Volume 5 | No. 2 | March / April 2017

Twenty-first century challenges: informing medical practice in an era of increasing complexity and rising expectations

Don’t miss out on this year’s Education Day on September 29, 2017 where colleagues will gather to discuss the balance between the need to acquire a deep understanding of complex issues in a context of relentless time pressures, and a yearning for perfection on the part of patients and providers alike.

An important update on Mifegymiso

Further to an article on Mifegymiso in the November/December 2016 issue of the College Connector, the manufacturer of this drug, in conjunction with the Society of Obstetricians and Gynaecologists of Canada, the College of Family Physicians of Canada, and the Canadian Pharmacists Association has developed two online training modules on the use of Mifegymiso for medical abortions. One of the modules is accredited and has a nominal cost; the other is free to access but is not accredited. The College expects physicians who wish to prescribe Mifegymiso to have sufficient training and recent experience in the provision of medical abortions, and specifically for the use of this two-drug combination.

Legal matters

The College has recently investigated several matters involving registrants’ failing to provide truthful and accurate information in their applications for hospital privileges or for registration with the College.

Notification from Health Canada on temporary authorizations to prescribe methadone to inpatients in hospital

Effective March 17, 2017, Health Canada’s Office of Controlled Substances (OCS) no longer requires practitioners to obtain a temporary methadone section 56 exemption in order to continue the treatment of a patient who was admitted to a hospital and was already on methadone prior to admission.

New process for overdue outstanding mandatory requirements

The Diagnostic Accreditation Program (DAP) will be implementing a new process to manage overdue outstanding mandatory requirements (OMRs). Overdue OMRs occur when a facility has missed the deadline for providing the DAP with evidence of implementation or a plan of action for addressing OMRs. Currently, overdue OMRs are managed on a case-by-case basis. Starting April 1, 2017, the DAP will implement a new and more systematic process for handling overdue OMRs.

Important updates being made to program bylaws will affect many registrants

In 2016, the College Board set out a strategic direction for the revision of the Non-Hospital Medical and Surgical Facilities Program Bylaws. The focus of the revisions to the Bylaws include: strengthening the role of the facility medical directors, enhancing privileging and credentialing, separating the accreditation of new and existing facilities and increasing public access to information.

Toxic anterior segment syndrome (TASS) outbreak

The College recently advised all medical directors and ophthalmologists with privileges to perform cataract surgery in a non-hospital facility of a recent outbreak of toxic anterior segment syndrome (TASS) reported by a non-hospital facility following cataract surgery. These reported cases followed other reported cases of TASS in recent months from hospitals in Quebec, Ontario and British Columbia.

Safety incident reviews: sharing learning

The Non-Hospital Medical and Surgical Facilities Program Patient Safety Incident Review Panel recently reviewed three incidents reports of post-operative respiratory depression/desaturation in the post-anesthesia care area (PACU) following shoulder surgery. The following information and recommendations are being shared with all facilities in the spirit of learning and improving patient safety.

Articles (and more) delivered quickly

Do you need a copy of an article? Perhaps you read the recent Guardian news report on ibuprofen and elevated risk of cardiac arrest and you want to read the original research report. Maybe a colleague mentioned a recent article on doxycycline as an initial treatment for bullous pemphigoid but you don’t know where it is published. Perhaps you have searched on the web but hit a wall. The College library can find almost any article very quickly, and typically at no cost.

New or updated professional standards and guidelines

The College develops Professional Standards and Guidelines to assist physicians in meeting high standards of medical practice and conduct. The topics addressed focus on specific issues that are relevant to the practice of medicine. Physicians are encouraged to become familiar with the College's Professional Standards and Guidelines, which are reviewed regularly and may be updated over time.

The College Connector is sent to every current registrant of the College. Decisions of the College on matters of standards and guidelines are contained in this publication. The College therefore assumes that each registrant is aware of these matters. Questions or comments about this publication should be directed to communications@cpsbc.ca.

To download a PDF version of this issue, please click here.