Dialogue Magazine

Volume 14, Issue 2, 2018

Continuity of Care – Feedback Wanted; The Protecting Patients Act – New Changes in Force; New Reporting Requirements to Enhance Road Safety; Methadone Exemption Lifted, Expectations Remain; Training Requirements for Assessing Sex Reassignment Surgery; Opioid Wisely; Legalization of Recreational Cannabis

Jun 25, 2018

In the most recent print issue of Dialogue (Volume 14, Issue 2, 2018), we have an article about the Immunization of School Pupils Act (ISPA). The article states that starting July 1, 2018, regulatory amendments under the ISPA will require health care providers in Ontario to report to the local medical officer of health immunizations administered to all children for the designated diseases specified in the ISPA. After the magazine went to press, the Premier-Designate, Doug Ford, decided to pause the implementation of the reporting requirement for immunizations. The article has been removed from our online publication, but it is still included in the print version.

Full edition available here

Features

Continuity of Care – Feedback Wanted

The College has several policies related to continuity of care now out for consultation and we want to know what you think. While continuity of care is a broad concept that could include a number of issues, we have prioritized four key areas: Availability and Coverage; Managing Tests; Transitions in Care; and Walk-in Clinics.

The Protecting Patients Act – New Changes in Force

On May 1, 2018, a number of amendments to the Regulated Health Professions Act were brought into force. Also, three sets of regulations were enacted. In particular, physicians should be aware of the definition of a patient as it pertains to sexual abuse allegations.

New Reporting Requirements to Enhance Road Safety

The medical reporting requirements in the Highway Traffic Act have been strengthened to clarify which conditions health-care practitioners are required to report.

Methadone Exemption Lifted, Expectations Remain

Methadone prescribers no longer require a federal exemption to prescribe methadone. But given the safety risk that methadone represents if not prescribed appropriately, the College will continue to have expectations for physicians who wish to enter this area of practice.

Training Requirements for Assessing Sex Reassignment Surgery

Physicians are reminded that they must have the appropriate training in WPATH standards of care in order to assess patients for sex reassignment surgery.

Opioid Wisely

Choosing Wisely Canada has launched a campaign to raise awareness around the importance of clinician-patient  conversations to reduce harms associated with opioid prescribing.

Legalization of Recreational Cannabis

As of October 17, Canadians will be able to consume marijuana recreationally without criminal penalties. Given this change, the prevalence of use may increase, and patients may be more open to sharing information about their use with healthcare
professionals.