William C. Becker, MD; David A. Fiellin, MD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-0251.
Becker W., Fiellin D.; Prescriber Education on Opioids. Ann Intern Med. 2012;157:917. doi: 10.7326/0003-4819-157-12-201212180-00019
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Published: Ann Intern Med. 2012;157(12):917.
We appreciate Dr. Webster's points and agree that curbing abuse of, addiction to, and overdose deaths from prescription opioids and other controlled substances will require more than provider education. Regarding “pill mills”—a major focus of the Drug Enforcement Administration's efforts—anonymous tip lines have been established in counties with unusually high levels of opioid prescribing. The expansion of such programs should be considered (1). We have a professional and, in some states, a legally mandated duty to report unethical or frankly criminal activity (2).
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