Most of the decline in hydrocodone prescriptions (74%) was due to a drop in refills, which is
consistent with the prohibition on prescription refills for schedule II medications.
Rescheduling fallout: Surgeons
cut opioid prescriptions by 38%
clauses: Be wary,
BY ALICIA GALLEGOS
Frontline Medical News
Noncompete clauses can severely limit a doctor’s busi- ness options and create serious financial challenges, so negotiate with employers early and watch out for
tricky contract terms that could stifle future opportunities.
That is the advice from health law experts around the
country. They point out that when it comes to noncompete clauses – employment contract language that limits
where physicians can practice after employment ends or is
terminated – doctors should pay close attention, especially
to the following:
Distance requirements within noncompete provisions are a
top issue that can trip up doctors, Bloomfield Hills, Mich.,
health law attorney Mark S. Kopson said. The clause typically specifies that a physician cannot practice within a certain
radius of the former employer. However, if an employer has
three offices for instance, that 10-mile radius can quickly become a 30-mile radius or more depending how the provision
is worded. Mr. Kopson recalled a recent client who practiced
for 5 years in one office and was transferred to an office in
another town for 30 days. He was then terminated, and his
VOL. 12 • NO. 2
See Noncompete Â page 6
2 l Commentary
Dr. Tyler G. Hughes reflects on
the state and possible future of
15 l Trauma/Critical Care
Dr. Lindley Folkerson presents findings at the
EAST meeting on postop use of hypertonic
saline in damage control laparotomy.
22 l Plastic Surgery
Dr. David W. Chang discusses the
latest developments in
microsurgery for lymphedema.
Online & In-Depth
Dr. Sunil Singhal comments on imaging and
visualization technologies as alternatives to
thoracotomy for locating pulmonary nodules.
View at: http://goo.gl/n2s2UQ.
BY MARY ANN MOON
Frontline Medical News
Prescriptions for hydrocodone analgesics abruptly and markedly declined after the
U.S. Drug Enforcement Administration re-classified them from schedule III to the more
restrictive schedule II of the Controlled Substances Act, according to a research letter to
the editor published online in JAMA Internal
Medicine Jan. 25.
Hydrocodone, usually formulated in com-
bination with nonopioid analgesics, is one of
the most frequently abused opioids, account-
ing for nearly 100,000 abuse-related emergen-
cy department visits during one recent year.
In October 2014, the DEA rescheduled these
agents to subject them to more rigorous control, said Christopher M. Jones, Pharm.D.,
MPH, of the Department of Health and Human Services, Washington, and his associates.
To assess any effect this rescheduling had
on prescribing patterns, the investigators
analyzed information in the IMS Health
National Prescription Audit, a database that
See Prescriptions Â page 10
Legal advice can prevent costly errors.
Pres orte d Sta n d ard
U . S . P o sta g e
Permit N o. 3 84
Lebanon Jct. K Y
ACSSURGERY N E W S C H A N GE SERVICE RE Q UESTE D
151 Fairchild A ve.,
S uite 2,
Plain vie w , N Y 1 1 8 0 3-1 7 0 9
A MESSAGE FROM THE PRESIDENT:
Challenges for the Second Century
ACS President Dr. J. David Richardson offers his take on
the College’s five “pillars”: Advocacy and Health Policy;
Communication; Education; Member Services; and Quality,
Research, and Optimal Patient Care.
Â Page 9