States vary in how much training they mandate for budtenders who help patients select their medical marijuana products. The result: a messy landscape of spotty patient-physician communication, inaccurate medical records and unknowns about health benefits
Even as public opinion shifts, states have adopted a variety of regulatory approaches. Some are strict. For instance, in Minnesota, only a licensed pharmacist can suggest products at retail locations; in Pennsylvania, it must be a pharmacist or other licensed medical professional at the dispensary. Maryland lets budtenders give general information about medical cannabis, but only physicians, pharmacists or nurse practitioners employed by the shops can provide more specific advice.
Yet many physicians, while wary of the dispensaries, steer clear of talking to their patients about a substance they believe is still inadequately tested and that they worry comes with political, legal and ethical landmines. Even physicians who are generally on board with cannabis are divided over how much advice they should be giving, at least until there are more widely accepted prescribing guidelines.
Mintz used to send those patients to dispensaries for advice on products and doses to try. But as a physician, he said, that bothered him. “I don’t say, 'Hey, Mr. Jones, you have [high] cholesterol, go to CVS and ask the pharmacist what to take.'” So, he started learning more about medical marijuana and writing down his own recommendations for the patients to take to a dispensary.
dispensaries can also set up their own programs, since they can’t turn to the federal government to regulate professional education about a product that’s still illegal. She found a doctor who spent about five minutes with her, at a cost of $45, and certified her for a card. At a dispensary, Tessa found a budtender who also suffered from endometriosis — and Tessa said her recommendations helped tremendously.
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