters.
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Physicians to appeal 'docs v. glocks' ruling in Florida
HealthLeaders Media
A Florida law prohibiting doctors from talking with patients about gun safety is upheld by a three-judge panel in the 11th Circuit Court of Appeals, but an injunction blocking the law remains in effect. Family physician associations say they will challenge a federal appellate court's ruling that upholds a Florida law prohibiting physicians from speaking with patients about firearms.
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