Features cont’d 34 Methadone Exemption Lifted, Expectations Remain Methadone prescribers no longer require a federal exemption to prescribe methadone. But given the safety risk that methadone represents if not prescribed appropriately, the College will continue to have expectations for physicians who wish to enter this area of practice. 35 Training Requirements for Assessing Sex Reassignment Surgery Physicians are reminded that they must have the appropriate training in WPATH standards of care in order to assess patients for sex reassignment surgery. 38 Opioid Wisely Choosing Wisely Canada has launched a campaign to raise awareness around the importance of clinician-patient conversations to reduce harms associated with opioid prescribing. 40 Legalization of Recreational Cannabis As of October 17, Canadians will be able to consume marijuana recreationally without criminal penalties. Given this change, the prevalence of use may increase, and patients may be more open to sharing information about their use with health- care professionals. 45 Practice Partner 41 Civil Service Civility may sound like a quaint concept, but it’s needed more than ever. It is also something that doesn’t just happen. It is something we need to value, learn more about, practise and encourage. 45 Infection Control and Prevention Transmission of blood-borne pathogens can occur from unsafe and improper medication administration by injection and infusion. To ensure that physicians are using medications appropriately, Public Health Ontario has developed some FAQs about medication administration. 47 Practice Points – A Breakdown in Professionalism We look at how a tense interaction between a doctor and her patient could have been improved. 49 Patient Safety When treating patients who are taking medications that cause constipation, it is critical to anticipate, monitor and prescribe laxatives as a routine part of care. 52 Understanding your Privacy, Security Obligations 41 OntarioMD has developed a module to assist Ontario physicians, particularly those who use electronic medical records and other digital health tools, to keep up to date with privacy and security obligations for personal health information.