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  • The Best Thing About Being A Professional…

    Apr 20, 2015

    Might be the worst thing too—you are accountable for all elements of your professional life.

    When things go right you should feel great—you helped a patient through a tricky problem, you contributed your time to a charity event, you had a successful business year. Well done!

    But you are also responsible for anything to do with your practice when things don’t go so well, for example, if your practice number is used for fake billing or if a support person to whom you assigned patient care progresses a patient too fast. The Ontario Divisional Court recently had something to say about this. They were considering an appeal by two doctors from a decision made by the College of Physicians and Surgeons of Ontario.

    The advertising regulation at that College is similar to our Standard. The doctors argued that the company they worked for published testimonials and other advertising in which their names and faces appeared without their knowledge. The Judges found that even if the doctors did not know about these advertisements, they knew their employer had created inappropriate ads in the past and they failed to show that they had taken reasonable steps to remove improper advertising bearing their names. The doctors were held responsible.

    If this sounds familiar, you might remember a decision by our own Discipline Committee a few months ago, when two physiotherapists were held responsible for billing personal training as physiotherapy, even though this appeared to result from business decisions made by their employer. How far does your responsibility go?

    Besides being accountable for yourself, you also have to watch out for your colleagues. If you see someone you believe cannot safely provide care due to a health problem, you are required to report it to their College. Likewise, you have to report if you have reason to believe that a health professional sexually abused a patient. And if you are the facility operator (say a clinic owner) then you must report incapacity due to health problems, suspected sexual abuse and incompetence.

    It’s not enough to be a great clinician. You are a custodian for the profession. This is the burden that comes with being a professional—you are accountable.

    Luckily, we know you are up to it. The vast majority of you are outstanding professionals. Each year, we receive substantiated complaints and reports about fewer than half a percentage of the profession, and our peer visits to your practices result in practice enhancement only three per cent of the time.

    So keep up the good work, and remember to always expect the same from your colleagues.

    P.S. No matter what I blog about, many people comment about the need to regulate clinics. We heard you! The CPO is working hard on this project with 8 other Ontario Colleges. We are at the research stage. Regulating clinics would require a change in the law but we are hoping to make a proposal to the government in the winter this year. Stay tuned!

    Might be the worst thing too—you are accountable for all elements of your professional life. When things go right you should feel great—you helped a patient through a tricky problem, you contributed your time to a charity event, you had a successful business year. Well done! But you are also responsible for anything to do […]
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    • Policy
    • billing
    • blog
    • clinics
    • College
    • College of Physiotherapists of Ontario
    • comment
    • CPO
    • generate discussion
    • health care
    • inappropriate billing
    • investigations
    • patient safety
    • Patients
    • physical therapists
    • physiotherapists
    • physiotherapy
    • physiotherapy clinics
    • protect the public
    • public
    • regulation
    • scope of practice
    • Shenda Tanchak
  • Let’s talk about S*X

    Mar 02, 2015
    Sharon’s young. Ali’s great looking. She’s treating the rotator cuff he tore playing ultimate Frisbee. They both like House of Cards. The next thing you know, Ali is offering to meet Sharon at a local pub and teach her how to play pool. She finds him attractive, can she say yes? Joan is recovering from […]
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    • Professionalism
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    • investigations
    • health care fraud
    • health care
    • generate discussion
    • CPO
    • comment
    • College of Physiotherapists of Ontario
    • College
    • blog
    • appropriate
  • Is It Health Care Or Is It A Business?

    Feb 04, 2015
    Does it have to be this way? I think that the difference between a health care profession and a business is simple: it’s in your motive. If you do this for a living to take care of patients, you are a professional. If your top priority is profit, you are a business person. Before you […]
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    • Toronto Star
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    • s funding model
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    • Patients
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    • paid treatment
    • Ontario Physiotherapy Association
    • OHIP
    • John Spirou
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    • inappropriate billing
    • health care
    • generate discussion
    • funding change
    • Fraud
    • designated OHIP clinics
    • CPO
    • comment
    • College of Physiotherapists of Ontario
    • College Council
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    • blog
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    • Auto Insurance
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  • My support person hurt someone. Am I in trouble?

    Jan 05, 2015
    Scene 1: You assessed your patient and made a plan that included having her walk with a walker. But one day, in your absence, your support person independently decides that the patient is ready to use a cane instead. This was really bad judgement. Now the patient has fallen and broken her hip. Are you […]
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    • Policy
  • Bad Start to a New Career

    Nov 13, 2014
    I’m not kidding you, this was a conversation that one of my colleagues overheard recently on a train. Student 1 (let’s call him Jason): I’m going to start my own business. Student 2 (let’s call him Mateo): Me too—I’m never going to work for someone else. Jason: I know, right? And here’s what I’m going […]
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    • Fraud
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    • Insurance Fraud
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    • physical therapists
    • physical therapy program
    • physiotherapists
    • profession
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    • public interest
    • qualified
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  • Physiotherapy Ethical Issues: Transparency to Patients and the Public

    Oct 16, 2014
    How much information about their health care providers should patients and other members of the public be able to see? Where’s the line between the public’s right to know and the professional’s right to privacy? All of the health care professions in Ontario have Public Registers on their websites. These Registers all have some information […]
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    • WikiLeaks
    • Transparency
    • The College of Physicians and Surgeons of Ontario
    • Shenda's Blog
    • right to privacy
    • right to know
    • Public Register
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    • physical therapists
    • Patients
    • patient safety
    • Ontario College of Pharmacists
    • Minister of Health
    • Inquiries
    • information
    • ICRC
    • health care provider
    • Drug trafficking
    • Dr. Eric Hoskins
    • discipline
    • CPSO
    • Complaints and Reports Committee
    • College of Physiotherapists of Ontario
    • College
    • available to public
  • Joke: What Do You Call Uninformed Consent? Punchline: No Consent at All!

    Sep 11, 2014
    OK. I know, that was a lame joke. I hope you aren’t coming to this blog for humour. Let me tell you about something that happened to me a few years ago, before I was Registrar of the College of Physiotherapists of Ontario. I called a sports rehab clinic where I’d been before, to see […]
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    • Consent
    • Assessments
    • clinics
    • College
    • College of Physiotherapists of Ontario
    • consent form
    • Health Care Consent Act
    • informed
    • informed consent
    • patient choice
    • Patient Consent
    • Private Practice
    • PT Assistant
    • regulation
    • Shenda Tanchak
    • Shenda's Blog
    • Support Personnel
    • treatment
  • What if Your Colleague Made a Mistake But You Got Punished?

    Jul 09, 2014
    A few years ago the British Parliament was considering how they could improve patient safety after a series of crushing hospital incidents. And here is what the members of parliament said, “Doctors could risk losing their licence if they fail to report fitness to practise concerns about their colleagues.”[1] Do you think about that for […]
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    • Professionalism
    • Reporting
    • Standards
    • Australia
    • breached
    • British Parliament
    • cases
    • Children’s Aid
    • Colleague
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    • College
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    • concerns
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    • expectations
    • fail to report
    • failing to report concerns
    • feedback
    • fitness to practise
    • health concerns
    • hospital incidents
    • identify
    • impaired substance abuse
    • incompetence
    • investigated
    • legal obligations
    • losing licence
    • members of parliament
    • mental health problems
    • Mistake
    • monitoring
    • nurses
    • obligation
    • patient safety
    • physical therapists
    • physiotherapists
    • physiotherapy
    • police
    • profession
    • public interest
    • Punished
    • regulation
    • report
    • risk
    • scope of practice
    • self-regulation
    • sexual misconduct
    • Shenda Tanchak
    • Shenda's Blog
    • standards for physiotherapy
    • supervisor
    • take action
    • the Board
  • Why is the College such a lousy advocate for PTs?

    Jun 10, 2014
    Hi Everyone—the headline is a trick question. We aren’t advocates for physiotherapy or physiotherapists at all. We aren’t even allowed to be. The legislation that creates the College of Physiotherapists (and all the other health colleges in Ontario) gives us our power but also limits our power. It creates the College for the purpose of […]
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    • Policy
    • College
    • College of Physiotherapists of Ontario
    • CPO
    • funding changes
    • funding model
    • Ontario Physiotherapy Association
    • physical therapists
    • physiotherapists
    • public interest
    • regulation
    • scope of practice
    • Shenda Tanchak
    • Shenda's Blog
  • Clinic Regulation: Now What?

    May 20, 2014
    Two posts ago, I asked you whether you thought that the College ought to regulate clinics in addition to the physiotherapists who work in them. The overwhelming majority of comments favoured this idea. You told us that College regulation would mean higher quality care in the clinics and that it would make them safer places […]
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    • Regulation of Clniics
    • clinic regulation
    • clinics
    • College
    • College of Physiotherapists of Ontario
    • comment
    • Council
    • inappropriate business practices
    • Patients
    • physical therapists
    • physiotherapists
    • physiotherapy
    • physiotherapy clinics
    • protect the public
    • public interest
    • Shenda Tanchak
    • Shenda's Blog

Contact the Practice Advisor

Free and anonymous counsel for PTs, patients, & the public. Learn More 

practiceadvice@collegept.org
416-591-3828 ext. 241
1-800-583-5885 ext. 241