End-of-life treatment decisions can be difficult for both physicians and patients, but many issues can be avoided by following the key concepts outlined.
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.
Physicians should participate in quality assurance activities such as debriefs and should reduce their medical-legal risks by ensuring the debriefs are properly structured.
Advice for Canadian doctors on how to prepare an expert opinion report.
Physicians who respond affirmatively to a request for a medical-legal report should prepare the report with care and in keeping with their College’s policies and guidelines.
A discussion of physicians’ obligations when certifying a patient’s death.
Typically, civil legal actions launched against physicians are initiated by a patient alleging negligence in care, but there are variations to this scenario that can result in more complex litigation involving multiple parties and claims.
Advice for physicians travelling across international borders and carrying devices that may contain patient information.
When physicians offer a clinical comment or opinion that will be relied on to care for a patient, they may owe that patient a duty of care—even if they have never met the patient in person.
Physicians should consider encouraging patients to engage in advance care planning and appointing a substitute decision-maker early, before the patient no longer has the capacity to consent to end-of-life care.
Physicians participating in clinical research studies should be aware of their relevant legal, ethical, and professional obligations.
Physicians who treat or who are asked to treat transgender individuals should be aware of the ethical and legal considerations in these circumstances to avoid allegations of discrimination.
How to respond when you are asked to provide information about another healthcare professional
A subpoena or summons to witness requires the person named to attend the court, tribunal, commission, inquiry, inquest or military board proceeding or hearing named in the subpoena.
Physicians should exercise care in modifying or correcting medical records. Suggestions on when and how to go about this are provided.
A complaint to a medical regulatory authority (College) initiates a process that warrants a physician's attention and timely response.
Physicians can take reasonable steps to maintain the best interests of the patient in the midst of family disputes concerning the care of children or of elder patients.
A look at what’s involved when testifying as a treating physician, independent medical evaluator, or expert before a court, College, or administrative tribunal, and suggestions to do it confidently and effectively.
The legal right to be treated fairly, known as natural justice, can have a huge impact in administrative proceedings against physicians (e.g. College or hospital proceedings).
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.
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.
Answers to key questions about providing abortion care to American citizens following the overturn of Roe v. Wade
When treating non-resident patients, Canadian physicians are advised to ensure they have adequate liability protection.
Physicians should understand the role of coroners and medical examiners in Canada,
and how and when to provide information to them.
Greater clarity in patient care can be achieved through healthcare directives, and when physicians understand their purpose and the rules governing them.
Explanation of physicians’ mandatory and discretionary obligations to report patients who have a medical condition that may make it dangerous for them to drive.
Certain provinces have legislation to prevent apologies for adverse events from being used in court proceedings.
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.
The practice of marking transcribed reports or entries “dictated but not read” gives rise to medical-legal risks and can create uncertainty for those relying on that information in providing patient care.
Changes to the Criminal Code have raised the age of consent for sexual activity. Physicians should be guided by legislation in each province and territory on their duty to report such activity to the appropriate authorities if there are reasonable grounds to believe the child is being abused.
Physicians providing emergency care as good Samaritans often have questions about their legal and ethical obligations and the liability protection available to them.
A review of steps to take if a physician receives a College complaint during COVID-19.
Effective communication and awareness of legal requirements are key to obtaining consent for treatment of children.
Physicians considering various arrangements for practising medicine, other than the privileges-based model, need to consider any medico-legal implications.
Clarity about who is responsible for the care of a patient at any given time improves patient safety and reduces medico-legal risk.
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.
