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Standard

Medical Records

Professional Standard Regarding Medical Records Preamble The primary purpose of the medical record is to enable all health care providers to provide quality health care to their patients. The medical record contributes to the quality, continuity and assessment of patient care. Complete and accurate medical records are those that meet all legal, regulatory and auditing requirements. Medical records are legal documents providing evidence of the health care provided to a patient. Medical records can be reviewed as part of a regulatory, civil, criminal or administrative proceeding. The requirements in this standard apply equally to both paper-based records and records in electronic format. Professional Standard The medical record must reflect all care provided. 1. Content [...]

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 [...]

Walk-in Clinics – Standard of Care

Professional Standard on the Standard of Care for Walk-in Clinics Preamble The standard of care for patients by physicians does not vary with the location of clinical care. Patients are entitled to receive care of the same appropriate and professional standard at a walk-in clinic as they would receive elsewhere. Professional Standard At minimum physicians working in walk-in-clinics must: Ensure that a patient file is maintained and that a system for registering and recording patient visits is maintained over time; Ensure that they follow-up on investigations they have ordered, unless other physicians involved in the patient’s care have been informed and have explicitly agreed to assume this responsibility. Any [...]

Physician Co-operation with the College

Professional Standard Regarding Physician Co-operation with the College Preamble The medical profession in Nova Scotia enjoys the privilege of professional self-regulation under the Nova Scotia Medical Act. To function properly and meet its mandate, the College depends on the support and cooperation of its members in a number of areas. The Canadian Medical Association Code of Ethics describes these under Responsibilities to the Profession: Recognize that the self-regulation of the profession is a privilege and that each physician has a continuing responsibility to merit this privilege and to support its institutions. Avoid impugning the reputation of colleagues for personal motives; however, report to the appropriate authority any unprofessional conduct by colleagues.

Postgraduate Medical Education – Professional Responsibilities

Professional Standard Regarding Professional Responsibilities in Postgraduate Medical Education Introduction The delivery of postgraduate medical education in Nova Scotia has significantly evolved over time. Today training occurs in a variety of environments – teaching sites are not limited to traditional teaching hospitals, but also extend to community settings, such as physicians’ private practices. Also, training relies on a team-based approach to care, involving the provision of comprehensive health services to patients by multiple health-care professionals. There are no longer exclusive domains of practice; rather, care is delivered through multidisciplinary teams. This collaborative, team-based approach promotes optimal health care for patients. In order to ensure both an appropriate educational experience for trainees and a safe and effective delivery [...]

Undergraduate Medical Education – Professional Responsibilities

Professional Standard Regarding Professional Responsibilities in Undergraduate Medical Education Introduction The delivery of undergraduate medical education in Nova Scotia has significantly evolved over time. Today education occurs in a variety of environments – teaching sites are not limited to traditional teaching hospitals but also extend to community settings such as community hospitals, interdisciplinary clinics, and physicians’ private practices. Also, education relies on a team-based approach to care, involving the provision of comprehensive health services to patients by multiple health-care professionals. There are no longer exclusive domains of physician practice; rather, care is delivered through multidisciplinary teams. This collaborative, team-based approach promotes optimal health care for patients and learning opportunities for students. As part of the training endeavour, [...]

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 [...]

Cosmetic Procedures in Nova Scotia – Qualifications Required to Perform

Professional Standard on Qualifications Required to Perform Certain Cosmetic Procedures in Nova Scotia Introduction Recent tragic events in Canada and other parts of the world have highlighted the need for high levels of training and experience among physicians who undertake cosmetic procedures. In keeping with its public protection mandate, the College of Physicians and Surgeons of Nova Scotia has surveyed several experts in the field and has produced the following list of cosmetic procedures whose degree of risk warrants that they be performed only by highly trained and experienced specialist physicians working within the scope of practice of their specialty. Qualifications and Procedures Only physicians who are listed on the speciality register [...]

Prescribing in the Absence of Direct Patient Contact

Professional Standard on Prescribing in the Absence of Direct Patient Contact Professional Standard Prescribing medication is a medical act. It is the result of a clinical decision made by a physician based on an evaluation of the patient by that same physician. This evaluation should be based on an encounter with the patient that includes an appropriate clinical assessment. The patient record should clearly describe the assessment and the diagnosis that led to the prescription. When physicians are part of a group practice or a call group, they may choose to accept a previous patient evaluation by an associate as the basis for further prescribing.  However, in such situations, each physician remains responsible and accountable for [...]

Certification of Death – Physician Obligations

Professional Standard on Physician Obligations Regarding Certification of Death Background: The Importance of the Medical Certificate of Death A completed Medical Certificate of Death is a permanent legal record of the death of an individual. It records the personal information about the deceased and the details of the circumstances of death that are legally required to issue a burial permit and to settle the estate, insurance, and pensions.  A completed Medical Certificate of Death is required before visitation and funeral arrangements can be finalized and before funeral directors can prepare the remains of the deceased. Death registration forms, specifically the Medical Certificate of Death, are also the source of mortality statistics. These statistics form the basis [...]