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Guideline

Ending the Physician-Patient Relationship

Professional Standard and Guidelines for Ending the Physician-Patient Relationship Preamble The physician-patient relationship is unique and depends upon trust and confidence between the parties for the provision of care. Physicians are entitled to end the physician-patient relationship under certain circumstances. Each situation is ultimately fact-specific. Physicians are expected to apply good clinical judgment and compassion in each case to determine the most appropriate course of action. The document intends to clarify what is expected of physicians when ending a physician-patient relationship in circumstances other than the physicians’ retirement, relocation, leave of absence or disciplinary action. Physicians are required to abide by all relevant Human Rights legislation. Principles Physicians have [...]

Reporting Requirements for Nova Scotia Physicians

Guidelines Regarding Reporting Requirements for Nova Scotia Physicians Preamble Physicians are responsible to report in many clinical and professional situations. Listed below are hyperlinks to statutes that outline the physician’s responsibilities. This document does not represent a full list of information physicians may be expected to report in accordance with institutional, hospital policies or programs. Physicians are encouraged to seek independent legal advice if they find themselves in a situation of potential compromise. Index of Relevant Legislation and Associated Sections This policy applies to all physicians when accepting new patients at any point during their practice. Reporting of Suspected Abuse - Adults

Retiring Physicians Regarding Licensing and Notification

Guidelines for Retiring Physicians Regarding Licensing and Notification Preamble This document applies to physicians who close their clinical practice or a portion of their clinical practice. Please note that non-clinical work, committee service and other activities in which a physician may be called upon to provide a professional opinion, may require a medical licence and liability coverage. Physicians are encouraged to contact the Canadian Medical Protective Association (CMPA) in this regard. Guidelines Contacting the College before Retirement Physicians are responsible for notifying the College of Physicians and Surgeons of Nova Scotia in writing of their intention to retire. Physicians who do not notify the College of their intentions [...]

Complementary and Alternative Therapies

Professional Standard and Guidelines on Complementary and Alternative Therapies Preamble By and large, physicians are trusted by their patients and the public. The opinions and utterances of physicians hold weight and carry the authority of being backed by science. As such, whenever a physician works in a controversial field, that physician must take pains to disclose the known from the unknown, the evidence from the theory, so as not to unduly rely on the credibility generally extended to physicians solely by virtue of their training or title. Definition For the purposes of this professional standard and guidelines, the following definition of complementary and alternative therapies is used: Those forms of treatment which are [...]

Completing Patient Forms

Guidelines for Completing Patient Forms Guidelines The College considers the accurate and timely completion of necessary patient forms to be an essential aspect of good patient care. Physicians should develop and implement a consistent approach to completing patient forms.  Patients should be made aware in advance of the following: Fees for completing forms (in situations where form completion is not an insured service). Fees should be reasonable, consistent, and reflect the time required to complete the form.  For further information about billing for non-insured services, consult the Doctors Nova Scotia website links below.  Note that the College does not set or specify fees for non-insured services. How long it will take to [...]

One Problem per Visit Policies

Guidelines Regarding "One Problem per Visit" Policies Preamble The College of Physicians and Surgeons of Nova Scotia recognizes that unexpected demands on physicians' time can place burdens on practice schedules that are typically very tight. It is nevertheless essential that physicians respond appropriately to the needs of patients who present with multiple questions or problems. The College therefore encourages its members to be familiar with and to observe the following guidelines. Guidelines Avoid an inflexible “one problem per visit” policy. Be prepared to deal with additional problems or questions if necessary. Factors to take into account are the patient's age, degree of infirmity, intellectual sophistication, and the distance from their home to [...]

Provision of Care by Physicians after Hours or During Short-Term Absences

Guidelines on the Provision of Care by Physicians after Hours or During Short-Term Absences Preamble Physicians have an obligation to assist or direct patients to care when their offices are closed or when they are unavailable.  This obligation is ordinarily met by participating in on-call coverage, and/or providing information to patients on where care is available in their absence.  The College therefore encourages its members to be familiar with and to observe the following guidelines. Guidelines These guidelines apply to all physicians when accepting new patients at any point during their practice. Physicians are strongly encouraged to participate in an after-hours call or coverage schedule, allowing for the provision of urgent [...]

Vaccine Storage and Handling

Guidelines for Vaccine Storage and Handling Background The following documents are publications of the Nova Scotia Department of Health and Wellness that have been endorsed by the College of Physicians and Surgeons of Nova Scotia: Vaccine Storage and Handling Guidelines for Physicians Nova Scotia Immunization Manual   Document History Endorsed by the Council of the College of Physicians and Surgeons of Nova Scotia: March 23, 2012 Approximate date of next review: March 2017