Given the public health directives in response to the recent increase in COVID cases, licensed physicians may be asked by their Health Authority to contribute to the pandemic response in ways outside their normal scope of practice. The College wishes to reassure physicians its support of this measure.
When deployed by a Health Authority to support the pandemic response, the College will not hold physicians to practice within a scope strictly consistent with recent training and experience.
This approach applies to Physicians privileged and working under the direction of NSH, the IWK (inpatient or outpatient settings), and/or the Chief Medical Officer of Health’s office. This may include, but is not limited to, work within COVID-19 primary assessment centres, case tracing and monitoring, provision of vaccinations, and COVID-19 testing as deployed by the health authorities.
To restate: if you are deployed by your Health Authority to work outside your normal scope of practice, be advised you will not face disciplinary measures from the College for practising outside your scope of practice.
Retired physicians within three years of practice may be eligible for an Emergency Licence. The College is working closely with Nova Scotia Health to license those retired physicians wishing to assist in the COVID-19 immunization efforts. There is no fee for this emergency licensure. A streamlined process is in place to quickly issue such licences.
Physicians who are interested in supporting immunization clinics have been asked by Nova Scotia Health to complete please complete the Covid-19 immunization intake form.
The Medical Council of Canada has provided a backgrounder addressing questions regarding the MCCQE Part II.
Medical Council of Canada Qualifying Examination Part II: MCC backgrounder.
The College has instituted a new policy in recognition of the postponement of the Medical Council of Canada’s Qualifying Examinations Part II. As a result of this exam delay, a number of physicians are unable to meet the requirements of obtaining LMCC for Full licensure.
The College’s Pandemic-Related Exceptions to the Requirement for the MCCQE Part II Policy allows exceptions for those who were affected by the postponement of this qualifying examination. Review the new policy.
Currently, Nova Scotia is the only province with such an exemption and therefore we encourage postgraduate trainees to continue to challenge the MCCQE Part II as it becomes available so as not to limit their licensing options throughout Canada.
This Fall in Nova Scotia we have not experienced the significant number of COVID-19 cases as elsewhere in Canada.
Physicians across the province are playing key leadership roles in safely caring for patients during the pandemic. The College expects that physicians in all practice settings adhere to the direction provided by public health regarding safety protocols and to clinical guidelines developed by health professionals.
We are truly grateful to patients and physicians who continue to take all measures necessary to protect the health of Nova Scotians.
On October 2, 2020, Dalhousie’s Faculty of Medicine and the MacEachen Institute for Public Policy and Governance (MIPP) hosted a roundtable at which 27 people met online to discuss what went well and what lessons were identified from the health sector’s response to COVID-19. Participants included senior representatives from both the public health and healthcare systems of New Brunswick and Nova Scotia, as well as academics. Most of the participants were from Nova Scotia, which was the focus of most of the discussion.
The briefing note starts by highlighting selected observations that were drawn from these discussions, and summarize the goals and methods and the discussions that took place at the session.
Read the briefing note: COVID-19: Leaders from the Health Community Identify Lessons from the First Wave and Concerns for the Second
Health care workers are required to complete the daily self-screening using the Active Monitoring Tool available on the COVID-19 Hub. Any health care worker who develops symptoms compatible with COVID-19 is directed to NOT report to work and to contact Occupational Health Safety and Wellness at 1-833-750-0632 for screening. Managers and clinical leaders will strictly enforce this requirement.
COVID-19 symptoms include:
- Fever (chills, sweats)
- Cough (New/Worsening)
- Sore Throat
- Runny Nose/ Nasal Congestion
- Shortness of Breath
- Unexplained headache
The MCC’s cancellation of the October sitting of the MCCQE II has impacted physicians across the country. We recognize the concerns of postgraduate trainees, newly graduated postgraduate trainees and physicians on a Defined licence who all are required to obtain the MCCQE II. We understand the challenges and ramifications of this examination postponement. Those physicians impacted are assured of ongoing licensure and the ability to practise in Nova Scotia.
We have heard issues raised regarding logistical challenges as well as questions regarding the relevance of the MCCQE II. The cancellation and its impact on physicians have prompted the College to review the MCCQE II as it relates to licensing. This review is being undertaken in a thorough and expedited manner. Addressing these issues is a priority for the College.
The College will be providing updates as soon as available.
Due to the COVID-19 pandemic, many physicians discontinued or reduced many in-person non-essential and elective medical services and made practice accommodations to ensure patients received safe and timely care.
The flexibility and commitment of physicians during the COVID-19 pandemic has been critical in managing this public health emergency. The College thanks all physicians for their efforts in providing care using digital technology and limiting face-to-face contact to only urgent issues requiring physical examination of the patient.
The College is evoking measures available under the Medical Act, to ensure graduating PGTs receive licensure. The College has made every effort to align with legislated requirements while minimizing the impact on PGTs in this extraordinary time. This includes waiving fees for supervision, instituting basic minimal supervision, and waiving fees associated with the review of qualifications.