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I first became aware of this article some time ago, and a fellow injured worker recently reminded me
of it. It's an older story (2000) but one that's worth revisiting, as no changes have been implemented regarding these
The Medical Post
December 05, 2000 Volume 36 Issue 41
WCB case management riles Sask. physicians
Inconsistencies plague system as non-med personnel often intervene
By Deana Driver
REGINA – Non-medical personnel in Saskatchewan are making decisions affecting patient health, say physicians. And
doctors want something done about it.
After much discussion and anecdotal evidence, the Saskatchewan
Medical Association's (SMA) representative assembly approved a motion at their fall meeting to ask their board to contact
the Workers Compensation Board (WCB) and Saskatchewan Government Insurance (SGI) to address inconsistencies in their case
management, poor communication with physicians, and to improve management of coordinated care.
Scharfstein, executive director of the SMA, told the delegates that this has been a long-standing issue with the WCB.
meet with them regularly. We've been asking them to do a survey of physicians for two and a half years and now they've agreed
to do a survey."
Dr. Wayne Stanley, a general practitioner in Moose Jaw, said a physician might have
two patients with carpal tunnel syndrome, only one of which is covered by WCB. At the minimum, physicians need criteria the
WCB is using. He said forms filled out by physicians are not kept in the patient files but are reworded into a summary document
by WCB staff and are often reworded incorrectly.
"WCB loves to phone patients and give them instructions
over the telephone" and then there is no written record of what patients were told.
"When push comes
to shove, WCB will not back up those claims," said Dr. Stanley.
Another physician said WCB and SGI appear
to place the opinions of physiotherapists above those of physicians, which is sometimes done at the peril of the patient.
Dr. Bill Silver, an orthopedic surgeon, said he's heard stories of colleagues who have done a rotator
cuff repair and then been told they have no input into the followup care of that patient.
"I, as a consultant,
will ask for a specific therapy and am told by the compensation board they cannot get that sort of therapy for their patient,"
and so are excluded in the postoperative care, he said.
Dr. Ron Ailsby, a Regina orthopedic surgeon,
said the WCB sends letters to family physicians telling them what method of treatment the board is imposing on the patient.
"It is a system thing and what they're doing is not our medical members that work for the WCB. It's
been taken away from the medical physicians. It's being done by claims officers under the direction of directors, boards and
other people," said Dr. Ailsby.
"We have non-medical people telling patients what they should do and
should not do which it is totally medically non-indicated. We are fighting it and we are losing the battle," said Dr. Silver.
"So I guess we have to document this carefully, send it to Dr. Kendel (registrar of the College of Physicians
and Surgeons of Saskatchewan), and say these people are practising medicine without a licence."
© Copyright 2006 The Medical Post. All rights reserved.
It occurs to me that the Saskatchewan Medical Association,
and the College of Physicians & Surgeons, have more authority than they are currently exercising. Both
have been aware of the WCB's unlawful medical practices for years, yet they've done nothing to remedy this
situation to date. There is no question that Board personnel are "Practicing medicine without a licence", and
the majority of them have been in practice for quite some time. Anyone with reasonable intelligence knows that the Board's
jurisdiction would not hold up against this charge in a court of law.
While I applaud the physicians who spoke out in this article,
I strongly question the integrity of the self-governing body that licence them. My personal experience with this
institution has only managed to fuel this distrust (see Important Developments). It’s one thing for the College to dismiss the concerns of an injured worker; to dismiss the concerns
of its member physicians is entirely another.
Care to comment on this article? Send your concerns to the College of Physicians and Surgeons at firstname.lastname@example.org (College Registrar). Be sure to include your name and mailing address or your concerns may not
All My Websites:
“WCB: Your Right To
Sue” – Click here
“Saskatchewan WCB Breach Of Privacy” – Click here
Party: Broken Promises & Cover-ups” – Click here
"Appealing the Saskatchewan Workers Compensation Board" – Click here
(this page only)