BACKGROUND 
While reviewing the current state of literature on marijuana, specifically that of physician perspectives, it became evident that there is a need for standardization regarding best practice of marijuana patient health education and method of care. With the recent legalization of marijuana for recreational use across several states, including California, the awareness of the impact on patients enduring a treatment plan of any kind is more critical than ever. It puts into question the authority of the Food and Drug Administration and raises concerns about the composition of the marijuana being consumed. The full effect of marijuana on patients undergoing chemotherapy remains ambiguous. In the midst of uncertain effects of marijuana on their patients, a fundamental role must be discussed- the role of individual physicians in the care of their patients. This study aims to identify perspectives of marijuana use among multiple specialties of physicians. 

METHODS 
Two focus groups composed of 3 physicians each from varying specialties were conducted prior to the electronic survey dissemination. An electronic 25 question survey, based on literature review and focus group data, was created. The survey questions inquired about the physician’s knowledge of marijuana; their impression of patient marijuana usage; and their clinical dissemination of information to patients about marijuana use. A bivariate analysis was utilized to identify a disparity among the physicians that agreed on the legalization of marijuana.

RESULTS
Residents, fellows and attending physicians within USC Medical Group were emailed this survey and given a two-week response time. 128 responses were received electronically, with nearly 50% being under the age of 35. Respondents varied in 20 different specialties. Approximately 62% agreed with the legalization of marijuana, but only 9% strongly agreed that they were well-versed in the side-effects of marijuana use. 30% agreed with immunocompromised patients utilizing marijuana in any form. 80% of physicians agreed that physicians should have formal training before recommending marijuana. An unexpected finding depicted that 74% of respondents viewed yoga/meditation as a preferred alternative to marijuana.

CONCLUSION 
The perspective of such a wide arena of physicians across two major hospitals is extremely helpful in assessing the gaps of care when it comes to marijuana use among patients. The results of this study further lends to the need for creating health education standards regarding marijuana usage; and depicts a need for further research on this topic. It is imperative that a standardized method of care, delivery, health education and safety are provided to patients considering, or engaging, in marijuana use.

06 - PHYSICIANS PERSPECTIVES ON MARIJUANA USAGE