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Candidate statement
To my fellow colleagues,
Thank you for your time and for the nomination support I have received. I am a 73-year-old orthopedic surgeon seeking a strong mandate from the membership not for personal advancement, but to help ensure a better future for the next generation of physicians.
I believe effective leadership is grounded in integrity, and integrity requires accountability. The LEADS framework provides a powerful model for achieving meaningful change, and its principles must apply to everyone involved in health care leadership.
While CMPA cases involving patients are declining, cases involving physicians and administration are increasing. From my experience in Medical Staff Association leadership, hospital conflict resolution processes often lack transparency and are marked by significant power imbalance consistently disadvantaging physicians. When disputes escalate, physicians are frequently left to fund their own pursuit of justice, while administrators and physician administrators are fully protected.
During my service as a Medical Staff Association executive member, we were informed that we would receive full legal coverage, including liability coverage of $25,000,000 per episode, coverage equivalent to that provided to members of administration.
Most conflicts arise from two forces: control of public resources and control of people. Codes of Conduct are necessary, but separate standards for those in leadership only deepen power imbalance and invite abuse.
As a member of the CMPA Council, I will advocate for accountability for all. The CMPA must remember its constituency and work to restore balance by fostering open, transparent, and respectful dialogue. While this may require initial investment, it will ultimately lead to healthier interactions and reduced conflict.
Accountability for all is not optional it is central to LEADS and essential to maintaining trust in our profession.
Respectfully,
Paul Missiuna MD, FRCS
