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DCRx: The DC Center for Rational Prescribing

Better Prescribing for Better Patient Care

The DC Center for Rational Prescribing (DCRx) provides information about medications and other therapeutic options to physicians and healthcare professionals. Rational prescribing is defined as choosing treatments based on the best-available evidence and benefits that outweigh harms. High cost can be considered a possible harm. In order to help healthcare professionals in the District prescribe rationally, the DC Department of Health is providing non-commercial, independent continuing education, along with access to other educational resources.

Pain Management: Beyond Opioids (3 Credits)

Free live CME/CPE event! Join us on Friday, November 3rd from 2 pm to 5 pm at the George Washington University Hospital, Basement Auditorium. Speakers include Donald Abrams, MD (University of California, San Francisco), Raymond Dionne, DDS, MS, PhD (East Carolina University), Adriane Fugh-Berman, MD (Georgetown University Medical Center), Arian Gibson (DC Department of Health), and Mikhail Kogan, MD (The George Washington University). Topics Include: 

  • Are NSAIDs underused for chronic pain? 
  • Is medical cannabis appropriate for pain patients? How should it be recommended in practice?
  • How do I become a cannabis recommender in DC?
  • Does evidence support the use of yoga, herbs, dietary supplements, or manipulative therapies for chronic pain?

Register for the event here: http://bit.ly/dcrxlive

DCRx offers the following online continuing education courses, free to DC physicians and healthcare professionals, and at minimal cost to healthcare professionals not licensed in Washington, DC.

DC Licensed Healthcare Professionals:

Visit the DCRx learning center for free CME Credit. (Use Code: DCHCP)

Healthcare Professionals Not Licensed in Washington, DC:

Visit the DCRx learning center for CME Credit. ($20 Registration)

Tight Control in Type 2 Diabetes: More Harm than Good? (1.5 Credits)
Discusses why tight control may not be the best strategy for treating type 2 diabetes, reveals surprising facts about the benefits and harms of current treatments and strategies for diabetes care, and provides practical advice for counseling patients about healthful eating patterns and increasing physical activity. View a PDF and references for the module without credit. View additional resources.

Industry Influence on the Practice of Medicine (1.0 Credits)
Describes how the pharmaceutical industry uses social psychology to influence therapeutic choices of healthcare providers. This eye-opening module discusses detailing (drug rep visits), key opinion leaders, subtle marketing messages in industry-funded education, and why medication samples are a marketing tool. View a PDF and references for the module without credit. View additional resources


 Taking a Sexual History to Reduce HIV Risk (1.5 Credits) 
Explores how to take a sexual history to reduce risk of HIV and other STIs as well as defines some relevant terminology for discussing sex. Discusses motivational interviewing techniques and describes how to talk about lifestyle changes with patients. Includes a roleplay demonstration of key concepts. This module is accredited for 1.5 CME or CPE credits. View a PDF and references for the module without credit. View additional resources.

What You Need to Know about PrEP (1.5 Credits)
Explores various methods of HIV prevention, including pre-exposure prophylaxis (PrEP), describes common and serious adverse effects of PrEP therapy, and discusses who will benefit most from PrEP. Clinical protocol for prescribing PrEP is presented. This module is accredited for 1.5 CME or CPE credits. View a PDF and references for the module without credit. View additional resources.

Myths and Facts about Opioids (1.5 credits)
Describes the public health impact of opioid use in the United States, outlines the history of opioid prescribing and promotion, explains neuroadaptation as it relates to opioids, and discusses adverse effects associated with opioids. Pain treatment agreements are also addressed. The module is accredited for 1.5 CME or CPE credits. View a PDF (1.5 credits) and references for the module without credit. View additional resources.

Getting Patients Off of Opioids (1.5 credits)
Differentiates between tolerance, dependence, and addiction, provides practical strategies for tapering patients off of opioids safely, discusses withdrawal, and compares buprenorphine and methadone for medication assisted treatment. Includes tools for counseling patients about addiction and dealing with chronic pain. The module is accredited for 1.5 CME or CPE credits. View a PDF and references for the module without credit.View additional resources.

Rational Prescribing for Older Adults   (1.5 credits)
Reviews the consequences of multiple medication drug use in older adults, misconceptions regarding the treatment of Type II diabetes, pharmacologic and nonpharmacologic treatments for agitation and insomnia, deprescribing, and the importance of a team approach to medication review. The module is accredited for 1.5 CME or CPE credits. View a PDF and references for the module without credit. View additional resources.

Medical Cannabis: An Introduction to the Biochemistry & Pharmacology  (1.0 credit)
Discusses the pharmacology of major cannabinoids in Cannabis species, and the quality assessment, modes of administration, and common formulations of medical cannabis. The endocannabinoid system will also be discussed. The module is accredited for 1.0 CME or CPE credit. View a PDF and references for the module without credit. View additional resources.

Medical Cannabis: Evidence on Efficacy (1.0 credit)
Summarizes the evidence and provides clinical perspective on the use of medical cannabis and cannabinoids for treating chronic and acute pain, cancer care, nausea/vomiting, neurologic conditions, glaucoma, and psychiatric conditions. The module is accredited for 1.0 CME or CPE credit. View a PDF and references for  the module without credit. View additional resources

Medical Cannabis: Adverse Effects and Drug Interactions (1.0 credit)
Provides evidence-based information on the safety profile of medical cannabis. Topics include common contraindications, adverse effects, and drug interactions. Specific effects on the respiratory, cardiovascular, immune, neuropsychiatric, reproductive, and other organ systems will be discussed. The module is accredited for 1.0 CME or CPE credit. View a PDF and references for the module without credit. View additional resources

Drug Approval and Promotion in the United States  (1.0 credit)
Describes the United States drug approval process from pre-clinical trials to post-marketing surveillance, regulation of drug advertising and promotion, adverse event surveillance, and how to report adverse drug events and misleading advertising to FDA. The module is accredited for 1.0 CME or CPE credit. View a PDF and references for the module without credit. View additional resources

Generic Drugs: Myths and Facts(1.0 credit)
Describes the standards the FDA uses to approve generic drugs; differences and similarities between branded and generic drugs; the difference between generic drugs and generic drug names; bioequivalence; patent extension techniques; and common myths about generic drugs. The module is accredited for 1.0 CME or CPE credit. View a PDF and references for the module  without credit. View Additional resources.


Additional Resources for Rational Prescribing Information

For questions or comments on DCRx, email [email protected].

Resourcers - Taking a Sexual History to Reduce HIV Risk

Service Contact: 
DC Center for Rational Prescribing (DCRx)
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Contact TTY: 
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