Ontario considers further expanding pharmacists' scope
Ontario is proposing to further expand pharmacists' scope of practice by adding to the list of minor ailments they can assess, allowing them to administer more vaccines and order some lab tests.
But while pharmacists see the proposal as an overdue solution to easing the burden on other aspects of the health-care system by leaning more on their professional expertise, doctors are raising concerns.
The government in early 2023 granted pharmacists the ability to assess and treat 13 minor ailments, including pink eye, hemorrhoids and urinary tract infections. In the fall of that year six more were added to the list, including acne, canker sores and yeast infections.
Now, the government is proposing to expand the list to include sore throat, calluses and corns, mild headaches, shingles, minor sleep disorders, fungal nail infections, swimmers' ear, head lice, nasal congestion, dandruff, ringworm, jock itch, warts and dry eye.
As well, the Ministry of Health is looking for feedback on what lab tests and point-of-care tests might be required for pharmacists to order and perform as part of assessing and treating those conditions.
The government is also considering funding pharmacists to administer tetanus, diphtheria, pertussis, pneumococcal, shingles and RSV vaccines for adults, in addition to COVID-19 and flu vaccines. The province is proposing to allow pharmacy technicians to administer the same vaccines as pharmacists.
"Our government is focused on improving access to care in communities across the province and we have seen the success of our minor ailment program, connecting over 1 million people to treatment for minor ailments," Hannah Jensen, a spokesperson for Health Minister Sylvia Jones, wrote in a statement.
Justin Bates, CEO of the Ontario Pharmacists Association, said the minor ailments program has been going well so far, and further expanding pharmacists' scope can help avoid visits to family doctors and emergency rooms.
"We want to build health-care capacity through looking at pharmacies as a health-care hub and the pharmacists' trusted relationship with their patients and to leverage that, because they are underutilized when it comes to what scope they can do," he said.
But doctors are pushing back on the scope expansions.
"The bottom line here is that pharmacists are not doctors," said Dr. Dominik Nowak, president of the Ontario Medical Association. "Doctors are trained for years and thousands of hours to diagnose and treat conditions."
Nowak said that sometimes the symptoms that would seem to suggest one of those minor ailments are really a sign of a more serious condition, and it takes a doctor to recognize that.
"When I look at a lot of the minor ailments list, I think to myself, there's nothing minor about many of these," Nowak said.
"Many of these ailments rely on the patient ... one, knowing the diagnosis themselves, so the patient's own opinion. And last I heard, most of my patients haven't been to medical school. And then two: it also relies on the patient's own opinion about whether this is something minor or something serious."
Bates said he has been "disappointed" at some of the messaging from doctors, and added that any notion that there is an increased risk to patient safety is "misinformation."
"I want to support OMA and primary care, and I do – in hiring more doctors, solving some of their issues – but it shouldn't come at the expense of other health professions gaining their ... appropriate scope of practice," he said.
"So it's not a zero sum game here. We want to have physicians be comfortable with this, but ... the way that some of these doctors are responding, it's almost like hysteria."
The government's proposal on its regulatory registry is open for comment until Oct. 20.
This report by The Canadian Press was first published Sept. 16, 2024.
CTVNews.ca Top Stories
Bloc MPs will vote confidence in Liberal government next week: Blanchet
The Conservatives' first shot at toppling the Liberal government is likely doomed to fail, after Bloc Quebecois Leader Yves-François Blanchet told reporters his MPs will vote confidence in the government.
Here's why you should get all your vaccines as soon as possible
With all these shots, some Canadians may have questions about the benefit of each vaccine, whether they should get every shot and how often to get them, and if it's safe to get them all at once or if they should space them out.
Teen faces new charge in Sask. high school arson attack
A 14-year-old student who allegedly set her classmate on fire is facing a new charge.
'I'm here for the Porsche': Video shows brazen car theft in Mississauga
Video of a brazen daylight auto theft which shows a suspect running over a victim in a stolen luxury SUV has been released by police west of Toronto.
First-of-its-kind facility hopes to launch Canada into rare earths market
A Saskatchewan organization is breaking ground as the first to commercially produce rare earth metals in North America.
Jeremy Dutcher makes Canadian music history
Jeremy Dutcher made Canadian music history Tuesday night by winning a second Polaris Music Prize for his second album, Motewolonuwok.
DEVELOPING Exploding electronic devices kill 20, wound 450 in second day of explosions in Lebanon
Lebanon's health ministry said Wednesday that at least 20 people were killed and 450 others wounded by exploding electronic devices in multiple regions of the country. The explosions came a day after an apparent Israeli attack targeting pagers used by Hezbollah killed at least 12 and wounded nearly 3,000. Here are the latest updates.
RCMP feared they didn't have enough evidence to hold terror suspect sought by U.S.
Court documents filed in the case of a Pakistani man arrested in Quebec for an alleged plot to kill Jews in New York City reveal the RCMP didn't have enough evidence to hold him in Canada.
Federal government to further limit number of international students
The federal government will be further limiting the number of international students permitted to enter Canada next year. It’s the government’s latest immigration-related measure to address Canadians' ongoing housing and affordability concerns.