There are only a small number of physicians in New Brunswick who have the right to prescribe Methadone and they are usually only treating one or two patients for such. Nevertheless, difficulties have arisen when patients from other provinces have travelled to New Brunswick, sometimes without very much notice. Various quick arrangements are necessary in order for them to continue to receive appropriate treatment. If physicians do wish to be available to provide short term treatment in those special circumstances, they should contact the College office for further information. Council has requested a response from members on a problem which is creating increasing difficulty.
Physicians have the right to ask patients to leave their practice.
Unfortunately, in many circumstances, these patients will then have little opportunity to find another physician, despite continuing medical needs. In some provinces, physicians are required to discuss directly with the patient in advance of terminating care. If termination is necessary, then the patient is to be appropriately advised in writing, with reasons. Furthermore, the question of how long continuing care is necessary may be dictated by the difficulty the patient will have in finding another physician. Council would appreciate any comments from physicians on this matter, including examples of the kind of situations which have, or could, present some difficulty.