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Pharmacist Scope of Practice
This survey is for physicians, seeking to understand your views and concerns about proposed expansions to pharmacists' scope of practice.
By proceeding, you confirm you are a physician in Manitoba.
1.
In each of the following care settings, what is your level of comfort for Manitoba to expand pharmacists scope of practice to diagnose and prescribe treatment for more common conditions?
Very comfortable
Somewhat comfortable
Somewhat uncomfortable
Very uncomfortable
Not sure
Retail pharmacies
Very comfortable
Somewhat comfortable
Somewhat uncomfortable
Very uncomfortable
Not sure
In hospital
Very comfortable
Somewhat comfortable
Somewhat uncomfortable
Very uncomfortable
Not sure
In medical clinics as part of a physician-led team
Very comfortable
Somewhat comfortable
Somewhat uncomfortable
Very uncomfortable
Not sure
2.
How comfortable are you with pharmacists diagnosing and prescribing treatment for each of the following conditions, assuming the pharmacist is working independently (e.g. a retail pharmacy)?
Comfortable
Uncomfortable
Not sure
allergic contact dermatitis
Comfortable
Uncomfortable
Not sure
atopic dermatitis (eczema)
Comfortable
Uncomfortable
Not sure
calluses and corns
Comfortable
Uncomfortable
Not sure
cold sores
Comfortable
Uncomfortable
Not sure
conjunctivitis (pink eye)
Comfortable
Uncomfortable
Not sure
dandruff
Comfortable
Uncomfortable
Not sure
diarrhea, non-chronic
Comfortable
Uncomfortable
Not sure
fungal infections of the skin
Comfortable
Uncomfortable
Not sure
headache, non-chronic
Comfortable
Uncomfortable
Not sure
heartburn and gastric reflux
Comfortable
Uncomfortable
Not sure
hives
Comfortable
Uncomfortable
Not sure
impetigo
Comfortable
Uncomfortable
Not sure
joint pain, minor
Comfortable
Uncomfortable
Not sure
keratoconjunctivitis sicca (dry eye syndrome)
Comfortable
Uncomfortable
Not sure
Lyme disease prevention
Comfortable
Uncomfortable
Not sure
menstrual cramps
Comfortable
Uncomfortable
Not sure
muscle pain, minor
Comfortable
Uncomfortable
Not sure
nausea
Comfortable
Uncomfortable
Not sure
oral thrush
Comfortable
Uncomfortable
Not sure
pinworms and threadworms
Comfortable
Uncomfortable
Not sure
seasonal allergy symptoms
Comfortable
Uncomfortable
Not sure
shingles
Comfortable
Uncomfortable
Not sure
sore throat
Comfortable
Uncomfortable
Not sure
strep throat
Comfortable
Uncomfortable
Not sure
vaginal yeast infections
Comfortable
Uncomfortable
Not sure
warts, other than facial and genital warts
Comfortable
Uncomfortable
Not sure
3.
What would increase your comfort and support to expand the conditions for which pharmacists can diagnose and prescribe treatment? (Check all that apply)
Mandatory training and demonstrated competency for each authorized condition
Pharmacist is working as part of a larger care team
Clear clinical guidelines, including diagnostic criteria and prescribing limitations
Defined criteria for when patients must be referred to a physician or emergency department
Mandatory notification to the patient's primary care provider of the assessment, diagnosis and treatment
Shared electronic health records so assessments and prescriptions are accessible to other treating providers
Clear responsibility for follow-up, monitoring and management of complications
Restrictions on repeat prescribing or ongoing management without physician involvement
Safeguards to manage potential financial conflicts of interest when pharmacists both prescribe and dispense medications
Independent monitoring, quality assurance and reporting of patient safety concerns
Adequate remuneration for physicians who receive referrals or provide follow-up care
Other (please specify)
None of the above
4.
What are your greatest concerns about expanded independent retail pharmacist prescribing? Check all that apply
Missed or delayed diagnosis of more serious underlying conditions
Fragmentation of care and inadequate communication with patients' physicians
Inappropriate prescribing, including unnecessary antibiotic use
Inadequate clinical training or diagnostic assessment capabilities
Lack of access to complete patient health information
Unclear responsibility for follow-up or complications
Financial conflicts of interest in retail pharmacy settings
Increased administrative burden for physicians
Patients receiving episodic treatment instead of comprehensive, longitudinal care
Other (please specify)
None of the above
5.
Do you have any other comments or suggestions as Manitoba considers a broader scope of practice for pharmacists?