• Michael Redinger, Nicole Fledderman, and Parker Crutchfield.
• From the Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI. Michael.redinger@med.wmich.edu.
• J Am Board Fam Med. 2020 Jan 1; 33 (1): 147-151.

AbstractAn increasing number of states are legalizing marijuana use for medicinal purposes despite marijuana use remaining criminalized at the federal level and continued Schedule I status by the US Food and Drug Administration. Many of those states in which medical marijuana is legal require physician involvement to facilitate patient access. In addition, physicians may have ethical objections to medical marijuana use or may not believe there is adequate scientific evidence to support its use. The constellation of these factors creates an ethical quandary for physicians when approached by patients for assistance in accessing medical marijuana. This article provides an ethical framework that provides guidance to physicians in managing these patient requests taking into consideration the above ethically relevant factors.© Copyright 2020 by the American Board of Family Medicine.

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