Medical Review Officer Online Course with Live Discussion (Includes Digital Syllabus)-06 14 2023 MRO Live Discussion

Video Transcription

Video Summary

The video is a recording of an MRO (Medical Review Officer) discussion, featuring Dr. Kent Peterson, Dr. Donna Smith, Dr. Michael Peet, and Christine Paciak from MROC (Medical Review Officer Certification Council). The discussion begins with a technical issue regarding a change in the usual format due to a system integration problem. The video then moves on to answer questions submitted by viewers.<br /><br />One question asks if benzodiazepine initial screens can produce false positives for all SSRIs, not just Sertraline. The answer is that benzodiazepine detection is complex, as there are many benzodiazepines and different cross-reactivities to SSRIs and other drugs. The MRO advises labs to complete a comprehensive benzodiazepine confirmation panel to confirm the presence of benzodiazepines and rule out other factors.<br /><br />Another question asks if there is a difference between forensic and clinical lab tests regarding substances not in the DOT panel. The answer is yes, as forensic labs have different review processes, quality control protocols, and chain of custody procedures compared to clinical labs, ensuring accurate and precise results for forensic testing.<br /><br />There is also a discussion about the validity of PETH (phosphatidyl ethanol) testing, which is used to detect alcohol consumption. The MROs explain that PETH testing is not typically used in workplace testing and is primarily used to determine abstinence from alcohol. While PETH testing has gained popularity, its interpretation should be cautious as there is no clear dose correlation or medical proof.<br /><br />Other topics discussed include the reclassification of marijuana in DOT testing, compensation rates for MROs, the downgrading of a DOT positive to a non-DOT result, and the protocols for shy bladder cases during urine testing.<br /><br />The video concludes with an announcement about the next MRO discussion, which will be held on July 12th.

Keywords

MRO

Medical Review Officer

benzodiazepine initial screens

SSRIs

comprehensive benzodiazepine confirmation panel

forensic lab tests

clinical lab tests

PETH testing

alcohol consumption

marijuana reclassification

DOT testing