@Leongsam
FYI
Us returning to in person consults for medical cannabis is not borne out of financial interests. In fact we already switched to 100% telemedicine during pandemic and thought this was for the long term
Instead the CPSA did a consultation in May and June to update the standards of practice for med cannabis.
https://cpsa.ca/physicians/standards-of-practice/cannabis-for-medical-purposes/
During the consultation they never mentioned anything about in person or telemedicine. Just the frequency of follow ups. Changed from 3 monthly to 6 monthly.
So it was a surprise when this was included
A regulated member who issues a medical document or written order for cannabis for medical purposes
must:
- evaluate the patient directly and in person annually;
In their explanation to us :
What are some key updates to the standard?
Preamble added to ensure it is clear Health Canada’s requirements regarding
medical documents have not changed, and to clarify that physicians are not
obligated to authorize cannabis for medical purposes (CMP).
CPSA processes enabling physicians to authorize CMP have been simplified.
Clarification added for when authorization of CMP may be appropriate.
Requirement for in-person assessments clarified, based on legal review and Health
Canada expectations: this has always been CPSA’s expectation, but was not
explicitly stated in the previous version.
Evaluation period extended to six months."
Therefore durint the consultation process there was no opportunity for any of us to give feedback or have a discussion about the in person vs telemedicine option.
If something is not explicitly stated can you say that it has always been the expectation?
Rubbish right?
Prior to the pandemic Alberta Health Services would not pay for telemedicine. There was a code to bill $17.43 for a telephone call to a patient to update them on INR or other blood results etc. Limit to 7 of these billings per week per physician. So nobody was running telemedicine practices. During covid they brought in telemedicine. And thats why the change to full telemedicine practice. But the billing is about a third of the normal. We made up some difference with increased number of patients. Telemedicine being more convenient meant easier access for patients especially in rural alberta. But overall it meant I was working twice as harder to earn about half what I did previously.
Anyway it has forced us to go back to in person visits which are more lucrative. And now we can throw it back at the college and say they are the ones who require us to do it.