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13th Annual Scientific Conference

Registration and sponsorship information will be out soon!

TMB Updates

Here are some highlights. View the full update here

Prescribing Emergency Rule in Effect Through June
The emergency rule related to the issuance of certain prescriptions during the COVID-19 disaster was approved for 60 days at the end of April. The emergency rule (§174.5) continues to allow physicians to utilize telemedicine for issuing previous prescription(s) for scheduled medications to established chronic pain patients if the physician has, within the past 90 days, seen a patient in-person or via a telemedicine visit using two-way audio and video communication. The emergency rule will remain in place for 60 days (until June 30, 2021 at 11:59 p.m.) or for the duration of the time period that the Governor’s disaster declaration of March 13, 2020 in response to the COVID-19 pandemic is in effect, whichever is shorter, pursuant to Section 2001.034 of the Texas Government Code. TMB will continue to provide updates on COVID-19 issues on the TMB website at tmb.state.tx.us/page/ coronavirus. For the latest COVID-19 information for health providers and the public, visit the Department of State Health Services (DSHS) COVID-19 web page at dshs.texas.gov/ coronavirus.
 
New Acupuncture Board Members Appointed
CONGRATULATIONS! Rey Ximenes, M.D., of Spicewood, is a consultant at Balcones Pain Consultants. He is past president and a member of the American Academy of Medical Acupuncture and the Austin Chapter of the Texas Pain Society. Additionally, he is a member of the American Society of Addiction Medicine, the American Society of Interventional Pain Physicians, and the American Association of Naturopathic Physicians. Ximenes received a Bachelor of Arts in Zoology from The University of Texas at Austin and a Doctor of Medicine from the University of Texas Medical School, Houston.
 
E-Prescribing Mandatory; Waivers Established 
Texas Physicians, House Bill 2174 (86th Legislature) mandated electronic prescribing of controlled substances (Schedules II-V) as of January 1, 2021. The law establishes a waiver from the electronic prescribing requirements in certain situations, including: economic hardship, technological limitations outside of the prescriber’s control and other exceptional circumstances. Once approved, waivers will be valid for one year. A prescriber may reapply no earlier than 30 days before the date the waiver expires. For more information on the requirement, how to apply for a waiver through the My TMB portal, and Frequently Asked Questions, please visit: http:// www.tmb.state.tx.us/page/ renewals-physicianelectronic-prescribingwavier.

 

AAPM Covid Vaccination and Steroids

AAPM Covid Vaccination and Steroids 

DSHS Health Advisory - Candida auris

Health Advisory: Pan-Resistant Candida auris Identified in Texas

March 16, 2021

In January 2021, Candida auris became a Texas notifiable condition with required isolate submission to the DSHS Laboratory in Austin. Since it became reportable, seven cases of C. auris have been reported in Texas residents. Two of these cases were identified as resistant to all three classes of antifungal drug. These are the first cases of pan-resistant C. auris identified in Texas. This Health Advisory is intended to provide recommendations regarding laboratory identification methods, treatment options and infection control recommendations to mitigate C. auris transmission.

 

About Candida auris

Candida auris is a fungus that may cause serious illness for those it infects. C. auris can cause invasive infections, including bloodstream infections, which may result in death, particularly in hospital and long-term care patients. C. auris is a public health threat because it is often multidrug-resistant, is difficult to identify, and can persist on surfaces in healthcare environments, resulting in the spread of C. auris among patients in healthcare facilities. Patients exposed to C. auris may remain colonized for a long time, putting them at risk for a future C. auris infection and further spreading the fungus.  

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DEA Releases 2020 National Drug Threat Assessment


The 2020 NDTA is a valuable resource for all Americans, but especially those elected officials, law enforcement personnel, prevention and treatment specialists, and others who develop counter-drug policies, oversee law enforcement operations, and allocate resources.

 

The National Drug Threat Assessment (NDTA) is DEA’s annual comprehensive assessment of the threat posed to the United States by the trafficking and abuse of illicit drugs, the diversion and abuse of licit drugs, and the laundering of proceeds generated through illicit drug sales. 

 


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NEW DATE - Virtual CME Event hosted by Houston Chapter

 

Earn 1.25 AMA PRA Category 1tm and MOCA® credits for attending this event, hosted by TPS Houston Chapter. 

Find out more information here

TMB Emergency Rule Related to Issuance of Prescriptions Renewed

Texas Physicians and Physician Assistants, the emergency rule related to the issuance of certain prescriptions during the COVID-19 disaster has been renewed for 60 days.

The emergency rule continues to allow for telephone refill of certain prescriptions to established chronic pain patients as long as the patient has been seen by the prescribing physician, or health professional defined under Chapter 111.001(1) of the Texas Occupations Code, in the last 90 days either in-person or via telemedicine using audio and video two-way communication.

The emergency rule will remain in place for 60 days (until May 1, 2021 at 11:59 p.m.) or for the duration of the time period that the Governor’s disaster declaration of March 13, 2020 in response to the COVID-19 pandemic is in effect, whichever is shorter, pursuant to Section 2001.034 of the Texas Government Code.

TMB will continue to provide any updates on COVID-19 issues on the TMB website at www.tmb.state.tx.us/page/coronavirus.

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TONIGHT! Rescheduled: Strengthening Medicine in the 87th Texas Legislature with Dr. Diana Fite

Rescheduled: Strengthening Medicine in the 87th Texas Legislature with Dr. Diana Fite

 

The February DCMS Connect event has been rescheduled to Wednesday, February 24 at 6:30pm.

DCMS Connect is excited to have TMA President Dr. Diane Fite as the speaker for the February DCMS Connect event. During the 87th Texas legislative session, TMA will work with legislators to navigate budget challenges brought about by the COVID-19 pandemic. They will also work to ensure that nothing interferes with the patient-physician relationship so that physicians can be there when their patients need them. Dr. Fite will speak to how you can help in this effort and how to participate in TMA advocacy events during this session.

Learning Objectives: 
1. Describe TMA's legislative strategies that ensure an improved health care landscape for physicians and their patients.
2. Identify the unique health care challenges Texas physicians and their patients continue to face.
3. Discuss specific actions TMA is taking to address legislative issue on state and federal levels.
4. Implement steps that physicians and their patients can take to continue improving the health care system.

1 AMA PRA Category 1 Credits™ with the ethics designation.

The Texas Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. TMA designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
The Texas Medical Association designates this activity for up to one hour in the area of ethics and/or professional responsibility education.

Registration fee is $25.

Questions? Contact Cara Jaggers, DCMS director of events, at [email protected].

















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3rd Annual Interdisciplinary Pain and Opioid Crisis Seminar on April 23-24, 2021

Dr. Eduardo Bruera, Chair of Palliative, Rehabilitation, and Integrative Medicine, and Dr. Joseph Arthur, (Conference Chair), Associate Professor in Palliative, Rehabilitation, and Integrative Medicine, invite you and your colleagues to join us for this outstanding educational opportunity. We are happy to announce that registration for the 3rd Annual Interdisciplinary Pain and Opioid Crisis Seminar on April 23-24, 2021, is now open.

The 3rd Annual Interdisciplinary Pain and Opioid Crisis Seminar is CME credited for those attending in real-time. Registration is now open and in line with our mission to present accurate data for a global audience.  We hope you will join us for this outstanding educational opportunity.

This will be a great opportunity for all APRNs who attend the conference to earn credit towards their regulatory controlled substance CE requirement.

- REGISTRATION IS NOW AVAILABLE -

Please share the information about this virtual education day with your colleagues.  We look forward to seeing you in April. 

 



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Informed Consent Pain Management Agreement Now available in Spanish


SPANISH VERSION NOW AVAILABLE. Take advantage of this free resource for members! 

also available for Non-Members for only $50! 

Get your English and Spanish copies here. 

2021 Texas Workers' Compensation Conference Going Virtual

 

New Dates: Four-Day Virtual Conference

The 2021 Texas Workers’ Compensation Conference is happening virtually June 28 - July 1. The COVID-19 pandemic changed the way we do business, but human connections are more important than ever.

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Medicare News from Novitas Solutions

Medicare News for: 02/09/21


 Frequently asked questions


Medicare secondary payer (MSP) educational series

The questions and answers have been updated from the educational series. Please carefully review the information. 
 

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BREAKING NEWS!

Breaking news!

Texas Pain Society is excited to release its very own Continuing Medical Education (CME) courses, courtesy of the Texas Pain Foundation. 

 As part of a TPS membership, CME hours are now available at little or no cost, compliments of Texas Pain Foundation. This is just one of the ways we are working to support our members.

Access our new CME Resource Page HERE

Interested in more free CME and benefits from TPS – consider joining today!

Congrats Dr. Mehta!

Pain Specialists of America appoints chief medical officer

Austin, Texas-based Pain Specialists of America named Pankaj Mehta, MD, as its chief medical officer, according to a Feb. 2 news release.

Dr. Mehta is a board-certified anesthesiologist who gained national recognition for his contributions to interventional pain medicine, the release said. He is a leader in pain management with a focus on spine pain, headaches, spinal stenosis, abdominal and pelvic pain. He trained at Harvard Medical School and Massachusetts General Hospital, both in Boston, before completing a fellowship at Cleveland Clinic.

Dr. Mehta is also the medical director at Killeen, Texas-based PSA Ambulatory Surgical Center and director of research and clinical training for PSA's ASCs, the release said.

Now you can earn CME credits from Dr. Mehta's panel about Indirect Compression from the 12th Annual Scientific Conference. Head over to our CME page to learn more!

Scams Targeting Health Professionals

ALERT Reminder –

Scams Targeting Health Professionals

We remind licensees to be on the alert for scammers impersonating the Texas Medical Board and other state and federal agencies.

 In some instances scam callers may claim to be employees with the TMB, DEA, FBI or other law enforcement entity and may even attempt to spoof agency phone numbers or send documents on official-looking letterhead demanding money. 

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Medical Quality Review Panel Members Needed

Medical Quality Review Panel Members Needed

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Experts Needed for the Medical Quality Review Panel

DWC is looking for board certified doctors and health care practitioners to serve on the Medical Quality Review Panel (MQRP). MQRP members are paid to help DWC's Medical Advisor ensure that injured employees in the workers’ compensation system receive medically necessary and appropriate health care.

DWC needs doctors and health care practitioners who are board certified, preferably in the areas of:

  • Family practice
  • Pain management
  • Occupational medicine
  • Physical medicine and rehabilitation
  • Orthopedics
  • Internal medicine
  • Infectious disease
  • Neurological surgery

Learn more on the TDI website.

TDI DWC Releases Website Resources Video

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DWC Releases Website Resources Video

This video shows how to find information and resources on the TDI website for health care providers who participate in the Texas workers’ compensation system.

Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain

Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain

Introduction

In an effort to address the opioid epidemic, a prominent goal of current research is to identify alternative treatments with equal or better benefits for pain while avoiding potential unintended consequences that could result in harms.

A systematic review assessing the effectiveness and harms of plant-based treatments for chronic pain conditions is underway. The review will be "living" in the sense that it will identify and synthesize recently published literature on an ongoing basis. For the purposes of this review, plant-based compounds (PBCs) included are those that are similar to opioids in effect and that have the potential for addiction, misuse, and serious adverse effects; other PBCs such as herbal treatments are not included. The intended audience includes policy and decision makers, funders and researchers of treatments for chronic pain, and clinicians who treat chronic pain.

The quarterly progress reports present the accumulating evidence and are updated on a regular basis. They include a description of the available studies and an appraisal of study quality. 

January 2021 Update

Overview

This is the first progress report for an ongoing living systematic review on plant-based treatments for chronic pain. The systematic review will synthesize evidence on the benefits and harms of plant-based compounds (PBCs) such as cannabinoids and kratom used to treat chronic pain, addressing concerns about severe adverse effects, abuse, misuse, dependence, and addiction.

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TMA Article Same Old Hurdles: Pharmacy-Mandated Obstacles to Filling Opioid Scrips

Same Old Hurdles: Pharmacy-Mandated Obstacles to Filling Opioid Scrips

 Sept_20_TM_Econ  

 

 

The roadblocks for prescribing pain medicine are still there. Even after the state introduced a safeguard to help physicians spot illicit prescription use and doctor-shopping, barriers remain.

Those hurdles, set up by large, mostly national pharmacy chains, are frustrating physicians. As for their patients, it’s not uncommon for them to feel suspected of drug abuse, stigmatized, and driven to tears.

Pain physicians aren’t the only doctors saying their scrips are being held up. Nacogdoches obstetrician-gynecologist Benjamin Thompson, MD, who performs C-sections and other gynecologic surgeries, says Walmart pharmacies often deny a prescription unless they receive a written diagnosis or clinical data supporting the prescription’s legitimacy.

“These aren’t high volumes of medication coming out, either,” Dr. Thompson said. “They’re low doses, low tablet count. Usually, I prescribe 15 tablets for my postoperative patients.”

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NEW Informed Consent Pain Management Agreement



We are excited to announce a new Informed Consent Pain Management Agreement is now available! Take advantage of this free resource for members! 

A Spanish update will be released soon. Stay Tuned. 

It's also available for Non-Members for only $50!



Get your copy here.