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We need a longer than 2 years absence and we need what courses and educational updates indulged in,,we need a Peer review like assesment not a Board exam and situationally applied but appropriately .We need Asses to represent DIVERSITY,No MONO ETHNICITY!!
I think the original policy of 3 years absence/re-entry should remain.
Clarification should be made if someone returns to practice but subsequently returns to a sick status (totalling less than 2 years; how should this be approached?
Alternatives to monitoring by a colleague and practice assessment should be considered. Public safety can be addressed without the degree of intrusiveness suggested re this degree of intervention. For example, a comprehensive review course plus peer review may be appropriate.
The Royal College of Physicians and Surgeons determines the ability to practice in a specialty. This should apply, regardless of whether it is a new physician, a physician trained abroad or a physician changing scope of practice. The RCPSC is well equipped to assess competence for a new skill set. The CPSO provides expertise in assessment for practicing physicians. Allowing a change in scope of practice without a formal examination process may allow for individuals who were not acceptable to the specialty to practice. This would be without formal training or testing. When no RCPSC training exists, this may be the only option. When a residency exists and the scope of practice matches the residency program, the CPSO should endeavour to ensure competence by working with the RCPSC. The CPSO should insist that formal residency programs be used for teaching and RCPSC exams be used to assess competence for all doctors. Physicians personal needs change and practices will need to adapt, but it doesn’t mean that this is always good for patient care.
2) Physicians in part-time practice (physicians who have practised less than six months in the preceding five-year period) are no longer captured by the policy. As I work only two days a month as an OR assistant, does this exclude me from CME requirements? The job never entails any contact with the “awake” patient. So many questions with no answers or direction.
I am writing in regards to the consultations regarding change in scope of practice.
I do not think it is the intention of the policy to have a physican notify the college of a reduction in the scope in practice, although this could be considered a significant change in scope of practice.
i.e. if a family doctor decided to stop doing obstetrics.
I believe the policy should be explicit in excluding a reduction in scope of practice from its change in scope in practice.
Thank you for this opportunity to provide feedback.