Professionalism, ethics, and wellness

Professionalism, ethics, and wellness

Integrating professional duties, societal expectations and personal wellbeing

All articles listed under "Professionalism, ethics, and wellness" category

Can border agents search your mobile device?
Advice for physicians travelling across international borders and carrying devices that may contain patient information.
How physician-patient interpersonal dynamics affect likelihood of patient complaints
The likelihood of patients making a complaint is reduced when they perceive genuine care and concern, compassion, honesty, and acknowledgment of their values and preferences.
When physicians feel bullied or threatened
Physicians can take steps to address bullying and other abusive behaviours they may be subjected to by patients and their families, colleagues and other healthcare workers, and third parties.
CMPA physician advisors offer meaningful support for your health
An overview of how physician advisors support members’ health and wellbeing who are facing a medical-legal concern, legal action, or complaint.
What to do if you’re notified of a College complaint
For many physicians, a regulatory authority (College) complaint is stressful, but can be managed by speaking with the CMPA, assessing the complaint, and responding professionally and respectfully.
Writing with care: Word choice matters in medical records and reports
Documentation in clinical notes and reports to third parties should be factual, objective, and use a suitable tone of medical professionalism.
Why do you need to know? A balancing act for accessing personal health information
Physicians may face a privacy breach when viewing personal health information that is not required for current clinical care and without the patient’s or information custodian’s consent.
Physician incivility in the healthcare workplace
A review of the impact of incivility in healthcare workplaces.
When a patient fakes or alters a test requisition
Steps physicians can take if they receive results of a lab test they did not request.
Texting safely about patient care: Strategies to minimize the risks
Text messaging offers the potential for improved communication among physicians and healthcare teams, and using it appropriately can mitigate some of the inherent risks of this channel.
Online physician reviews: How to manage your virtual presence
Physicians can successfully manage online ratings using a reasonable and measured approach.
Accepting new referrals: Advice for all physicians
Guidance for specialists on their ethical and professional responsibilities in accepting to care for new patients.
Media requests: Points to consider if you are asked for an interview
Points for physicians to consider if a journalist asks for an interview.
Let’s talk about it: Supporting colleagues through medico-legal challenges
Here is our guidance for physicians who want to provide that emotional support to their peers without impacting medico-legal risk.
Privacy requirements are getting stricter: What physicians need to know
An overview of changes to federal and provincial privacy laws.
AI Scribes: Answers to frequently asked questions
Answers to questions physicians have been asking about the use of AI scribe services
Recording clinical encounters with patients: What physicians need to know
When physicians wish to record a clinical encounter, they should first obtain express consent from the patient and have in place security measures to ensure confidentiality.
When to disclose confidential information
Physicians owe patients a duty to keep their personal health information confidential, yet there are times when this conflicts with other statutory duties or with concerns for public safety.
Residents and resiliency
Wellness strategies and resources for physician residents
Did you know? You need authorization to provide medical records to lawyers
Physicians may release a patient’s medical records to lawyers only with patient authorization or where required by law.
Is it time to rethink your use of chaperones?
Guidance for physicians on assessing whether a chaperone is right for their practice.
Doctors’ certificates: Real or fake?
How to respond to queries seeking to verify the authenticity of doctors’ certificates.
“There’s something you should know about your patient…” Handling collateral information
A review of the concept of collateral patient information, and advice for physicians on what to do with this kind of information.
Using fax in your practice? Ten ways to reduce privacy risks
Suggested ways that physicians can reduce the risk of privacy breaches when using fax to communicate confidential patient information.
Using clinical photography and video for educational purposes
An exploration of privacy and consent issues when using clinical images or recordings of patients to teach medicine.
Physicians and research: Understanding your obligations
Physicians participating in clinical research studies should be aware of their relevant legal, ethical, and professional obligations.
Physician interactions with police
An overview of a physician's duty to maintain confidentiality and protect the privacy of patients' personal health information in instances of disclosure requests from third parties, including the police or other authorities.
Medico-legal problems and patient safety incidents: the emotional impact
Becoming familiar with the processes for legal proceedings and College complaints and knowing where to get support can help put medical-legal difficulties into perspective and alleviate emotional stress for physicians.
Responding to requests for children's medical records
The physician's role in providing a child's medical information to a parent.
Understanding how Colleges handle complaints or allegations of professional misconduct
A complaint to a medical regulatory authority (College) initiates a process that warrants a physician's attention and timely response.
Cosmetic medicine: Three key medico-legal issues
Key points for physicians to keep in mind if they are providing cosmetic medicine procedures.
Genetic testing — What are physicians’ options and obligations?
The increased availability of genetic testing raises a number of medico-legal questions that physicians should consider.
Addressing disruptive behaviour from other physicians
Highlights from CMPA discussion paper “The role of physician leaders in addressing physician disruptive behaviour in healthcare institutions.”
Responding to a patient without a health card
Considerations for physicians when a prospective patient does not have a health card.
Providing access to independent medical examinations
Individuals have a general right to access their personal information in independent medical examination files, but there are exceptions to what must be produced
Ending the doctor-patient relationship
Considerations for ending the doctor-patient relationship.
Coping with a College complaint: Suggestions for reducing anxiety
Dealing with the stress of a College complaint is easier when a physician understands the complaint process and receives support, advice, and coping strategies from the CMPA.
Hospital complaints: Understanding the process and reducing anxiety
Physicians named in a hospital complaint can feel reassured that due process exists and will be followed, and that the CMPA is available to help.
Reporting a privacy breach: What are your responsibilities?
Addressing privacy breaches has become more complex as the rules around notifying and reporting have recently changed or are about to change across the country.
The aging physician: Maintaining competence and practising safely
As physicians age or they experience cognitive or health decline, they will want to be familiar with requirements set out by their College, and understand their ability and possible limitations to deliver safe medical care.
Who has custody of medical records, and who is entitled to access them?
Physicians can be better prepared to transfer patient health information when they understand who has custody of and access to medical records.
Managing access to electronic health records
A discussion of the principles of access, the challenges with access, and managing the risks.
Physician health: Putting yourself first
When caring for patients, physicians can neglect their own health and well-being. Doctors should improve their self-care for their own sake, and for the sake of their patients and the healthcare system.
Smartphone recordings by patients: Be prepared
Physicians can take steps to mitigate the medical-legal risks of patients taking photos and making video and audio recordings during healthcare encounters.
Understanding the role of coroners and medical examiners
Physicians should understand the role of coroners and medical examiners in Canada, and how and when to provide information to them.
How to manage your medical records: Retention, access, security, storage, disposal, and transfer
An overview of the principles of retention, sharing and transferring of medical records.
Know the rules, avoid the risks: Treating family and friends
The circumstances under which physicians can treat themselves, family and friends are limited.
Protecting patient privacy when delivering care virtually
Protecting the privacy of patient information when using digital communication channels, including email, portals, and social media platforms.
Cybersecurity threats: Are you prepared?
How doctors can help protect their information technology systems from cybersecurity threats and what they should do in the event of a cybersecurity incident.
Doing medical administrative work? Do you have liability protection?
Physicians who do administrative work require liability protection for the professional medical tasks they perform and also for the non-clinical administrative tasks they perform in support of an organization.
Did you know? Patients can restrict access to their health information
Physicians should try to accommodate patients’ requests to limit access to their personal health information.
Resolving conflict between healthcare providers
An overview of communication strategies physicians can use to help resolve conflict with other physicians or other healthcare providers.
Tired? You’re not alone...
While fatigue can negatively affect the performance of individual physicians, systematic and standardized approaches to teamwork and communication may help mitigate patient safety risks.
Patient portals—Considerations for safety and medico-legal risk
Actions physicians can take to mitigate potential risks of using patient portals to communicate clinical information with patents.
Are there risks to acting as a good Samaritan?
Physicians providing emergency care as good Samaritans often have questions about their legal and ethical obligations and the liability protection available to them.
Challenging patient encounters: How to safely manage and de-escalate
Communication and conflict resolution skills may help physicians deal effectively and safely with challenging patient encounters.
How to manage conflict and aggressive behaviour in medical practice
Physicians regularly encounter patients or family members who behave aggressively and make demands that may be unrealistic and potentially harmful. In their medical practice, physicians need strategies and tools to manage conflict and such challenging behaviours.
Thinking of working with virtual clinics? Consider these medical-legal issues
Professional and ethical obligations to keep in mind when considering offering medical services through online virtual clinics.
When patients make special requests, how should you respond?
When patients make requests for specific care providers, treatments, or services, physicians should assess whether they can reasonably accommodate such requests.
Managing stress when transitioning to new electronic record systems
Strategies for managing the stress associated with transitioning to a new EMR system for managing patient records.

DISCLAIMER: This content is for general informational purposes and is not intended to provide specific professional medical or legal advice, nor to constitute a "standard of care" for Canadian healthcare professionals. Your use of CMPA learning resources is subject to the foregoing as well as CMPA's Terms of Use.