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Refreshed Dictionaries

Since Reappointment 2018 some of the provincial privileging dictionaries have been refreshed and implemented in the provincial credentialing and privileging system.

Changes to the dictionaries were developed by a panel of subject-matter experts, as part of a content review of all provincial dictionaries. Revisions are unique to each dictionary but changes may include:

  • Privileges may have moved to/from the core or non-core categories.
  • Privileges may have been added or removed from the dictionary.
  • Training and experience requirements may have changed.

Impact on Reappointments:

The following refreshed privileging dictionaries have had changes that are significant and as such, any privileges that you currently have approved in these dictionaries cannot be pre-populated into the document in your reappointment process. Please ensure that you review your dictionary in full and identify the privileges you are requesting.

An additional privileging dictionary, Medical Microbiology,  was refreshed  but had limited changes.

  1. Revisions were made to the qualifications language. The language was updated to allow a grandfathered physician to move around the province from one health authority to another, even if the College license did not specify.
  2. An update was made to the recommended current experience from “recent” to within the past 12 months, as most dictionaries have put either 12 or 24 months as the time since completion of training either fellowship or residency – allowing time for sabbatical and or parental leave between training and a first job.

Methadone Prescribing – Alignment of Criteria:

The elimination of section 56(1) of the Controlled Drugs and Substances Act ended the requirement for a federal exemption for prescribing. In place of the federal exemption, the College of Physicians and Surgeons of BC issued a practice standard on Prescribing Methadone in June 2018. The CPSBC standard establishes a continued requirement for evidence of adequate education with respect to prescribing. The updated privilege criteria for methadone prescribing in the refreshed dictionaries reflect current authorization and training requirements.

Updated Privilege Criteria:
• Physicians no longer require an exemption authorized by either the College or the BC Center on Substance Use to prescribe methadone

• Continuation of an established prescription for inpatients during hospitalization should be core to all physicians providing inpatient care – both analgesia and opioid use disorder.

• Initiating or changing methadone prescription, or prescribing in outpatient setting – both analgesia and opioid use disorder, should remain a non-core privilege (or selectable core) within health authorities and the language will reference the College standard, indicating the need to show appropriate education.

New Dictionary for Privileges

Injectable Opioid Agonist Treatment (iOAT)

The iOAT dictionary was approved in December 2018 and is now available in the provincial system (Cactus software).

Impact on practitioners appointed at more than one BC health authority:

  • Each health authority has a unique schedule to implement the revised dictionary. This means that you may refer to the revised dictionary at one health authority, while still using the previous dictionary at another. Over time, all health authorities will align to the revised dictionary.

Special notice about additional privileges:

  • Additional privileges are any privileges you may request that are not included in your discipline dictionary – that is, it is not a core, non-core, or context-specific privilege in your own discipline.
  • The process to apply for additional privileges has changed; there is no longer an “additional privilege” request form required.  Requests for additional privileges should now be completed in AppCentral, as part of your overall privilege request.

For More Information

Contact your local medical administration office for questions on your reappointment application.

Visit bcmqi.ca to view the provincial dictionaries or to provide input on the content of your practice dictionary.