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James Rotchford, MD, Preventive Medicine, Port Townsend, WA

JamesKRotchfordMDMPH

Preventive Medicine • Port Townsend, WA

Public Health & General Preventive Medicine, Addiction Medicine

Medical Director, F.A.C.P.M, F.A.A.M.A., D.B.A.M., D.A.A.P.M.

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  • Office

    800 W Park Ave Ste 4
    Port Townsend, WA 98368
    Phone+1 360-531-0963
    Fax+1 360-379-1441

Summary

  • In Medicine, assuring the best outcomes for patients and their communities must take priority over administrative, regulatory, and profit concerns.

    Limiting the implicit biases toward alĺ forms of mental illnesses including substance use disorders needs to be a priority.

    How we pay for and incentivize clinical care is dysfunctional and helps explain why we have arguably the worst outcomes of any country as it relates to cost effective outcomes, let alone our relatively poor outcomes. We must as a profession recognize the significance of social determinants as predictors of health outcomes.

    Third party influence on clinical care must be less. Good medical care is always individualized and contextual variables are not efficiently addressed by third parties especially when they have no accountability for poor outcomes and may sometimes even deny standards of care. Healthy authority implies accountability. The accountability for poor outcomes by third parties is sorely lacking. The limited accountability that exists is primarily financial and that is not adequate if trust is to be furthered. Without trust, cost-effective outcomes are compromised.

    If someone wants to hire me I have inordinate expertise and outcomes related to managing opioid use disorders and comorbid conditions in an outpatient setting. I am interested in leveraging this expertise.

    I naturally reason abductively and recognize system problems better than most and am most passionate about improving them.

Education & Training

  • University of Washington
    University of WashingtonResidency, Occupational and Environmental Medicine, 1984 - 1990
  • UW School of Public Health
    UW School of Public HealthMPH, Preventive Medicine Residency, 1990
  • McGill University Faculty Medicine Hospital
    McGill University Faculty Medicine HospitalTransitional Year, 1980 - 1981
  • University of Washington School of Medicine
    University of Washington School of MedicineClass of 1980
  • University of Washington
    University of WashingtonBA, French Literature, 1973

Certifications & Licensure

  • WA State Medical License
    WA State Medical License 1981 - 2025
  • American Board of Preventive Medicine Public Health & General Preventive Medicine
  • American Board of Preventive Medicine Addiction Medicine
  • Academy of Integrative Pain ManagementDiplomate of the American Academy of Pain Management
  • American Society of Addiction MedicineAmerican Board of Addiction Medicine

Awards, Honors, & Recognition

  • Meaningful Use Stage 1 Certification Centers for Medicare & Medicaid Services, 2012
  • Heart of Service Award Jefferson County, 2009

Publications & Presentations

PubMed

Journal Articles

  • An Informal Review of Opioid Dependence (Addiction) Associated with Chronic OpioidAnalgesic Therapy (COAT) for Chronic Pain  
    Rotchford, JK, Journal ADIKTOLOGIE, 1/1/2015
  • Case History/Letter: Complex Pain Patient who is Opioid Dependent  
    Rotchford, JK, Pain Practitioner, 1/1/2013
  • Acupartner professional 2008  
    Rotchford, J. K., Medical Acupuncture, 1/1/2008
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Books/Book Chapters

  • Complementary and Alternative Medicine for Older Adults 
    Chapter: Medical Acupuncture 
    Page 161.0 - 173.0Rotchford JKSpringer Publishing, New York, NY2006
  • Advanced Therapy in Hypertension and Vascular Disease 
    Chapter: Hypertension and Acupuncture 
    Page 712.0 - 718.0Rotchford JKB. C. Decker Inc., Hamilton, Ontario2006

Abstracts/Posters

  • Failure to Diagnose Opioid Dependence in Patients on Chronic Opioid Therapy (COT) for Pain
    Rotchford, JK, Fall 2013 AAAP Annual Meeting, 1/1/2013

Lectures

  • Failure to Diagnose Opioid Addiction in Pain patients 
    St. Charles University, Prague, CZ - 1/1/2015
  • Chronic Pain and Problematic Opioid Use 
    Spokane, WA - 1/1/2009
  • Viable Clinical Model for Treating Patients with Chronic Pain and Addiction 
    Las Vegas - 1/1/2007
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Other

  • How we Feel does Matter 
    Rotchford, JK, Port Townsend Leader
    1/1/2012
  • More is Less 
    Rotchford, JK, Port Townsend Leader
    1/1/2012
  • Research in Acupuncture: An Oxymoron? 
    Rotchford JK, Acupuncture Today
    http://www.acupuncturetoday.com/archives2003/mar/03medical.html
    1/1/2003
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Professional Memberships

Other Languages

  • French

External Links

Dr. James Rotchford, Dr. James Rotchford, MD, Dr. J Rotchford, Dr. James K Rotchford