"As time grows scarcer and the rewards leaner, being an excellent physician while managing one’s life outside of the office has become increasingly challenging. Given these pressures and demands coming from so many quarters, some adult primary care physicians may not possess enough time or the requisite emotional fortitude to fully explore non-opioid alternatives when, for example, a patient with chronic lower back pain reports that 80 mg of oxycodone (Oxycontin) per day has allowed him to continue working and providing for his family. Scenarios like this raise the possibility that physician burnout may be playing a role in the opioid epidemic."
"Combining patient education about the benefits of opioid reduction with a plan that reduces opioids more slowly than current tapering algorithms5 with close clinician follow-up may help patients engage and succeed in voluntary outpatient tapering."
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