2024 Annual
Report

• Supported members with expert peer-to-peer guidance over 54,000 times, on the phone and online.
• 93% of members who completed our post-call survey expressed satisfaction with the service provided.
• Provided medico-legal assistance to over 30,000 new cases, including 958 legal cases, 5,310 College matters, and 2,275 hospital matters.
• 96% of members who responded to our post-call survey felt that CMPA physician advisors interacted with them in a non-judgmental, safe, and supportive manner.

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• 87% (1,381) of members who reported high stress levels in our post-call survey experienced a significant reduction in stress after speaking with us about a medico-legal concern.
• Launched the Wellness Support Program in 2024, offering additional support to members who were distressed about medico-legal events.

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• The top 3 words members used to describe CMPA in 2024: trusted, responsive, and creditable (worthy of belief).
• Curated online resources on key issues (e.g., medical assistance in dying (MAID), AI, and bias in healthcare), streamlining members’ access to information.
• When changes to MAID legislation in Québec took effect, we offered informed medico-legal guidance to members, helping them navigate the complexities of risks involved.
• 8,636 members responded to the 2024 General Membership Survey, of whom 96% agreed that CMPA services met their medico-legal needs.
• Reached a baseline of 1 business day for member callbacks, and let members choose a callback time that worked best for them.

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• $2.5 billion in compensation paid to patients, on behalf of members, over the last 10 years.
• In 2024, compensation to patients proven harmed by negligent care, paid on behalf of members, totaled $322 million, an all-time high.
• Closed 2024 in a strong financial position, with investment returns of 13.6%.
• Our strong financial position should provide confidence to members and their patients that we are there for them.

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• Sponsored equity, diversity, and inclusion (EDI) efforts and contributed our expertise to help address systemic inequities and create a more inclusive healthcare environment in Canada.
• We actively explored opportunities to use alternative dispute resolution mechanisms and engaged with stakeholders who have an interest in restorative approaches to healthcare harm (e.g., medical regulatory authorities, healthcare authorities, Healthcare Excellence Canada, and Patients for Patient Safety Canada).
• With over 150 new stakeholder engagements and 344 meetings in total, we provided our perspective on key areas of interest including EDI, AI, international medical graduates (IMGs) new to practice in Canada, and physician wellness.
• We provided valuable risk messaging to medical assistance in dying (MAID) advocates and providers, including the Quebec MSSS (Ministère de la Santé et des Services sociaux), and we sponsored the Canadian Association of MAID Assessors and Providers’ (CAMAP) Annual Conference.

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• Front-line physician advisors continued to receive EDI and anti-racism learning (e.g., San'yas Indigenous Cultural Safety Training), helping them create a culturally safe and inclusive environment on calls with members, while enhancing their ability to quickly recognize and identify EDI concerns.
• In EDI-related cases, we empowered legal counsel to expand their defence approach.
• Provided equity scholarships to 8 physicians/physician trainees from Black, Indigenous (First Nations, Inuit and Métis), or racialized communities, to attend major academic conferences in 2024 and share their research and knowledge.
• Continued to work collaboratively with our external partners and stakeholders to support EDI initiatives, e.g. participation in the Canadian Medical Forum Anti-Racism in Healthcare Working Group, including helping to shape and signing the Joint Statement on its Commitment to Truth and Reconciliation and Anti-Racism in Canadian Healthcare, December 2024 [PDF].

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• Launched the Equity, Diversity, and Inclusion (EDI) Education and Learning Series for all employees and offered targeted EDI training for employees who interact with members.
• Conducted an employee engagement survey—with an impressive 88% engagement rate—to better understand and respond to employees’ experiences and to continue to foster a culture of employee belonging, well-being, and learning and development.
• As a learning organization focused on continuous improvement, we launched a Collaboratives Program to unite teams from across the Association, fostering innovation and cross-team learning. The inaugural Data Storytelling Collaborative has been highly successful in helping teams build their data literacy and data storytelling skills.

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• Through our learning, advice, and support, we helped a group of physicians keep a medical clinic, on the verge of closing, open in a First Nations community. Working with physicians at the clinic, we supported the development of strategies to address their concerns and created a clear path forward for the clinic.
• Our Test Results Follow-Up workshop helped physicians build more reliable follow-up systems, lessening administrative worries and improving patient care.
• Participants in the Patient Safety Primer course for residents reported a marked improvement in their communication skills— including cultural and language sensitivity—promoting an enhanced trust between physicians and patients.

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• In a historic vote at the 2024 Annual Meeting, members approved all recommended changes to enhance our governance model.
• Under Council’s leadership, continued work on our comprehensive review of CMPA’s governance model, to modernize our governance and support our agility for continued success in an ever-changing environment.
• Worked with expert consultants, conducted research, and engaged with members through a member survey and 4 virtual “listening and learning” sessions.
• Presented the Modernizing CMPA Governance: Governance Review Report [PDF] to members, containing the final recommendations to enhance our governance model.

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• Maintained the largest collection of physician-based medico-legal data in the world.
• To support our members’ quality improvement, research, and teaching activities, we responded to 64 member requests for data.
• Our research on the interpersonal dynamics of the physician-patient relationship was featured in La Presse and the College of Physicians and Surgeons of Ontario’s Dialogue.
• Developed tailored risk information by specialty in 8 new Know Your Risk reports, including tools to allow members to self-assess their medico-legal risks against their peers.
• Our 12 peer-reviewed research articles published in 2024 received over 29,000 views.
• Presented a total of 43 public policy submissions to medical regulatory authorities on topics such as medical assistance in dying (MAID), ethics and responsibility, and AI.

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