Delegation of Controlled Acts – General Consultation (Discussion Page) (CLOSED)
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I am a family doctor and the draft sounds reasonable to me.
This looks great. No specific concerns.
Please Change Emergency Room to Emergency Department – we have not been a “room” in a long time
Office of the Information and Privacy Commissioner of Ontario (IPC)
Response in PDF format.
This looks like a very reasonable policy. A physician assistant on our Acute Care Surgery (ACS) general surgery team has tremendously improved patient care and efficiency with no apparent patient safety concerns whatsoever. With increasing volumes, patient complexity, and documentation demands, delegating tasks to maximize physician effectiveness is crucial for our healthcare system.
This process is a good one. Asking for advice and comments can only help improve the interactions between patients and physicians.
No concerns. Reasonable.
In reading this policy I feel that there needs to be better delineation of what the standard is for the person for which we are delegating.
For instance, we now have: RNs, RPNs, NPs, PAs, and we have MDs that have not fully qualified – say completed their training as MD and passed MCCQE 1, or USMLE Steps 1&2.
Maybe I have missed the area where this would be covered, but I do not have a sense of what the CPSO considers reasonable for delegation.
For example. Maybe a Physician Assistant can perform supervised prescription renewals, do suturing a simple biopsy while the attending moves on to the next patient… but can an IMG who has completed initial exams, but failed to get a residency be allowed to do the same.
Skill sets are variable, and do not depend only on training. But there are many IMG grads who have not secured a position that I would much rather hire than a PA or nurse practitioner. I feel this should be addressed with some basic standard (ie, IMG from an accredited university, having completed the aforementioned qualification exams).
If this is found elsewhere, my apologies. However I still feel there should be more obvious reference to this issue in the document
weinject
Regarding cosmetic injections.
As a training facility and group who has implemented additional rules in our own processes for the protection of Doctors, Nurses and Clients.
As we mentioned in the questionnaire and via email the monetary restriction is cumbersome.
Plastic Surgeons and Doctors are overseeing nurse injectors for profit in Ontario. We request CPSO explore the option of legitimizing this practice and build additional rules and safety measures within the transaction process.
weinject will always discourage the industry wide practice of allowing nurse injectors to inject dermal filler in the nose and forehead area. As mentioned often plastic surgeons will not perform this risky procedure, why would we let an RPN without a Doctor on site? We will petition the CNO for tighter restrictions on some scope of practice by the end of 2020.
Thanks to the CPSO for the time and dedication it takes to keep policies current.
We are very happy to see an emphasis on training within the delegation. We are training doctors in cosmetic injections for months or years or however long it takes, in a controlled environment. If weinject put $ before safety we would generate much more money. We do not and monetary comes secondary to our intention which is to help better the cosmetic injection industry overall.
Thank-you for the opportunity
Ontario Trial Lawyers Association (OTLA)
Response in PDF format.
Professional Association of Residents of Ontario (PARO)
Response in PDF format.
Toronto Paramedic Services (TPS)
Response in PDF format.
Ontario Association of Paramedic Chiefs (OAPC)
Response in PDF format.
Ontario Medical Association (OMA)
Response in PDF format.
Canadian Medical Protective Association (CMPA)
Response in PDF format.
Ontario Homeopathic Medical Association (OHMA)
Response in PDF format.