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VOLUME 63, NUMBER 1 Addiction Medicine Spring 2012 EDITOR IN CHIEF Raed Assar, MD (Chair) MANAGING EDITOR Leora Legacy ASSOCIATE EDITORS Abubakr Bajwa, MD Steven Cuffe, MD Ruple Galani, MD Kathy Harris (Alliance) Sunil Joshi, MD (Vice Chair) James Joyce, MD Daniel Kantor, MD Neel Karnani, MD Mobeen Rathore, MD James St. George, MD
Executive Vice President Bryan Campbell DCMS FOUNDATION BOARD OF DIRECTORS Benjamin Moore, MD, President Todd L. Sack, MD, Vice President Kay M. Mitchell, MD, Secretary J. Eugene Glenn, MD, Treasurer Guy I. Benrubi, MD, Immediate Past President Bouli Amoli, MD, Resident Raed Assar, MD Ashley Booth Norse, MD Elizabeth Burns, MD J. Bracken Burns, DO Kelli Deese, MD, Resident Malcolm T. Foster, Jr., MD Ruple Galani, MD Jeffrey M. Harris, MD LCDR James Hodges, MC, USN, Resident Mark L. Hudak, MD TraChella Johnson, MD Sunil N. Joshi, MD James Joyce, MD Daniel Kantor, MD Neel G. Karnani, MD Harry M. Koslowski, MD Eli N. Lerner, MD Stephen Mandia, MD Jesse P. McRae, MD Jason D. Meier, MD Nitesh N. Paryani, MD, Resident Nathan P. Newman, MD Mobeen H. Rathore, MD Sanjay Swami, MD David L. Wood, MD Northeast Florida Medicine is published by the DCMS Foundation, Jacksonville, Florida, on behalf of the County Medical Societies of Duval, Clay, Nassau, Putnam, and St. Johns. Except for official announcements from the County Medical Societies, no material or advertisements published in NEFM are to be seen as representing the policy or views of the DCMS Foundation or its colleague Medical Societies. All advertising is subject to acceptance by the Editor in Chief. Address correspondence and advertising to: 555 Bishopgate Lane, Jacksonville, FL 32204 (904-355-6561), or email: llegacy@dcmsonline.org. COVER: "Breaking the Addiction Chain". Concept developed by Ms. Marigrace Doran, DCMS Webmaster.
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Northeast Florida Medicine
Features
12
Addiction: None are Immune
13
Addiction for the Non-Behavioral Health Physician: Identification and Office-Based Strategies for Management
Raymond M. Pomm, MD, Guest Editor
Raymond M. Pomm, MD
18
Addiction Treatment Under Managed Care
22
The Physician's Approach to Substance Use in Adolescents
28
Methadone Treatment in Pregnancy...That Can't Be Right, Can It?
Jason Jerry, MD and Gregory B. Collins, MD
Jason B. Fields, MD and Scott A. Teitelbaum, MD
Stacy Seikel, MD
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Nonpharmacologic Strategies for Treating the Addicted Patient in an Office-Based Setting: Motivational Interviewing
Heidi A. Pomm, PhD
Special Articles
8
Leadership Beyond the Exam Room
9
DCMS EVP Introduction - Bryan Campbell
Daniel Kantor, MD, Young Leadership Award Recipient
Insert Domestic Violence Update (CME)
Nancy Motherway, LCSW; Margaret Ghee, LMHC and Raymond M. Pomm, MD
42-44 DCMS Annual Meeting
Departments
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From the Editor’s Desk From the President’s Desk DCMS History Book Order Form Residents' Corner Trends in Public Health
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Northeast Florida Medicine Vol. 63, No. 1 2012 3