Dialogue Magazine

Volume 13, Issue 2, 2017

Peer Assessment Evolves with New Tools; Drug Safety Expert Urges a Re-evaluation of Opioids; Opioid Strategy; New Guideline for Opioid Prescribing; Accepting New Patients; Ending the Physician-Patient Relationship; MAiD Protections; “Liberation” Therapy Debunked; Choosing Wisely; Patient Ombudsman Reflects on First Year

Jun 23, 2017

Full edition available here

Features

Peer Assessment Evolves with New Tools

New tools introduced as part of the College’s Peer Assessment Redesign have demystified the process by making the indicators of quality care and effective documentation much more apparent to physicians.

Drug Safety Expert Urges a Re-evaluation of Opioids

The medical profession must seriously re-evaluate the role and limitations of opioids in the management of chronic non-cancer pain if Canada has any hope of emerging from this current crisis, Dr. David Juurlink, a medical toxicologist, told Council.

Opioid Strategy

How can the College most effectively use its mandate to wage war on the opioid crisis? At its last meeting, Council committed to a wide-ranging strategy that puts patient and public safety at the forefront.

New Guideline for Opioid Prescribing

The new Canadian guideline for opioid therapy for chronic non-cancer pain takes a much more conservative approach to the prescribing of opioids. Specifically, it encourages using opioids as a treatment of last resort, and prescribing smaller doses.

Accepting New Patients

Introductory meetings — such as medical “meet and greet” appointments — and medical questionnaires are good ways to get to know your patient better, but they can’t be used to vet prospective patients, states an updated policy.

Ending the Physician-Patient Relationship

An updated policy provides more explicit guidance with respect to the circumstances in which it may be appropriate to end the physician-patient relationship, and the circumstances in which it is not.

MAiD Protections

Recently passed Ontario legislation will support the implementation of medical assistance in dying by providing protections for patients and their healthcare professionals.

“Liberation” Therapy Debunked

A study has found that the use of balloon vein dilation therapy in the treatment and management of patients with multiple sclerosis is neither safe nor efficacious.

Choosing Wisely

Choosing Wisely Canada’s report, called “Unnecessary Care in Canada”, presents data on eight tests and treatments spanning the health system.

Patient Ombudsman Reflects on First Year

As she reaches her first anniversary as Patient Ombudsman, Christine Elliott looks to advocate for fairness for Ontarians navigating the health-care system.