olecranon Posted October 14, 2011 Report Share Posted October 14, 2011 Can a GP do these skin tests if they wanted or only allergists ? Link to comment Share on other sites More sharing options...
NLengr Posted October 14, 2011 Report Share Posted October 14, 2011 Yes they can. Link to comment Share on other sites More sharing options...
moo Posted October 15, 2011 Report Share Posted October 15, 2011 A family doc can legally do anything they want. But whether anyone would go to them for that and whether anyone would refer to them is another story. Link to comment Share on other sites More sharing options...
thebouque Posted October 15, 2011 Report Share Posted October 15, 2011 And if you screw up, they'll compare you to the work of a specialist and not of another family doc who also performs prick tests. Link to comment Share on other sites More sharing options...
NLengr Posted October 15, 2011 Report Share Posted October 15, 2011 But that's only if you can show in court that allergy testing is the area of a specialist, and not a family doc. Maybe? I am not a lawyer. Link to comment Share on other sites More sharing options...
FamilyGuy Posted October 15, 2011 Report Share Posted October 15, 2011 One would have to protect oneself by first getting adequate training in the area (something I know nothing about), describing oneself as a family physician who is also practicing in allergy testing (or some similar wording), having adequate equipment and safety measures in place to resuscitate people with anaphylactic reactions including intubation etc., etc. etc. Sounds like a lot of headache but I suppose in theory it could be done. And yes, I think in a court of law, if they were critically looking at your work, the court would likely bring in someone practicing standard of care, which I believe most people would conclude to be an immunologist / allergist since that is what they have been trained to do specifically (compared to family medicine residency, which ordinarily provides zero training on how to do allergy testing). Link to comment Share on other sites More sharing options...
leviathan Posted October 15, 2011 Report Share Posted October 15, 2011 Don't worry guys, they let naturopaths do allergy testing and desensitization in BC. Link to comment Share on other sites More sharing options...
Guest copacetic Posted October 15, 2011 Report Share Posted October 15, 2011 legally any physician can do anything any other physician does. Thats what the MD is for. But then comes the question of board licensing and expertise. If you're not specifically trained to do something and mess it up the malpractice consequences would hurt. Link to comment Share on other sites More sharing options...
rmorelan Posted October 15, 2011 Report Share Posted October 15, 2011 But that's only if you can show in court that allergy testing is the area of a specialist, and not a family doc. Maybe? I am not a lawyer. Actually it is more that they proved they were capable to do the test, and they in fact do the procedure up to standard. Specialists (which I guess to be exactly FM is a specialty) don't own particular procedures etc. There isn't anything wrong with a FM doc doing a lot of things legally. As others have pointed out the insurance aspect can be a bit tricky but even that is not a real barrier in a lot of cases. With FM in particular there is wide overlap with other things. I have seen them run/read EKGs, do allergy testing, all manner of things dermatological, and of course delivery babies, do anesthesia, surgical assisting...... Link to comment Share on other sites More sharing options...
Jochi1543 Posted October 16, 2011 Report Share Posted October 16, 2011 If you're not specifically trained to do something and mess it up the malpractice consequences would hurt. This raises an interesting point. I don't know an awful lot about malpractice insurance, so can anyone shed some light on what's covered for a GP? Are you basically covered for everything provided that you can prove in court that no dereliction occurred? Or are there some sort of limitations? E.g. if you are a GP who did NOT do a +1 in obs, are you still covered if you end up delivering a baby in your rural ER? Link to comment Share on other sites More sharing options...
moo Posted October 17, 2011 Report Share Posted October 17, 2011 If you are an FP doing OB, your premiums will be adjusted accordingly. If you state on your CMPA application that you don't do obstetrics (and hence get a lower rate) but deliver a baby and get sued, you're on your own. CMPA will generally cover what is considered "scope" of a family doctor. See: http://www.cmpa-acpm.ca Link to comment Share on other sites More sharing options...
BigM Posted October 17, 2011 Report Share Posted October 17, 2011 If you are an FP doing OB, your premiums will be adjusted accordingly. If you state on your CMPA application that you don't do obstetrics (and hence get a lower rate) but deliver a baby and get sued, you're on your own. CMPA will generally cover what is considered "scope" of a family doctor. See: http://www.cmpa-acpm.ca Would this not change if you were delivering from a rural ER in an emergency birth? Link to comment Share on other sites More sharing options...
ploughboy Posted October 17, 2011 Report Share Posted October 17, 2011 If you are an FP doing OB, your premiums will be adjusted accordingly. If you state on your CMPA application that you don't do obstetrics (and hence get a lower rate) but deliver a baby and get sued, you're on your own. CMPA will generally cover what is considered "scope" of a family doctor. See: http://www.cmpa-acpm.ca But if you're an FP who routinely covers the ED, then your CMPA code is likely 73 or 82. I would think you'd be covered if it was an emergency delivery (eg baby is crowning when mom shows up in the ED). On the other hand, if you were like "meh we've got lots of time, I got this one don't wake up the L&D doc I'll just deliver her when the baby pops out in an hour or so" and something went horrible wrong and you weren't paying premiums for code 78 then you'd be SOL. Or at least that's my reading of the fee schedule. http://www.cmpa-acpm.ca/cmpapd04/docs/membership/fees/2011cal-e.pdf Link to comment Share on other sites More sharing options...
NLengr Posted October 17, 2011 Report Share Posted October 17, 2011 But if you're an FP who routinely covers the ED, then your CMPA code is likely 73 or 82. I would think you'd be covered if it was an emergency delivery (eg baby is crowning when mom shows up in the ED). On the other hand, if you were like "meh we've got lots of time, I got this one don't wake up the L&D doc I'll just deliver her when the baby pops out in an hour or so" and something went horrible wrong and you weren't paying premiums for code 78 then you'd be SOL. Or at least that's my reading of the fee schedule. http://www.cmpa-acpm.ca/cmpapd04/docs/membership/fees/2011cal-e.pdf This is basically what I was going to say, but got too lazy to finish it in the middle of typing. Link to comment Share on other sites More sharing options...
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