Evidence of meeting #7 for Health in the 41st Parliament, 2nd Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was prescribing.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Jamie Meuser  Associate Executive Director, College of Family Physicians of Canada
Rachel Bard  Chief Executive Officer, Canadian Nurses Association
Chris Simpson  President-Elect, Canadian Medical Association
Jessica Ma  Project Lead, Institute for Safe Medication Practices Canada
Maura Ricketts  Director, Policy and Research, Canadian Medical Association
Donna Walsh  Educator, Institute for Safe Medication Practices Canada

5:10 p.m.

NDP

Libby Davies NDP Vancouver East, BC

Do you personally see them? Do representatives still come to visit physicians and say “How about this?” How does that actually work?

5:10 p.m.

President-Elect, Canadian Medical Association

Dr. Chris Simpson

Less and less, and in academic environments where there are learners, it's increasingly strict. Sometimes there's complete prohibition in some of our academic centres; however, in more remote areas they do remain one of the primary sources of information, but I defer to Jamie's expertise.

5:10 p.m.

NDP

Libby Davies NDP Vancouver East, BC

Dr. Meuser, and then maybe Madame Bard.

5:10 p.m.

Associate Executive Director, College of Family Physicians of Canada

Dr. Jamie Meuser

We also build in incentives here. We can't control the information that is sent or given to family physicians either by mail, by detailers who drop in, and so on. However, what our members require is a certain number of accredited hours of education in order to maintain their membership in the college and their licence to practise. In fact, it's those accredited hours of education when we do have control over the content and where we can, in fact, quite strictly police the difference between true education and marketing.

5:10 p.m.

NDP

Libby Davies NDP Vancouver East, BC

Does Madame Bard have time to respond?

5:10 p.m.

Chief Executive Officer, Canadian Nurses Association

Rachel Bard

I would just add that actually your licensing body, your regulatory body, also has a role to monitor and look at the practice of prescribing. But it is a clinical decision to use the information that is provided by drug companies. You need to look at it and then use your clinical judgment in terms of what is applicable or not. But a regulatory body would be—

5:10 p.m.

NDP

Libby Davies NDP Vancouver East, BC

Who is actually monitoring it, though, and making sure it's not being abused by the marketing of pharmaceuticals? Is anybody kind of watching that? Is there any system in place? How do we know if it's working or not?

November 27th, 2013 / 5:10 p.m.

Chief Executive Officer, Canadian Nurses Association

Rachel Bard

It is a good question. The only thing I would add—

5:10 p.m.

Conservative

The Chair Conservative Ben Lobb

Go ahead, Dr. Meuser.

5:10 p.m.

Associate Executive Director, College of Family Physicians of Canada

Dr. Jamie Meuser

The truth is that, like everybody else in society, our members—the family physicians—are exposed to marketing messages all the time, and they can differentiate between marketing and education. So, in fact, I think that they recognize a hierarchy of information they get from all sources. When information comes to them that is clearly marketing, whether it's a brochure or a visit from an employee of a drug company, they can take the information and process it in that way. When it comes to them as education, they have to be able to believe that it comes from a different source, and it's presented with a different thrust. I think the capacity is there to do that.

5:10 p.m.

Conservative

The Chair Conservative Ben Lobb

Okay, Ms. Bard, did you have anything you wanted to add?

5:10 p.m.

Chief Executive Officer, Canadian Nurses Association

Rachel Bard

I think it is a good question. We are planning to provide a document and a copy of our presentation. We will look at that, to see if there is some information we can provide additionally.

5:15 p.m.

Conservative

The Chair Conservative Ben Lobb

Thank you very much. That is going to wrap up this portion of our meeting.

I say to any of the people who were here today, and to Dr. Meuser, that if there's anything that came to your mind during the discussion here today that you would like to forward to the clerk of the committee, feel free to do so. I appreciate your frank answers that added to the discussion today.

We're going to suspend for a couple minutes, and then we will get into committee business in camera.

Thank you.

[Proceedings continue in camera]