“…Also, should Bill 43 be implemented, Quebec NPs may choose to depart from clinical practice in favor of cosmetic medicine as several have done in Ontario following similar legislative changes. As discussed extensively in a previous letter, 1 NPs practicing cosmetic medicine without even minimal formal training not only raise concerns for patient safety but detract from governments’ stated mission of increasing access to care. Indeed, Bill 43 would supersede the current restriction in Quebec whereby NPs may only perform, and not alter, cosmetic treatment plans established and overseen by a physician trained in cosmetic medicine.…”