Spring 2011 - Canadian Podiatric Medical Association

spring 2011
N
E
W
S
L
REMEMBERING
P2
Page 2
A pioneer,
Conn Wagner
E
T
T
E
R
SPECIAL OLYMPICS
P8
Page 2
Learn more about this
fabulous program
P10
Page 3
WEEKEND RUN TO
CURE CANCER
Extraordinary people
who touched our hearts
P14
Page 4
PRESIDENT
CPMA President
addresses 2011 House
of Delegates
A NEWSLETTER FOR THE CANADIAN PODIATRIC MEDICAL ASSOCIATION
CPMA President’s message
It’s been a busy start to 2011 for the CPMA executive. In addition to gaining a better understanding about
the workings of the CPMA, we have been strategizing our goals for our first year.
Student membership is one of our key initiatives. Most professional associations have a student component within their membership categories, and that is something that the CPMA executive believe should
be in place for our association too. As a result, we have been working with the director of the podiatric
medicine program at the University of Quebéc at Trois Rivieres and the president of their student association. I am pleased to report that they are also enthusiastic about this initiative.
President
Dr. Joseph Stern
HOW TO GET INVOLVED
CPMA members
moving the
profession forward
I’m sure many of you either read or heard
about a reference to Ontario Doctors of
Podiatric Medicine as a “sunset” profession
in the CFPM President’s message in their
Fall 2010 publication. Although it was very
unflattering to Ontario podiatrists, it was also
rather amusing to think that someone could
be so mistaken.
CPMA members across Canada are leading
the way to improved podiatric medicine and
Ontario’s Doctors of Podiatric Medicine are
certainly part of this initiative. The scope of
practice continues to grow and the need for
highly trained foot and ankle practitioners is
higher than ever. Add to that the requirement
for podiatrists to work in a diverse range of
settings, and its readily apparent that there
is a greater opportunity for Canadians to get
the foot care prevention and treatment they
needto keep them mobile.
The Ontario Podiatric Medical Association is
making significant strides towards improved
levels of podiatric medicine and has the full
support of the Canadian Podiatric Medical
Association.
I encourage all CPMA members to practice
to the highest level of care, enroll in ongoing continuing medical education programs
and promote the profession of podiatry in
your community. The CPMA is the sunrise
profession and leads the way in Canada for
foot and ankle care.
Joseph Stern, DPM
CPMA President
One of the most pressing issues for members relates to insurance. As you are probably aware, several
insurance companies have been making changes without consultation on different aspects of services
that podiatrists provide for patients. The RCMP has changed their guidelines for podiatric services and we
are in dialogue with them. This month, another insurance carrier representing a large Canadian corporation has implemented new rules regarding preferred providers for orthotics and orthopedic shoes. A few
podiatrists are on the list, but most CPMA members are not. We have contacted the insurance carrier to
get clarification on how this happened and what we need to do to have all CPMA members listed as providers. These issues can affect a patient’s ability to receive the best foot care. The CPMA executive and
insurance committee have made it a priority to rectify this issue.
When the new executive was elected in November 2011, we discussed ways that the CPMA could
produce greater results and also encourage more involvement from our members. One of the results
was to create committees for some of the important components of the CPMA, namely Communication,
Insurance, Narcotics, Bylaws and Seal of Approval. CPMA board members were mandated with committee
responsibilities, including populating their committee with CPMA members. I am pleased to say that all five
committees have been hard at work and will be providing regular updates to our members, either through
our newsletter or through email blasts. This issue provides an update from the Narcotics Committee (see
page 16).
Your CPMA board is also working on creating or enhancing a number of effective partnerships. One
example is the Canadian Diabetes Association and its new campaign, “Get Checked Now”, which is
focused on the 40 and up age group. British Columbia podiatrist Dr. Tim Kalla has been selected as the
media spokesperson for the CDA.
Another example is our collaboration with Special Olympics. The CPMA and its members have been
participating in the Health Feet “Fit Feet” program across Canada for several years. Dr. Kel Sherkin, from
Ontario, is the current director of our “Fit Feet” program and has been instrumental in building the program
across Canada. (For more information about “Fit Feet”, read his article on page 8.)
Most importantly, the CPMA board is working to ensure a healthy and vibrant association that is there for
its members. I encourage you to get in touch with any of the CPMA board to discuss issues, concerns or
ideas you may have.
Board Contact Information
President: Dr. Joseph STERN – cpmapresident@podiatrycanada.org
Treasurer: Dr. Brad SONNEMA – cpmatreasurer@podiatrycanada.org
Secretary: Dr. Richard BOCHINSKI – cpmasecretary@podiatrycanada.org
Past President: Dr. Mario TURANOVIC – mgtdpm@telusplanet.net
Executive Director: Jayne JENEROUX – cpmaed@podiatrycanada.org
Provincial board representatives:
British Columbia: Dr. Greg LAAKMANN – e-footdoc@telus.net
Alberta: Dr. Mario TURANOVIC – mgtdpm@telusplanet.net
Manitoba: Dr. Alicia SNIDER – ajsnider@mymts.net
Ontario: Dr. Bruce RAMSDEN – bramsden@rogers.com
Quebec: Dr. Genevieve PAYETTE – genpay@hotmail.com
2
REMEMBERING A
PODIATRY PIONEER
Dr. Conrad Ervin Wagner of Abbotsford, B.C. passed
away on February 4, 2011 succumbing to cancer.
DR. CON WAGNER, D.P.M.
(1924 – 2011)
PHARMACISTS ACT
“pharmacy” means a place
where drugs may be dispensed, stored or sold to the
public;
“practitioner” means a person
authorized under the law
of any province to practise
medicine, dentistry, podiatry
or veterinary medicine;
“prescription” means a direction from a practitioner that a
specified amount of a specified drug be dispensed;
“registrar” means the registrar of the college appointed
by the council and includes
a deputy registrar;
“respondent” means a person
notified by citation under
section 34;
“rules” means the rules of the
college prescribed by the
council;
September 1980
After serving the Canadian Forces in World War II, Dr.
Wagner along with Drs. Hardy, Hewitt, Pozer and a few
others went to podiatry school in Chicago, Illinois under
the auspices of the Veterans Bill which was designed to
educate, upgrade and train veterans for integration into
society at that time.
basis for the current Act. They were able to include in
the definition of “practitioner” in the Pharmacists Act: “a
person authorized under the law… to practice medicine,
dentistry, podiatry or veterinary medicine”. Podiatrists
were amongst the first to be granted the right to use the
title “Dr.” after considerable lobbying.
Drs. Wagner, Hewitt, Phelps and Pozer practiced
in the old Woodward’s Building on Hastings Street.
Woodward’s at that time was the central meeting place
of the City of Vancouver and a stone’s throw to the practice and business of Dr. Pierre Paris (the father of two
generations of podiatrists). As times changed, so did the
practice at Woodward’s. Eventually, Dr. Wagner moved
to the upscale West Vancouver, Dr. Phelps moved to
Kerrisdale and Drs. Pozer and Hewitt established their
clinic in Kitsilano.
Over the years, Dr. Wagner served on a volunteer
basis in all capacities of the Executive Council of British
Columbia Association of Podiatrists – from Councilor,
Treasurer, Secretary, to President. He served as chair
person in many committees. To cite a few examples:
Dr. Wagner worked in the committee to have podiatry
included as a provider in the BC Medical Services Plan
(MSP). BCMSP not only covered routine podiatry care
but surgical/procedural fees. These surgical fee items
to this date still exits. Dr. Wagner singlehandedly represented British Columbia in International Region 7 from
its inception for many years. Dr. Wagner and Norma (his
wife) hosted many executive meetings and brainstorming sessions at his oceanfront home in West Vancouver.
In the late 1950s a free Podiatry Clinic was established
at the Outpatients Department (OPD) of Vancouver
General Hospital. This clinic was manned for years on a
volunteer basis by Drs. Hardy, Hewitt, Hilliard, Mathews,
Paris and Wagner. The Podiatry Clinic was the most
popular clinic at the OPD with long line ups. It also
fostered goodwill with Vancouver General Hospital and
the medical community. It also served as the seed for
developing the first and for a long time the only podiatric
residency program in Canada. Dr. Wagner was instrumental, along with his colleagues, in obtaining accreditation of the podiatric residency program.
Dr. Wagner led the fold. He was visionary and had the
foresight to model foot care in British Columbia towards
podiatry. In the late 1950s he was instrumental in changing the title of the profession from chiropody to podiatry
even though it meant sacrificing quality time with his
family to take the necessary upgrading courses and
qualifying examinations.
In 1993 Dr. Wagner retired from his practice in West
Vancouver and moved to Abbotsford, B.C. In his retirement, he was still active in Church ensuring the refugees sponsored into Canada integrate into the Canadian
society and culture. He maintained leadership roles
throughout retirement in several support groups. He will
be missed by his friends and colleagues, but most of all,
by Norma his wife and Ruth his daughter. His perpetual,
sincere smile will also be missed.
Dr. Wagner was active in lobbying the law makers. As
part of the Legislative Committee, Drs. Wagner, Hewitt,
Hardy, Hilliard, Mathews and Virgil were instrumental
in the formulation of the BC Podiatry Act which is the
3
Today, a million
Canadians have
type 2 diabetes
and have no idea.
If you think you
may be one of them,
we can help you
get checked now.
Learn more at
getcheckednow.ca
Thanks to our campaign sponsors
1-800-BANTING (226-8464)
4
“Get Checked Now” campaign
launched to help combat type
2 diabetes
The Canadian Diabetes Association has begun a national public awareness campaign aimed at Canadians 40 and older, alerting them to the consequences of
being passive about type 2 diabetes and leading them to take urgent action by getting checked for the disease.
“Get Checked Now” launched on March 1, 2011, along with the Association’s
collaboration with Loblaw Companies Ltd., a national retailer that will be supporting the campaign through the “Get Checked Now” program by offering
complimentary diabetes risk assessments and educations resources at hundreds of their in-store pharmacies.
According to a recent Environics public opinion poll commissioned by the
Association, 43% of Canadians (people without diabetes) have never been
tested for type 2 diabetes.
participating Loblaw and Drugstore pharmacies located at Loblaws, Zehrs,
Extra Foods, Atlantic Superstores, Real Canadian Superstores and Your
Independent Grocers. Beginning in April at select retail pharmacy locations,
Loblaw and the Association will also be providing hundreds of unique diabetes
education sessions to help Canadians learn how to better manage their diabetes and live healthy lives.
“Diabetes has reached epidemic proportions,” says Michael Cloutier, president
and CEO of the Association. “But many people with prediabetes or undiagnosed type 2 diabetes may actually display no symptoms. That’s why it is critical that we all act now, as diabetes is not only costing our healthcare system,
but is costing Canadians their lives.”
The “Get Checked Now” campaign highlights one of the more dramatic signs
that someone is living with undiagnosed type 2 diabetes may experience –
severe tingling or numbness in the extremities known as diabetic peripheral
neuropathy.
Visit getcheckednow.ca to find out
more information about the campaign
and to locate a participating pharmacy
in your community.
Greg Laakmann, president of the BC Podiatric Medical Association (formerly
the BC Association of Podiatrists) said in a recent statement, “Our association
applauds the Canadian Diabetes Association’s efforts in raising awareness
of diabetes and how it can detrimentally affect those that have the disease,
whether they know it or not. As our profession deals primarily with the foot, the
area of diabetic peripheral neuropathy plays an especially important role in our
patients, both current and future ones.”
A television and radio public service announcement has been urging
Canadians to visit the getcheckednow.ca website where individuals who think
they may be at risk can find more information and, most importantly, find
out where they can get checked. You can get checked now at hundreds of
Where to find: customerservice@mcg-ae.com 1-800-251-9586
5
Schedule at-a-Glance
WedneSday, July 27, 2011
8:30 am – Noon
1:00 – 4:30 pm
2:00 – 6:00 pm
Surgical Workshop 1
Surgical Workshop 2
APMA Registration
thurSday, July 28, 2011
Opening SeSSiOn
Featuring Ross Shafer, six-time Emmy
Award-winning comedian, writer and TV host
hOSt hOtel
Single/Double: $230
(through June 23, 2011)
3:00 – 4:00 pm
4:00 – 6:30 pm
APMA Registration
Breakfast Symposium
Plenary Lecture
Scientific Sessions
Podiatry Management’s
Hall of Fame Luncheon
Opening Session Address
Exhibit Hall Grand Opening
Friday, July 29, 2011
Single/Double: $230
(through July 5, 2011)
reGiStratiOn
APMA MEMBERS SAvE $300! Early-bird
registration available now through March
31, 2011. Podiatric medical students and
APMA postgraduate members receive
complimentary registration.
7:00 am – 6:30 pm
7:30 – 9:00 am
9:00 – 10:00 am
10:00 am – 3:00 pm
12:00 – 1:00 pm
assistant discount
Each additional Assistant from the same
APMA Member practice receives a 25%
discount. Enter discount code ASST25.
Make your hotel reservation today; the
APMA room blocks are limited. Once
the blocks are full, rooms are subject to
availability at prevailing rates.
To register, make hotel reservations,
and get more information, visit
www.apma.org/thenational.
7:00 am – 5:00 pm
7:30 – 9:00 am
9:00 – 10:00 am
9:00 am – 5:00 pm
10:30 am – 5:00 pm
5:00 – 6:00 pm
APMA Registration
Breakfast Symposium
Plenary Lecture
Exhibit Hall Open
Scientific Sessions
Poster Abstracts Reception
Saturday, July 30, 2011
7:00 am – 5:00 pm
7:30 – 9:00 am
9:00 – 10:00 am
9:00 am – Noon
9:00 am – 1:30 pm
10:30 am – 3:00 pm
12:30 – 3:30 pm
3:30 – 5:30 pm
6:00 – 7:30 pm
APMA Registration
Breakfast Symposium (non-CME)
Plenary Lecture
Surgical Workshop 3
Exhibit Hall Open
Scientific Sessions
Surgical Workshop 4
PICA Risk Management Program
APMA Final Night Reception
Sunday, July 31, 2011
7:00 – 10:00 am
7:30 – 9:00 am
9:30 am – Noon
APMA Registration
Breakfast Symposium
Scientific Sessions
6
Executive
Director’s Update
It’s always a learning curve
working with new people, but
it’s always interesting too.
With a new executive for the
CPMA, I am quickly adapting
to their preferred forms of
communication (email versus
phone discussions for some
and the reverse for others).
I think the CPMA has a great
new executive who are very
interested in making change
happen. In addition to key priorities that Dr. Joseph Stern
identified in his message on
pg 2, another emphasis of the
new executive is more communication.
avenues of communication.
We have recently completed
a communications plan and
will start rolling out some of
the initiatives identified in it,
such as monthly eblasts to
CPMA members and additional features on the CPMA
website. As mentioned in my
last update, we now have a
secured member section. All
CPMA members are encouraged to log on to the CPMA
website at www.podiatrycanada.org to obtain their
password so that they have
access to the information
available on the members
only section.
Establishing a Communications Committee is a
new start, which will allow
us to not only provide more
frequent communication
but to also create different
The CPMA will once again be
attending the CLHIA Annual
Conference, and it’s interesting that new people are
wanting to participate in this
opportunity.
The more CPMA members
we get involved in various
activities of the organization
the more we can collectively
do for our members. There
are so many ways to get
involved. You can participate
on a committee, volunteer
to work with either a local,
provincial or national event or
just submit ideas and suggestions – all forms of participation are valuable, and help
improve the value and reach
of the CPMA.
Jayne Jeneroux
CPMA Executive Director
We are considering adding a
discussion forum on the website, AND would like to hear
from you about this idea.
Do you want a discussion
forum? If so, what areas of
discussion would you like to
see?
Send your comments to
cpmaed@podiatrycanada.org
would like to wish the
a Happy 87th Birthday!
To celebrate the occasion we are
pleased to extend to all the
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on polymer gel products!
*Please quote the discount code
when ordering:
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International Region 7 Annual Conference
The Region VII APMA 2011 Meeting will take place at The Sheraton Wall Centre,
November 11-13 in Vancouver, British Columbia
For more information about the conference, please visit www.foothealth.ca or www.
region7apma.org/annualmeeting.html
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Special
Olympics
Oath taken by Special
Olympics athletes:
Let me win, but if I cannot win,
let me be brave in the attempt.
Acknowledgement is given to Special Olympics International for providing the background information.
MISSION STATEMENT
To provide year-round sport training
and athletic competition in a variety
of Olympic-type sports for individuals with intellectual disabilities by
giving them continuing opportunities
to develop physical fitness, demonstrate courage, experience joy and
participate in a sharing of gifts, skills,
and friendship with their families,
other Special Olympics athletes and
the community.
DID YOU KNOW...
The first World Games were in
Chicago and were attended by two
countries – Canada and the USA.
The mission of Special Olympics
is to provide year-round sports
training and athletic competition in a variety of Olympic-type
sports for children and adults
with intellectual disabilities, giving them continuing opportunities to develop physical fitness,
demonstrate courage, experience joy and participate in a
sharing of gifts, skills and friendship with their families, other
Special Olympics athletes and
the community.
8
The story behind Special Olympics
and its Healthy Athletes program
Special Olympics is a grass-roots
movement on a global basis, with
more than two million athletes and
over 150 countries involved. The
Special Olympics involves athletes
who have intellectual disabilities
(ID) and are tested showing an IQ
of 90 or less. Some of these athletes
are also physically challenged. It has
been estimated that close to 20% of
all Special Olympians are afflicted
with Down’s Syndrome. To quote
from the Handbook for the Special
Olympic Movement, “competition
and training, not recreation, is the
cornerstone for Special Olympics’
unique model of competition.
Athletes of all skill levels with
Intellectual Disabilities are welcome
to participate in Special Olympics”.
Special Olympics began in 1968
when Eunice Kennedy Shriver organized the First International Special
Olympics Games in Soldier Field,
Chicago, Illinois, USA. The concept
was born in the early 1960s when
Mrs. Shriver started a camp for
people with ID.
The start of Healthy Athletes
occurred after Steve Perlman, DDS,
saw Rosemary Kennedy, Eunice’s
daughter, in an attempt to salvage
her teeth. Rosemary was born with
ID. At that time, the recommendation was for a frontal lobotomy!
She was living in a group home in
Minnesota, and was not receiving
the proper dental care, irrespective
of her family’s financial ability to
pay for the much needed dental
treatment. Upon the completion
of treatment for Rosemary, Dr.
Perlman was challenged to improve
health care in patients with ID. Thus
Healthy Athletes was born in 1966.
Persons with intellectual and development disabilities (I/DD) have
a 40% greater risk of preventable
secondary health conditions such
as obesity, poor fitness, nutritional
deficits, untreated or poorly treated
vision, dental, hearing and podiatric problems. These disparities
in health care result from a lack of
access and ability to pay for services, poor knowledge of practitioners
and poorly developed and supported
behaviours to promote health.
The Healthy Athletes Special
Olympics programme was
designed specifically to address
and redress these issues. Health
care professionals and students are enlisted and trained
to provide the screenings and
education to these athletes.
These health care professionals also
educate the professional community
about the health needs and abilities
of persons with I/DD.
Presently there are seven disciplines
that provide the screenings at the
various athletic events:
1
2
3
4
5
Opening Eyes – initiated in 1991.
Optometrists provide visual screenings. Lions Club International raises
over $10 million annually for the
sole purpose of providing prescription eyewear to the athletes at the
various games.
Special Smiles – initiated in 1993.
The dental community provides the
athletes with a much-needed oral
assessment.
FUNfitness – initiated in 1999.
Physiotherapists evaluate the overall
strength, balance and flexibility of
the athletes.
Healthy Hearing – initiated in 2000.
Audiologists evaluate the hearing
and, if needed, provide custom swim
plugs for the athletes.
Health Promotion – initiated in
2000. Nutritionists focus on nutrition, hydration, tobacco avoidance
and bone health. They also empower
the athletes to make life style changes that will improve their long-term
health.
continued on page 9
6
continued from page 8
Fit Feet – initiated in 2003. Podiatrists evaluate the
skin, nails, bones and joints of the feet. Socks and
shoes are also inspected and a general gait assessment
is performed.
7
and/or a Sunday, therefore the time that the podiatrists offer their help generally does not affect their
office time.
I introduced the Fit Feet programme to Canada in
2006, starting first in Ontario and then eventually
across Canada.
MedFest – initiated in 2009. Medical doctors provide
and complete physical examinations of the athletes.
This discipline was introduced in Canada in 2011 for
the first time at the Ontario Provincial Winter Games
in Thunder Bay.
Each province has a Provincial Fit Feet director who
is responsible for organizing and running the screening programme when their province holds a Special
Olympics event. Generally, these events take place
once or twice a year. The director enlists the support
and volunteerism of local and provincial podiatrists.
In most cases, the events take place on a Saturday
I encourage all of my colleagues to get involved with
the Special Olympics Healthy Athletes programme. It
is a very worthy and fulfilling experience, and your
involvement becomes a win-win situation. You win
by knowing that you are helping athletes with ID to
get much-needed foot evaluations and possibly future
treatment. Athletes win by being given a first-rate
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The Simcan Comfort Sock® is
Canada’s best selling health sock for
a reason.
Simcan’s ergonomically designed
socks are created to accommodate
your patients most sensitive foot
issues.
podiatric examination, possibly for the first time.
With the knowledge that these athletes get from you,
they will then be able to continue to compete and
maintain a relatively healthy life.
I am always looking for volunteers. Contact me
through the CPMA if you want to get involved.
Kel Sherkin, DPM
Canadian Director Fit Feet Healthy Athletes Special
Olympics
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9
Event participation well worth the effort
by Marie-Christine Bergeron (volunteer 2009, 2010) and Gabrielle L’Écuyer Lapierre (volunteer 2010) Podiatric Medicine students at Université du Québec à Trois-Rivières.
On August 28, 2010, despite humid,
30+ Celsius degree weather, a handful
of brave podiatric medicine students
from the Université du Québec à TroisRivières (UQTR), along with volunteer
podiatrists, were determined to be
part of an event that is dear to their
hearts – the 6th edition of the Montreal
Jewish General Hospital Weekend to
End Breast Cancer. It is a fundraiser
where over 2250 people walked and
raised $5.1 million to fund research
against breast cancer and other feminine cancers that cost so many precious lives.
The 60 km walk was held in Montreal
and lasted through the weekend of
needed attention, shoes that were too
small, as well as muscular and ligamentary pain that required taping or
massaging. As we cared for our many
patients, we met persevering, dedicated people with admirable will. Who
would have believed that the podiatric
treatment tent would have been so
popular!!! In spite of a long lineup, participants were patient and showed a lot
of recognition towards us, volunteers.
On top of caring for patients, this
experience allowed us to meet extraordinary people whose stories touched
our hearts. These people, walking for
the cause, are either cancer survivors,
people currently fighting the disease or
friends or relatives of people affected
“
Who would have
believed that the
podiatric treatment tent would
have been so
popular!
Proud Walkers
August 28th and 29th. Tents were set
up by the hospital’s organization committee in a park to accommodate the
participants who slept at the Queen of
Angel’s academy, Dorval, on Saturday
evening. During the day, walkers were
cheered by many supporters and
many halts were set up, which provided refreshments, food and, most
importantly, medical support to help
alleviate the pain that many walkers
had to endure as their feet were sore.
We, the podiatric team, under the
supervision of Doctors Bluma Girzon
and Charles Faucher, were ready
with gauze, plasters, scissors and
enthusiasm to enable many walkers
to pursue their long-awaited trek. The
hot weather combined with shoes that
were not always a perfect fit resulted
in many blisters that we had to treat on
the spot. Not to mention toe nails that
Marie-Christine Bergeron, Marie-Claude Charest et
Gabrielle L’Écuyer Lapierre, volunteers
or deceased because of cancer. They
all have one thing in common – their
engagement to walk 60 km to help find
a cure for feminine cancers.
In addition to giving us a lot of visibility, this event supported a very good
cause. As podiatrists, we should all
participate in a lot of public events and
fundraising causes so we can promote
the profession. Even if the event is
held just over a weekend, you will
remember it for the rest of your life by
meeting remarkable people and learning a lot. Personally, being part of the
Weekend to End Breast Cancer really
inspired us to make changes in society
and we surely will pursue this tradition in 2011. Let’s walk hand in hand,
step by step, to get closer to a cure for
feminine cancers!
Marie-Christine Bergeron and Magali Paquet-Laroche, volunteers
PROVINCIAL UPDATES
British Columbia
A historic change took place on February 1, 2011
here in BC as the podiatry profession underwent a
significant legislative transformation. On that day,
the old, antiquated BC Association of Podiatrists
and the Board of Examiners in Podiatry ceased to
exist as the Podiatrists Act was officially repealed.
In its place, a new College of Podiatric Surgeons
of BC (CPSBC) was created under the Health
Professions Act and a new BC Podiatric Medical
Association (BCPMA) was created under the
Society Act.
The CPSBC becomes the public body responsible
for governing the profession of podiatry in BC and
protecting the public. Specifically, the CPSBC
will handle issues related to registration, inquiry,
discipline, quality assurance, surgical practice
standards and patient relations. The scope of
practice for podiatry has been expanded to not
only include the foot but also the structures of the
lower leg (that govern the function of the foot). For
more information, visit the CPSBC website at www.
bcpodiatrists.org. The old BCAP phone number
now serves as the CPSBC phone number which is
604-602-0400.
In contrast, the BCPMA becomes the body dedicated to promoting the profession of podiatry and
providing assistance and benefits to its members.
This will include organizing seminars and providing opportunities for CME credits. The BCPMA will
continue to maintain close ties with the CPMA and
be involved with helping to further its interests here
in BC. Additional information can be found at www.
foothealth.ca.
This year’s annual BCPMA seminar is being held at
the Sheraton Wall Centre Hotel in Vancouver, BC
from November 11th - 13th, 2011. The seminar will
be held in conjunction with the APMA Region VII
Seminar and be combined with the Live Well with
Diabetes Seminar to provide a truly balanced yet
diversified series of lectures with ample CME credits. Please visit the BCPMA website for updates
and information on registration or call the BCPMA
at 604-682-2767.
Fraternally,
Greg Laakmann, DPM, FACFAS
President, BCPMA
Alberta
Despite the continued snow storms and very cold
temperatures that Alberta has experienced all winter, the Alberta Podiatry Association continues to
move forward with its preparations to come into the
Health Professions Act (HPA). The APA Executive
recently met with Alberta Health to ensure that the
steps being taken are in alignment with the HPA
requirements. We expect to have our bylaws completed in the next few months.
The APA has also finished all aspects of the
Foreign Qualifications Review (FQR) project
that was funded by Alberta Employment and
Immigration and has now been completed. This
project was designed to explore the role of foot
practitioners from other countries and how their
qualifications compared against the qualifications
for podiatrists set out in the APA bylaws. While
the current Alberta Podiatry Act does not allow for
any classifications of foot practitioners, other than
Doctor of Podiatric Medicine, under the HPA there
is an opportunity to establish other categories.
Materials created through the project are posted on
the APA website at www.albertapodiatry.com
The APA will soon be embarking on another
government-funded initiative. Starting April 1, 2011,
the Occupational Health and Safety project will get
underway. The purpose of this project is to create
greater awareness among Alberta podiatrists about
occupational health and safety risks and preventative measures that can be taken. It is anticipated
that educational materials will be created and distributed and shared with APA members. The APA is
more than happy to also share these materials with
CPMA members when they are completed.
Mario G. Turanovic, DPM
President, Alberta Podiatry Association
11
Manitoba
The Manitoba Podiatry Association has been working on its new web page and is in the final stages
of having it up and running. Our executive membership changed at the last AGM and this put a
slight delay to the web page as ideas from the new
executive were addressed.
Liaising with Manitoba Blue Cross is ongoing and
we will be setting up meetings with other extended
health benefit groups to strengthen our relationships.
Our agenda for 2011 is to provide continuing professional development (CPD) opportunities, CPR
and better rates for malpractice. We are currently
on the second draft of the revised bylaws and will
be presenting them at the AGM for approval.
Alicia Snider
President, Manitoba Podiatry Association
Quebec
This year will be another busy year. At the beginning of April 2011, L’Ordre des Podiatres du
Québec will hold an election to name a new president. Two candidates are in contention.
In May, L’Ordre will meet with podologues from
France to work on the Québec-France agreement. And in June, 20 new podiatrists will
graduate from the Université of Québec in TroisRivières. Québec will also be hosting the 2012
CPMA AGM. Both the city location and exact
dates will be determined in the near future.
Genevieve Payette, DPM, CPMA representative
Ordre des Podiatres du Québec
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12
Ontario’s provincial budget is expected to be tabled in late March or early
April. As occurs every year at this
time, the Ontario Podiatric Medical
Association (OPMA) is preoccupied
with ensuring continuation of the status quo with respect to OHIP billings.
It is a source of pride to the OPMA
that podiatry in Ontario is the only
profession other than medicine that
has not been fully or partially delisted
from the Ontario Health Insurance
Plan (OHIP). It is clearly a testament
to the important role that podiatrists
provide in Ontario’s health care
delivery system. Having said that,
the OPMA has notified the Ontario
Ministry of Health and Long-Term
Care that it wishes to modernize and
clarify the OHIP podiatry fee for services schedule.
The OPMA is part of an ad hoc
coalition of health care professional
associations and colleges that is
crystallizing around the task of modernizing and clarifying the Healing
Arts Radiation Protection (HARP)
Act. The OPMA is also in the process
of responding to a draft regulation
relating to those professions that may
order or perform CT scans or operate
CT scanners.
The review by the Health Professions
Regulatory Advisory Council
(HPRAC) that hopefully will result in
Ontario’s conversion to a full scope
podiatry model is still scheduled to
begin by 2014, or when the other
reviews in the pipeline have been
completed, whichever comes first.
The OPMA continues to support
the College of Chiropodists and
Podiatrists of Ontario in its efforts
to bring forward the review. For the
past year, HPRAC hasn’t really been
operational, which is of concern to the
OPMA because it decreases the likelihood of our review being expedited.
However, in February 2011, the position of HPRAC Chair and the vacant
positions on Council were filled,
which means that HPRAC should
be back in business fairly soon. The
first items of business on the HPRAC
agenda will be reviewing and updating its criteria for the regulation of
new professions and for scope of
practice changes to existing professions. The second exercise could
obviously have a major impact on the
podiatry/chiropody review.
Several podiatrists who are registered
to practice as podiatrists in another
Canadian province have applied, or
intend to apply, for “permit to permit”
registration as podiatrists in Ontario
under the Agreement on Internal
Trade. Although not directly involved,
we are watching this closely to see
how the College and Ontario manage
to square their requirements under
the AIT with the legislative podiatric
cap that persists in Ontario.
Bruce Ramsden, DPM
President, Ontario Podiatric Medical
Association
FIND YOUR
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13
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Ontario
CPMA President addresses the
2011 APMA House of Delegates
On March 20, 2011, Dr. Joseph Stern addressed the 2011 House of Delegates of the American
Podiatric Medical Association (APMA). Provide below is the speech he gave.
Dear Mr. Speaker, Mr. President, Board
of Trustees, APMA members, staff and
officers. Thank you for the opportunity to
speak to your 2011 House of Delegates.
As the new president of the Canadian
Podiatric Medical Association, this is my
first opportunity to attend these meetings
and to meet with many of you. It is indeed
an honour to stand before you and share
information about the podiatry profession
in Canada. I must give credit to my predecessors – Drs. Robert Chelin and Mario
Turanovic, past presidents of the CPMA
– for helping to pave the way and make it
possible for me to be here today.
I was elected as President of the CPMA
last November, along with a new executive
board. Our new dynamic and energetic
board Is focused on creating new opportunities for our members. During my presidency, it is my mission and mandate to
unify our profession in Canada. To achieve
that success and to be an effective leader,
it is imperative that one must listen to
its membership and communicate on a
regular basis. To do so, I will make it my
mandate to visit all our provincial partners
over my term.
As Colin Powell has said, “there are no
secrets to success. It is the result of
preparation, hard work and learning from
failure.”
The CPMA continues to grow its membership from coast to coast and its success
has been due to our increase in our
member benefits, but to do so comes at
a price. Thanks to the collaboration of the
New York College of Podiatric Medicine
and the University of Québec at Trois
Rivieres, our one and only podiatry school,
we now have a steady stream of podiatric
students that are being trained in Canada.
This May, we will see the fourth graduating class of podiatrists ready to practice
in Quebec.
It truly is an exciting time for podiatry in
14
our country. We are making significant
progress on issues that have been underway for some time. One of our key issues
is podiatry’s inclusion in prescribing rights
for narcotics. The CPMA has been lobbying the federal government about full
narcotics prescribing privileges for our
members. I’m very pleased to say that we
are now very, very close to having this initiative completed within 12-18 months.
As well, our two most western provinces
are making changes in relation to the
Health Professions Act in British Columbia
and Alberta. The Health Professions Act
is provincial legislation in each province
to govern all regulated health professions under one umbrella. Key features
of this legislation include self-regulation,
transparency to the public, protected
titles, restricted activities and continuing
competency. B.C. came into the act on
February 1, 2011 and is now busy setting
up committees; Alberta’s regulations are
near completion, and they are awaiting
Order in Council approval before it comes
into the Act.
While western Canada leads the way for
podiatric medicine in Canada, there is also
movement happening in other provinces.
For example, Ontario continues to push
for removal of the cap on DPMs. Manitoba
and Saskatchewan have included “Doctor
of Podiatric Medicine” in their legislation,
which will enable qualified practitioners to
undertake the full DPM scope of practice.
When we look at podiatry in the United
States and Canada, there are many similarities in terms of practice parity between
our two countries. In fact, 95% of the
CPMA members are graduates of the
United States podiatry schools and have
residency training.
Much like the APMA, the CPMA works
with various related organizations. One
example is our involvement with the
Canadian Diabetes Association and its
new campaign “get checked now”, which
is focused at the 40 and up age group.
In fact, British Columbia podiatrist, Dr.
Tim Kalla, has been selected as a media
spokesperson for the CDA.
Another example is our collaboration with
Special Olympics. The CPMA and its
members have been participating in “Fit
Feet” programs across Canada for several
years. Dr. Kel Sherkin is the Canadian
director of our Fit Feet: program, and is
the individual who engineered podiatry’s
involvement in Special Olympics.
While the specifics of podiatric medicine
do vary somewhat across Canada, we are
all focused on providing the best foot and
ankle care for our patients.
By working together with the APMA, we
provide the opportunity for all of our collective members to continue their lifelong
learning and enhance the podiatry profession. The friendship protocol that was
established between the APMA and the
CPMA has helped to flourish podiatry in
Canada. Many of our members take part
in your annual scientific seminars, and
American podiatrists also take part in scientific seminars held in Canada. This year,
the Region VII conference will be held in
November in Vancouver, British Columbia,
November 11-13, and two podiatrists from
the American Society of Podiatric Surgery
will be on the program.
The CPMA Annual General Meeting will
take place in Toronto, Ontario September
15-17 and I hope that I will have the
opportunity to host the new CPMA
President, Mike King.
I thank you for the opportunity to speak
before you today and I look forward to
continued opportunities to meet and
learn from each other. I would like to congratulate Dr. Stone on her presidency and
would also like to wish Dr. King and the
APMA Board much success.
I’d like to ask Dr. Stone to join me on
the podium. … Dr. Stone, on behalf of
the CPMA, I’d like to thank you for your
tremendous support and interest you’ve
provided us over your term. I hope our
paths cross in the future. As a token of our
appreciation, I’d like to present you with
this West Coast Indian Art letter opener
from Victoria, British Columbia.
I’d also like to ask Dr. King to join me on
the podium. … Dr. King, in preparation
for your presidency, I would like to present
you with this gift. I know you are a baseball fan as much as I am a hockey fan. So
for those times your team is not winning
or you have the presidency blues, here’s
a bottle of ice wine from the great white
north to soothe those evenings.
As President of the CPMA, I look forward
to working with you in continuing our
friendship protocol and exchange of ideas
to better our profession.
On behalf of the CPMA Executive Director,
Jayne Jeneroux, and myself, I thank you
for your hospitality, support and friendship.
From left to right: Professor Stuart Baird, Chairman of the Society of Chiropodists and Podiatrists; Dr. Joseph Stern, President of the Canadian Podiatric Medical Association; Janet
McInnes, President of the Federation Internationales des Podologues/International Federation of Podiatrists; and Dr. Robert Chelin, Past President of the Federation Internationale
des Podologues/International Federation of Podiatrists
Recognizing
quality products
CPMA SEAL OF ACCEPTANCE/APPROVAL PROGRAM
One of the components of the
CPMA that generates considerable interest is our CPMA
Seal of Acceptance/Approval
program. Placing the Seal of
Approval/Acceptance on products is a very effective way for
companies to promote their
products to podiatrists and to
the general public. Currently,
the CPMA program includes
the following categories:
• footwear
• socks
• creams/gels
• ankle support
Our newest products are the
Clarks Wave shoe style and
new version of the Saucony
Pro Grid shoes.
The CPMA website provides
a listing of the various companies that have the CPMA Seal
of Acceptance/Approval Check
it out at through the following
URLs. http://www.podiatrycanada.org/our_sp02.html
http://www.podiatrycanada.org/
our_sp03.html
http://www.podiatrycanada.org/
our_sp04.html
http://www.podiatrycanada.org/
our_sp06.html
ABOUT THE PROGRAM
The CPMA Seal of Acceptance/ tee of expert podiatrists who have
Approval program consists of determined that the product(s) promote quality foot health.
two components:
If you know of a company that may
be interested in the CPMA Seal
of Acceptance/Approval program,
please forward information about
the company to Jayne Jeneroux at
• Seal of Approval – for therapeutic jjeneroux@xplornet.com.
products.
• Seal of Acceptance – for footwear
and other products external to the
foot such as equipment, hosiery
and materials
The Seal is awarded to products
after a careful review by a commit-
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15
CPMA Narcotics Committee Update
By Dr. Richard Bochinski Chair, CPMA Narcotics Committee
BACKGROUND
As most of you are aware, the Canadian
Podiatric Medical Association (CPMA) has
been lobbying for narcotics prescribing
privileges for several years. This update is
intended to provide you with an overview of
the steps taken and where the initiative currently stands for podiatrists.
Meetings began in 2005 to discuss concerns
among three distinct groups (podiatrists,
nurse practitioners and midwives) seeking prescribing privileges for controlled
substances. The intent was to allow these
practitioners to conduct activities with controlled substances if they were authorized to
do so under provincial/territorial legislation.
After many meetings and conference calls,
the proposed New Classes of Practitioners
Regulations (NCPR) were originally prepublished in the Canada Gazette, Part I on
June 30, 2007.
During and after the pre-publication comment period, provincial/territorial (P/T) ministries of health and stakeholder groups raised
a number of concerns.
Audiences that your
provincial podiatry
association should
consider meeting
with include:
• Minister of Health
• Deputy Minister of
Health
• College of Physicians
and Surgeons
• Pharmacists Association
• College of Pharmacists
• Provincial Medical
Association
16
In response to the concerns, Health Canada
launched a new round of dialogue with P/T
health ministries in July 2009. An ad hoc
federal/provincial/territorial working group
was formed to resolve key concerns and
develop a revised draft of the regulatory
proposal. The revised proposal deletes the
proposed schedules by incorporating references to the Narcotic Control Regulations
(NCR), Benzodiazepines and Other
Targeted Substances Regulations (BOTSR)
and the Food and Drug Regulations-Part
G(FDR-G), with the exclusion of:
• heroin, cannabis, opium, coca leaf and
anabolic steroids
• buprenorphine and methadone
Proposed changes to the drug schedules
are in sync with other regulations under
the Controlled Drugs and Substances Act,
ensures all practitioners are treated equally
under the CDSA (with the exception of certain exclusions) and provides flexibility for
P/T ministries of health to establish which
controlled substances should be included
under the scope of practice for podiatrists.
Changes in the definition of podiatrist are
also proposed – delete sections (b) and
(c) in the current definition and replacing
the term “Doctor of Podiatric Medicine”
with “Podiatrist”. These two changes reflect
ongoing work in some P/Ts regarding
potential expansion of scope of practice and
better reflect the range of educational backgrounds of podiatrists. Accompanying provisions would ensure that only podiatrists with
appropriate P/T authorization can handle
controlled substances.
WHAT CAN PROVINCIAL PODIATRY
ASSOCIATIONS DO TO GET READY?
Between now and when the regulations
are approved is an important time to create greater awareness about the podiatry
profession in your province to ensure that
people know what podiatrists are, what they
do, and what their qualifications are. If you
haven’t already started dialogue with practitioners who may be interested or concerned
about podiatrists getting prescribing rights,
you should start making plans right now.
Health Canada aims to prepare a new
regulatory proposal to be submitted to the
Treasury Board Secretariat by June 2011 for
approval to pre-publish in Canada Gazette,
Part I.
As an example, Alberta has already secured
written consent from the elected health
minister that the Government of Alberta is in
agreement with podiatrists having prescribing privileges for controlled substances.
Alberta has also had discussions with the
executive of he College of Physicians and
Surgeons of Alberta, the Alberta College
of Pharmacists and its registrar, and the
Alberta Medical Association. Each audience
was provided detailed information about
the qualifications and training of podiatrists
practicing in Alberta, the scope of practice
of these podiatrists and also the impact
that the current situation has created. The
discussions also included how it affects
patients and the health care system in
general.
WHAT DOES THIS MEAN FOR
PODIATRISTS?
Essentially, Health Canada is handing over
the responsibility for this issue to the provinces. Each provincial health department
will determine who qualifies for prescribing
privileges of controlled substances. This is
good news, especially for provinces that
have already taken the necessary steps to
ensure that their province already realizes
the importance of podiatrists and the need
for them to prescribe certain controlled substances for their patients. Alberta is one of
these provinces, and is ready to make the
transition as soon as the regulations are
approved.
We will continue to update you on this very
important initiative as progress is made. In
the meantime, if you have any questions,
please feel free to contact me at cpmasecretary@podiatrycanada.org
17
MARK your CALENDAR
and Plan to Attend …
2012 Dates
2011 Dates
2013 Dates
July 28-31
April 19-22
October 3-5
APMA Annual Scientific Conference
Boston, Massachusetts
www.apma.org
Midwest Podiatry Conference
Chicago, Illinois.
www.midwestpodconf.org
FIP World Congress of Podiatry
Rome, Italy.
www.fipnet.org
September 15-18
August 16-19
OPMA Conference
Toronto, Ontario
www.opma.ca
APMA Annual Scientific Conference
Washington, D.C.
www.apma.org
2011 CPMA AGM (date & time T.B.A.)
Toronto ON
www.opma.ca
(T.B.A.)
CPEF AGM (date & time T.B.A.)
September 22-24
Annual Las Vegas Scientific Seminer
Las Vegas, Nevada
www.newpodiatricfoundation.org
October 15-22
Annual Hawaii Seminar
Maui, Hawaii
www.nwpodiatricfoundation.org
October 26-30
ACFAOM Annual Meeting
Orlando, Florida
www.acfaom.org
November 11-13
International Region VII Podiatry
Conference
Vancouver, B.C.
www.foothealth.ca or
www.region7apma.org/annualmeeting.html
18
2014 Dates
July 24-27
APMA Annual Scientific Conference
Honolulu, Hawaii
www.apma.org
2012 CPMA AGM
Quebec
www.podiatrycanada.org
2013 Dates
July 21-25
APMA Annual Scientific Conference
Las Vegas, Nevada.
www.apma.org
2015 Dates
July 28-31
APMA Annual Scientific Conference
Orlando, Florida
www.apma.org
Loprox
®
3UHVFULELQJ6XPPDU\
Patient Selection Criteria
THERAPEUTIC CLASSIFICATION
Topical Antifungal Agent
INDICATIONS AND CLINICAL USE
LOPROX® (ciclopirox olamine 1%) Cream or Lotion is indicated for the topical treatment of the
following dermal infections: tinea pedis, tinea cruris and tinea corporis due to Trichophyton
rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporum canis;
cutaneous candidiasis (moniliasis) due to Candida albicans; and tinea (pityriasis) versicolor
due to Malassezia furfur.
LOPROX® is not proposed for vaginal application.
CONTRAINDICATIONS
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1. Kligman AM, et al. Evaluation of ciclopirox olamine cream for the treatment of tinea pedis:
Multicenter, double-blind comparative studies. Clin Ther 1985;7(4):409-17.
Double-blind, multicentre study of 87 patients with both plantar and interdigital tinea pedis.
Patients were randomized to either twice daily ciclopirox olamine 1% cream ( n =43) or
clotrimazole 1% cream (n =44) for four weeks.
SUPPLEMENTAL PRODUCT INFORMATION
SPECIAL POPULATIONS
Use in Pregnancy: Reproduction studies have been performed in the mouse, rat, rabbit, and
monkey (via various routes of administration) at doses 10 times or greater than the topical
human dose. No significant evidence of impaired fertility or harm to the fetus due to the use
of ciclopirox olamine has been revealed. However, a higher incidence of systemic absorption
of ciclopirox olamine in the rat was noted in the group given 30 mg/kg orally as compared
to controls.
SYMPTOMS AND TREATMENT OF OVERDOSAGE
There have been no clinical reports of acute overdosage with LOPROX® (ciclopirox olamine)
Cream or Lotion by any route of administration. From acute toxicity studies of ciclopirox
olamine cream 1% in adult rats, oral doses of 36 g/kg produced no evidence of toxic signs.
DOSAGE FORMS
Availability: LOPROX® Cream is available in tubes of 45 g.
LOPROX® Lotion is available in a 60 mL bottle.
Hypersensitivity to any of the components of this medication (see Dosage Forms: Composition
in the Product Monograph).
SPECIAL POPULATIONS
Use in pregnancy: (also see Supplemental Product Information): There are no adequate or
well-controlled studies in pregnant women. This drug should be used during pregnancy only
if clearly needed.
Use in Nursing Mothers: It is not known whether this drug is excreted in human milk.
Because many drugs are excreted in human milk, caution should be exercised when LOPROX®
is administered to nursing women.
Use in Children: Safety and effectiveness in children below the age of 10 years have not
been established.
Safety Information
WARNINGS
LOPROX® is not for ophthalmic use.
PRECAUTIONS
If a reaction suggesting sensitivity or chemical irritation should occur with the use of LOPROX®,
treatment should be discontinued and appropriate therapy instituted.
ADVERSE REACTIONS
LOPROX® is well tolerated with a low incidence of adverse reactions reported in clinical
trials. LOPROX® Cream had a 0.4% incidence of adverse reactions in controlled clinical trials.
These included pruritus at the site of application, worsening of clinical signs and symptoms,
and mild to severe burning reported in a few cases.
In a controlled clinical trial with 89 patients using LOPROX® Lotion and 89 patients using
the vehicle, the incidence of adverse reactions was low. The side effects included pruritus
occurring in three patients and burning, which occurred in one patient.
To monitor drug safety, Health Canada collects information on serious and unexpected
effects of drugs. To report a serious or unexpected reaction to LOPROX®, you may notify
Health Canada by toll-free telephone at 1-866-234-2345.
Product Monograph available upon request or at www.sanofi-aventis.ca.
Copyright © 2010 sanofi-aventis.
All rights reserved. sanofi-aventis Canada Inc.
Laval, Quebec H7L 4A8
CDN.CIC.09.11.02E
$GPLQLVWUDWLRQ
DOSAGE AND ADMINISTRATION
Gently massage LOPROX® into the affected and surrounding skin areas twice daily, in the morning and
evening for a minimum of 4 weeks. Clinical improvement with relief of pruritus and other symptoms
usually occurs within the first week of treatment. If a patient shows no clinical improvement after
two weeks of treatment with LOPROX®, the diagnosis should be redetermined. Patients with tinea
versicolor usually exhibit clinical and mycological clearing after two weeks of treatment.
19
Help your patients
get antifungal relief fast
with
(ciclopirox olamine 1%)
At week one,
93% of Loprox® patients showed improvement in tinea pedis
• Clinical response: 93% (n=43) of Loprox®
vs. 71% (n=42) of clotrimazole patients; p≤0.011†
Loprox® cream or lotion is indicated for the topical treatment of the following dermal infections: tinea pedis, tinea cruris, and tinea corporis
due to T. rubrum, T. mentagrophytes, E. floccosum, M. canis; cutaneous candidiasis (moniliasis) due to C. albicans; and tinea (pityriasis)
versicolor due to M. furfur.
Loprox® cream had a 0.4% incidence of adverse reactions in controlled clinical trials. These included pruritus at the site of application,
worsening of clinical signs and symptoms, and mild to severe burning reported in a few cases.
† Recommended dosing: minimum 4 weeks, twice daily.
CDN.CIC.09.12.03E
See prescribing summary
and study parameters on page 19
20