Transcript Lecture 2

THE DDA
22 PROTECTION OF TITLE
• Must be a member of respective association to use title
Dentist…..CDSS
Hygienist…SDHA
Therapist…SDTA
Assistant….SDAA
Technician…DTAS
Denturist….DSS
23 AUTHORIZED PRACTICES
Dentist, Subject to license
• Diagnosis … Oro-facial complex
• Tx …. Oro-facial complex
• Harvest tissue
• Correct fracture of bone
• Administer substances by injection or inhalation
• Prescribe medications for dental Tx
• Provide prostheses to protect teeth
• Radiography - The Radiation Health and Safety Act(1985)
AUTHORIZED PRACTICES
Dental Technician
• Appliance construction, repair, etc. with PX of dentist
• Repairs without imps
• Shades
AUTHORIZED PRACTICES
Denturist
• Impressions
• Non-surgical
• Fabricate removeable prostheses
AUTHORIZED PRACTICES
Assistant
• Introduce & manipulate materials and devices in the mouth
• Ortho & restorative procedures with approved course
• Radiography
AUTHORIZED PRACTICES
Hygienist
• Assess tx plan re perio
• Perform supra & subG debridement
• Ortho & restorative with approved course
• Local anesthetic
• Radiography
AUTHORIZED PRACTICES
Therapist
• Diagnosis of caries or dental abscess
• Perform procedure in or below the surface of the teeth
• Simple extraction of perm & prim
• Local
• Radiography
24 PROHIBITIONS
• No Authorized practice unless
(a) - member of Assoc authorized for that
- license allows
(b) -delegation to employee by a dentist, pursuant to CDSS Bylaws
- another act allows
(c) - first aid
(d) - member supervised trainee
25 LIMITATIONS
• Assistants, Hygienists, Therapists perform Authorized Practices only if
Employed by
or
Practises under contract with:
(a) an employer (listed agencies)
or
(b) a dentist
DISCIPLINE- SECTIONS 26-41
26 Incompetence
Lack of skill or judgment or a disregard for the welfare of a member of the public
DISCIPLINE
27 Misconduct
- Harmful to the best interests of the public or the association
-Harmful to the standing of the
profession
-Breach of the Act or Bylaws
-Failure to comply with orders of Council, P.C. or D.C.
DISCIPLINE
28 PC Committee
->3 members … practicing
-non DC Committee
DISCIPLINE
29 Investigation
-PCC review
-investigate as necessary
-refer to DC or dismiss
-may discover other issues
-report to council, complainant, subject member
DISCIPLINE
30 Search and Seizure Can be ordered
31 Suspension or limiting practice
32 DCC>3, public member, no PCC
33 Hearing Protocol - like a trial
34 Penalty-Expel, Suspend, conditions, reprimands, other just order, fine $5000,
costs, restitution
35 Criminal Code, Narcotic Control Act, Food and Drug Act---hearing and possible
penalty
36 Possible offences reported to Deputy Minister of Justice
37 Council may apply for suspension when criminal charges are pending
DISCIPLINE
38 Appeals are made through the Court of Queens Bench
39 Stay of DCC orders can be applied for
40 Application for reinstatement protocol
41 Incorporation of Denturist and Dental Technician practice allowed
42 Immunity from action – Council, etc.
43 Summary convictions (section 22,24) – penalty of $4000, $8000, & $12000
BYLAWS OF THE CDSS
PART 9
PROFESSIONAL STANDARDS
9.1 CODE OF ETHICS
• Must abide by the Code of Ethics
9.2(1) EACH MEMBER SHALL:
(a)
Abide to Act, Bylaws
(b)
Abide to limitations on license
(c)
Uphold honor, dignity, code of ethics
(d)
Fulfill obligations re charges
(e)
Itemize accounts as requested
(f)
Maintain records.. patients, practice
(g)
Provide reports.. Timely fashion
9.2(1) EACH MEMBER SHALL:
(h) Meet C.E. requirements
(i) Follow recommendations of mediation
(j) Co-operate with Q.A… 30 days
(k) Remediate as Rx by Q.A.
(l) Maintain liability insurance
(m) Comply with Part 10 Advertising
(n) Endeavor to examine.. 2 yr
9.2(1) EACH MEMBER SHALL:
(o) Validate licenses of allieds
(p) Limit allieds to authorized practices
(q) Adequately supervise allieds
(r) Adequate supplies for med emergencies
(s) Ensure presence of properly trained staff
for med emergencies
(t) Ensure sterilizer monitoring
(u) Maintain functioning AG separator
(2) NO MEMBER SHALL:
(a) charge excessive or unreasonable fees
(b) charge and not perform
(c) directly or indirectly benefit from referral
(d) Make contracts related to fees charged
except with
1) CDSS member or allied
2) A corp controlled by a member
(2) NO MEMBER SHALL:
(e) profit from sale of drugs, medical product
or biological prep’n
(f) falsify exam or Tx records
(g) falsify accounts or charges
(h) sell an account
(i)Tx in a mobile unless permission
(j) Advertise a members name after 1 yr of retirement
(k) Imply specialist unless certified
(2) NO MEMBER SHALL:
(l) Use titles other than authorized in bylaws
(m) Sign or issue false reports or statements
(n) Be convicted of an offence related to ability to practice
(o) Improperly use, Rx, dispense drugs
(p) Practice while impaired
(q) permit, counsel, assist illegal practice
(2) NO MEMBER SHALL:
(r) Misrepresent tx, remedy, device
(s) Dispense patient info without permission
(t) Use clinic, group unless more than 1
(u) Commit sexual impropriety with patient
(v) Contravene regs of health region
(w) Be disgraceful, dishonorable, unprofessional
(2) NO MEMBER SHALL:
(x) Practice when experience or judgment are impaired
(y) Hire allieds unless a regular licensed member or a faculty member
(3) NO MEMBER SHALL ENGAGE WITH A NON
MED OR DENT CORP UNLESS
(a)
Provided by a Fed or Prov Act
(b)
Provided by Prof Corp Act
(c)
Employed by an agency (DDA 25.1)
(4) DIRECTORS OF PROF CORPS ENSURE
COMPLIANCE WITH THE BYLAWS
9.3 RECORDS
(1)
Full and complete records
•
Patient ID
•
Med, Dental history
•
Exam findings
•
Progress, diagnosis, consultation reports
•
Rx
•
Tx
•
Dates of attendance
•
Medications, amt, instructions, date
•
Appropriate radiographs and models
(2) Allieds recommend exam- note that or refusal
(3) Intelligible, written, typed or electronic
9.4 COMPLAINT PROCESS
• Professional Conduct Committee
• Discipline Committee
• Discipline Hearing
PART 10 ADVERTISING
(CONTENT)
Professional,
Objectively verifiable
Not Misleading/Confusing
Superiority not stated nor implied
-Providers-Products-Techniques
Specialty areas mentioned
-clearly state ‘Specialist’
or
‘Not a Specialist’
10.3 DESIGNATIONS ALLOWED
• DDS,DMD, earned academic degree etc
i recognized by CDSS
ii honorary degrees etc are not used for advertising
10.4 NON-SPECIALISTS
• Non-Specialists can advertise specialty areas if they state they are ‘not
specialists’
10.5 SPECIALISTS
SPECIALISTS ARE CERTIFIED IN ONE OR MORE OF THE NINE
SPECIALTIES
ADVERTISING BYLAW ENFORCEMENT
• Complaint
• Referral to Advertising Review Committee
• Review
• Registered Letter with Recommendations to member
• Referral of non-compliance to P.C.
• Referral of non-compliance to Discipline
ADVERTISING PENALTY
• Fines
• Publication in Newspaper
• Publication in newsletter
• Apology
• Costs of committees/hearing
• Suspension
CODE OF ETHICS
•
•
•
•
A SET OF PRINCIPLES
DEFINE PROFESSIONAL AND ETHICAL DENTAL CARE
BASIS FOR REFLECTION AND SELF EVALUATION
BASIS FOR PUBLIC EXPECTATION
CODE OF ETHICS
• PRIORITY 0F PRINCIPLES
1. LIFE AND HEALTH
– PATIENT Centered
risk mgt
2. NORMAL FUNCTION
3. INFORMED CHOICE-cost included
4. PRACTICE PREFERENCE
5. AESTHETIC VALUES
CODE OF ETHICS
• SUMMARY
DYNAMIC PROCESS
D, P, PROF, SOCIETY
PRIMARY-PATIENT
HONOUR AND DIGNITY OF THE PROFESSION
ADHERE TO LEGISLATION
CODE OF ETHICS
RESPONSIBILITIES TO
• PATIENT
• PUBLIC
• PROFESSION
• COLLEAGUES
RESPONSIBILITIES TO PATIENTS
1.
SERVICE-patient centered
2.
COMPETANCY
3.
CONSULTATION AND REFERRAL
4.
EMERGENCIES-triage
5.
PROVISION OF CARE-non discrimination
6.
DELEGATION OF DUTIES
RESPONSIBILITIES TO PATIENTS
7. ARRANGEMENTS FOR ALTERNATE CARE
8. CHOICE OF TREATMENT
9. CONFIDENTIALITY
10.No GUARANTEE-responsibility/Standard of Care
11. PROVISION OF INFORMATION-Objective
12. RECORDS
RESPONSIBILITIES TO THE PUBLIC
1.
REPRESENTATION
2.
CONTRACTUAL SERVICES-Dr. responsible
3.
CHOICE OF DENTIST
4.
FEES AND COMPENSATION FOR SERVICE
5.
THIRD PARTY FEES-truthful
6.
COMMUNITY ACTIVITIES
7.
MARKET ADVOCACY-no testimonials
RESPONSIBILITIES TO THE PROFESSION
1.
SUPPORT OF THE PROFESSION
2.
INAPPROPRIATE CONDUCT
3.
ADVERTISING-truthful/not misleading
4.
PROFESSIONAL EQUALITY
5.
PATENTS AND COPYRIGHT
RESPONSIBILITIES TO COLLEAGUES
1.
CONSULTATION AND REFERRAL
2.
JUDGMENTS IN PEER RELATIONS