What Florida's Medical Marijuana Doctors Actually Do in Practice

A statewide survey of 116 Florida physicians who certify medical marijuana patients found wide variation in clinical practices, with many relying on experimental approaches rather than evidence-based guidelines.

Sajdeya, Ruba et al.·Journal of primary care & community health·2021·Moderate EvidenceCross-Sectional
RTHC-03485Cross SectionalModerate Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=116

What This Study Found

Among 116 medical marijuana physicians surveyed, 92% reported performing physical exams, but only half provided specific THC:CBD ratio recommendations and 62% gave dose recommendations, suggesting substantial practice variability.

Key Numbers

116 respondents; mean age 57; 70% male; 95% used research articles as information source; 92% performed physical exams; 50% provided THC:CBD ratio recommendations; 62% gave dose recommendations; 84% would participate in online training; top training priorities were drug interactions (72%), condition management (72%), opioid reduction (67%).

How They Did This

Cross-sectional anonymous survey of registered medical marijuana physicians in Florida (June-October 2020), with numerical responses quantified using counts and percentages.

Why This Research Matters

As medical marijuana programs expand, this survey reveals that the physicians at the frontline of patient care are largely improvising, with limited standardized training or evidence-based protocols to guide their recommendations.

The Bigger Picture

The gap between growing patient demand for medical marijuana and the evidence base physicians need to guide recommendations highlights a systemic training deficit that could affect patient safety and outcomes.

What This Study Doesn't Tell Us

Self-selected convenience sample with potential response bias; self-reported practices may not reflect actual clinical behavior; limited to Florida physicians.

Questions This Raises

  • ?How do patient outcomes differ between physicians who provide specific dosing recommendations versus those who take a more open-ended approach?
  • ?Would standardized training modules change prescribing patterns?

Trust & Context

Key Stat:
Only 50% of medical marijuana physicians "often" or "always" provided specific THC:CBD ratio recommendations
Evidence Grade:
Moderate-sized cross-sectional survey providing descriptive data on physician practices with self-reported measures.
Study Age:
Data collected in 2020 from Florida's medical marijuana program.
Original Title:
Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida.
Published In:
Journal of primary care & community health, 12, 21501327211042790 (2021)
Database ID:
RTHC-03485

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

What information sources do medical marijuana physicians rely on?

Research articles were the most common source (95%), followed by online resources (93%) and discussions with other providers and dispensary staff (90%).

What training do medical marijuana doctors want most?

Drug interactions (72%), management of specific conditions (72%), and strategies to reduce opioid use (67%) were the top three requested training topics.

Read More on RethinkTHC

Cite This Study

RTHC-03485·https://rethinkthc.com/research/RTHC-03485

APA

Sajdeya, Ruba; Shavers, Anna; Jean-Jacques, Jennifer; Costales, Brianna; Jugl, Sebastian; Crump, Carly; Wang, Yan; Manfio, Luran; Pipitone, R Nathan; Rosenthal, Martha S; Winterstein, Almut G; Cook, Robert L. (2021). Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida.. Journal of primary care & community health, 12, 21501327211042790. https://doi.org/10.1177/21501327211042790

MLA

Sajdeya, Ruba, et al. "Practice Patterns and Training Needs Among Physicians Certifying Patients for Medical Marijuana in Florida.." Journal of primary care & community health, 2021. https://doi.org/10.1177/21501327211042790

RethinkTHC

RethinkTHC Research Database. "Practice Patterns and Training Needs Among Physicians Certif..." RTHC-03485. Retrieved from https://rethinkthc.com/research/sajdeya-2021-practice-patterns-and-training

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.