Refreshed Dictionaries

On January 5, 2017, a revised version of the provincial dictionaries listed below were implemented in the provincial credentialing and privileging system for Reappointment and Appointments.

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 refreshed Family Medicine/General Practice, General Surgery and Obstetrics and Gynecology 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.

Methadone prescribing changes within the Family Medicine General Practice Privilege Dictionary:

Physicians working in a hospital setting no longer require a temporary exemption to continue an order for Methadone for OUD (Opioid Use Disorder).  This is now considered core.  Non-core Methadone privileges are required if you require an exemption from the BCCSU (British Columbia Centre on Substance Use) to be able to initiate treatment or change the dose and/or if you need an exemption from the CPSBC (College of Physicians and Surgeons of British Columbia) to be able to prescribe methadone for analgesia.

FP Enhanced Surgical Skills and FP Anesthesia

Minor changes have been made to these dictionaries.  Please carefully review all privileges, both pre-populated and blank, to ensure you have all the appropriate requested privileges.

Clinical Practitioner in Oncology

Clinical Practitioner in Oncology is a supplemental dictionary. If qualified, you may complete this dictionary for privileges that supplement the privileges you hold in your primary discipline. Please see the dictionary on the BCMQI website to determine if you require these privileges: http://bcmqi.ca/Documents/Dictionaries/ClinicalPractitionerInOncology(2017-12).pdf

To request these privileges, please contact your medical administration as this is a new dictionary will need to be added for you.

Surgical Assist

A Surgical Assistant is a health care practitioner that assists with surgery under the direct supervision of the surgeon.

o NB:  this dictionary and privilege should be used alone ONLY for those situations where there is to be NO OTHER clinical care provided; no pre or post-surgical care. In the instance where other care is provided the appropriate dictionary should be used alone (where surgical assist is a usual core or non-core privilege) or in addition to this dictionary (to supplement where the surgical assist is not a usual core or non-core privilege).

o Surgical Assist is a usual core or non-core privilege for: Family Medicine, Vascular Surgery, Neurosurgery, Otolaryngology, Cardiac Surgery, Obstetrics & Gynaecology, Plastic Surgery, General Surgery, Ophthalmology, and Urology.

o Please see the dictionary on the BCMQI website to determine if you require these privileges: http://bcmqi.ca/Documents/Dictionaries/SurgicalAssist.pdf To request these privileges, please contact medical administration as this is a new dictionary and will need to be added for you.

If no Privilege Dictionaries are attached, or the incorrect one is attached, please contact medical administration for your area.

If you find that the privilege you would like to request is not included in the dictionary you received, please contact medical administration for your area for a Change Request form.

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.