2025Annual
Report

Providing trusted support

• 93% of surveyed members* agreed that CMPA provided credible medico-legal advice.
• Amid increasing call and case volumes, we continued to deliver expert, empathetic peer-to-peer advice and assistance to members over 57,970 times by phone and online.
• We supported members throughout the full lifecycle of their medico-legal events, providing timely guidance at every stage.

Delivering services that members value

• Members appreciated the sensitivity with which physician advisors addressed their concerns, with 97%** reporting their interactions took place in a safe, non-judgmental, and supportive environment.
• 94% of members** were satisfied with the service they received.

*6,984 2025 Membership Survey respondents

**who completed the post-call survey

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Delivering fair compensation and financial stability

• We continued to provide an essential service to the healthcare system by compensating patients proven harmed by negligent care.
• We paid $341 million in patient compensation on behalf of members, a 6.1% increase over 2024.
• Over the last 10 years, we paid $2.6 billion in compensation to patients on behalf of members.
• We closed 2025 in a strong financial position, with investment returns of $400.7 million (5.8%).

Providing confidence for the future

• We maintained the financial strength needed to meet patient compensation obligations.
• We reinforced confidence for members and their patients that support will be there when needed.

Explore Patient compensation under Financial Performance.

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Reducing stress related to medico-legal issues

• 90% of members who reported high stress levels in our post-call survey experienced a significant decrease in stress after discussing a medico-legal concern with CMPA.

Expanding tools to support member well-being

• We launched the Physician Well Being Index (WBI) (available for the first time in English and French), an online tool measuring six dimensions of distress and well-being.
• This enabled 4,646 members, including 366 residents, to self-assess their well-being, compare results with peers, track changes over time, and access resources from their province or territory.

Strengthening understanding of member wellness

• Using WBI aggregate data, we were able to better understand trends in member well-being, and to identify areas for our wellness services.
• We gained insights into the impact of medico-legal and workplace factors on physician wellness.

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Enhanced opportunities for member feedback

• The new Member Insight Panel webpage enabled members to sign up to provide feedback on initiatives, tools, and services when requested—helping us refine and improve the resources and services we offer.

Centralizing our learning resources for easy member access

• We released the beta version of CMPA EasySearch, bringing learning, advice, and research resources together in one place on our website to help members find relevant information fast.

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Clarifying the medico-legal impacts of legislative change

• CMPA navigated and provided input on a variety of legislative and stakeholder issues, including Québec’s Bill 106, while supporting our members and maintaining organizational neutrality. 

Supporting the safe implementation of AI-based tools in healthcare

• We engaged with 17 artificial intelligence (AI) stakeholders and working groups across Canada.
• We advocated for the safe implementation of AI, including submissions to the Office of the Information and Privacy Commissioner of BC, the Government of Ontario, the Federation of General Practitioners of Quebec, and Doctors of BC.  
• “AI in primary care: A CMPA Perspective” was presented at the College of Family Physicians of Canada’s Family Medicine Forum to 641 attendees.

Advancing a medico-legal perspective through the evolution of MAiD  

• We made 4 submissions to the Office of the Chief Coroner for Ontario, advising how their recommendations would be implemented, to better support our members in Ontario. 
• We attended and sponsored the Canadian Association of MAiD Assessors and Providers conference, the only conference of its kind in Canada.
• We worked with provincial, national, and international stakeholders, sharing our medico-legal perspective and underscoring the need for detailed guidance within a legislative and regulatory framework.

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Embedding EDI into member support

• EDI principles were integrated as a foundational component of our physician advisors’ onboarding and ongoing development, enhancing our ability to understand and respond to members in an inclusive way.
• 100% of physician advisors completed the San’yas Indigenous‑Specific Anti‑Racism Training, strengthening frontline employees' knowledge of anti-Indigenous racism.
• Delivered a wide range of EDI learning opportunities for staff, including inclusive language workshops and training programs on anti-Black racism, supporting Pride and acting as an ally, and Truth and Reconciliation.
• Engaged extensively with key national and provincial stakeholders to inform policy development, strengthening anti‑racism initiatives, and supporting culturally safe care. Discussed systemic challenges facing physicians—including experiences of racism, discrimination, and barriers for equity-deserving members—and identified opportunities to improve reporting processes, education, and institutional accountability.

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Solidifying our commitment to being a learning organization

• A new learning organization collaborative empowered CMPA employees to grow by embracing innovation, learn from failures and successes, and contribute to a supportive, respectful, and inclusive workplace.

Building responsible AI adoption and governance

• We completed a comprehensive AI needs assessment and implementation roadmap, while finalizing a governance framework to ensure the responsible and ethical adoption of AI tools across CMPA – focusing on human oversight and maintaining our human connection with members.

Advancing leadership readiness and organizational stability

• A succession planning program was established to develop talent for key roles, ensuring leadership continuity and the sustained delivery of high-quality, relevant services to our members now and in the future.

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Translating learning into safer care

• A team who previously participated in our surgical safety course made meaningful and sustained changes to its surgical protocols, reporting a 50% reduction in surgical site infection rates by 2025.

Meeting growing demand for practical guidance

• We recorded almost 225,000 engagements with online and in-person learning resources in 2025, an 18% increase over 2024, reflecting how our easily accessible resources are increasingly tailored to our members’ current needs.

Delivering value members recognized

• 98% of surveyed members* said the range of CMPA learning and research resources met their professional needs.

Responding to member-identified learning needs

• We nearly doubled the number of member-initiated, custom-designed learning year over year.

Recognized leadership in quality safety education

• CMPA courses were added to and prominently featured in a Canadian medical regulator’s quality improvement program.

*6,984 2025 Membership Survey respondents

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Building a modern governance model grounded in transparency and engagement

• In the second of a three-step process to update our By-law, members approved By-law 53 at the 2025 Annual Meeting, modernizing CMPA governance and expanding opportunities for members to join the Board, serve on the Nominating Committee, and influence governance decisions. Parliamentary approval of By-law 53 will be sought in 2026.
• Clear, transparent communications accompanied the proposed By-law amendments, with videos, email outreach, and website updates supporting informed member participation.
• We initiated updates to the Governance Manual, which guides CMPA governance practices, to support clear, consistent, and effective implementation of By-law 53, once approved by Parliament.

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Turning medico-legal data into safe-medical care insights

• We continued to leverage one of the world’s largest collections of physician-based medico-legal data, to generate clear and meaningful insights, research, and learning.
• Our new video walks you through how we do it: From data to learning.

Bringing safe medical care to the national stage

• We shared our unique safety insights with the Canadian medical community at 9 national conferences, notably the Family Medicine Forum, the International Conference on Residency Education, and the International Conference on Emergency Medicine.

Strengthening knowledge to support safe medical care

• We helped members identify medico-legal risks and provide safe medical care with the publication of 8 new specialty-specific Know Your Risk reports, bringing the total to 23.
• Published 11 peer-reviewed research articles across multiple specialties, in leading titles such as the Journal of the American Academy of Dermatology, the Journal of Neurosurgery, and the Canadian Journal of Psychiatry.

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