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The College has undertaken a review of the following three policies to assess whether they continue to be useful to physicians and members of the public, to identify whether there are other resources that more effectively guide physicians and members of the public on these topics, and to determine whether there is value in the College continuing to provide guidance on these issues;
- Anabolic Steroids, Substances, and Methods Prohibited in Sport;
- Fetal Ultrasound for Non-Medical Reasons; and
- Female Genital Cutting (Mutilation)
Following careful consideration, the Council of the College has voted to rescind the following two policies:
1. Anabolic Steroids, Substances, and Methods Prohibited in Sport
- This policy set out expectations for physicians regarding the use of anabolic steroids and other substances and methods for the purpose of performance enhancement in sport.
- Given that the College’s Prescribing Drugs policy sets our expectations that apply to prescribing all drugs Council determined that the guidance and expectations set out the Anabolic Steroids, Substances, and Methods Prohibited in Sport policy was unnecessary.
2. Fetal Ultrasound for Non-Medical Reasons
- The policy required that physicians order and conduct diagnostic fetal ultrasounds for appropriate clinical indications, in accordance with relevant statements and guidelines.
- In light of clear statements regarding the inappropriate use of ultrasound from Health Canada and other organizations (the Canadian Association of Radiologists, and the Society of Obstetricians and Gynecologists of Canada), Council decided the policy was no longer necessary.
The Council voted to retain the following policy
3. Female Genital Cutting (Mutilation)
- This policy set out physicians’ obligations with respect to female genital cutting (mutilation).
- Council decided to retain the Female Genital Cutting (Mutilation) policy as a clear statement of the professional expectations on practices which violate the human rights of women and girls.
We would like to thank all those who submitted their feedback and contributed to this policy review. All comments were carefully considered in light of current practice issues, the values and duties of medical professionalism, and the College’s mandate to serve in the public interest.