Dialogue Volume 12 Issue 3 2016 | Page 8

from the registrar’s desk Upon receipt of this information, the College will consider the accuracy of the data, and the clinical context in which prescribing occurs, and will seek information from the prescribing physician in order to better understand and evaluate the prescribing. It is the College’s view that prescribing opioids under the right conditions is critical for good patient care. Our goal is to better understand the presence and level of risk for patients and to work with physicians to change practices where needed. Understanding and questioning prescribing practices is not intended to discourage appropriate opioid prescribing. In fact, refusing to prescribe opioids to patients who need them or suddenly ceasing to prescribe to patients currently on opioid therapy can have significant consequences for patient access and can even increase the risk of overdose. The goal, as I stated earlier, is to ensure that physicians have the tools they need to prescribe safely and with confidence. We take the issue of unsafe prescribing very seriously. If there is concern that a physician is not practising at the expected standard of practice, sanctions can range from restricting practice, requiring the completion of remediation or to the most serious outcome of revocation. In this issue of Dialogue, we have a number of articles devoted to different aspects of opioid prescribing, including interviews with two physicians who recently gave presentations here at the College. Finally, if you are not already familiar with our Prescribing Drugs policy, I encourage you to go on our website and read up on the helpful guidance available to you there. Thank you. MD We Want to Hear from You! Proposed Regulation Change: College Oversight of Fertility Services The College is proposing an amendment to sections of Ontario Regulation 114/94 which concerns the College’s Out-of-Hospital Premises Inspection Program. The amendment will provide the College with authority to enter and inspect premises where fertility services are performed, regardless of whether anesthesia or sedation is used. This proposed regulation amendment was prompted by a request from the provincial government that the College implement a quality and inspections framework for the delivery of fertility services across the province. The College believes that bringing facilities that offer fertility services, regardless of anesthesia or sedation, under the College’s Program is an important step in ensuring patient safety is protected. Visit the dedicated consultation page at www.cpso.on.ca to view further information and provide your feedback. Email: [email protected] The deadline for feedback is November 25, 2016. www.cpso.on.ca 8 Dialogue Issue 3, 2016