Organization
[August 26, 2022 12:19 PM]
Ontario Medical Association (OMA)
Response in PDF format.
Physician (including retired)
[August 22, 2022 8:51 PM]
In the Rabies section it should say "mammal" instead of "animal." Also, is sounds like only bites that "may result in rabies" must be reported, when, in fact, the regulation prescribes that all mammal bites to be reported. See https://www.ontario.ca/laws/regulation/900569.
Physician (including retired)
[August 22, 2022 8:26 PM]
The section on "Occupational Health and Safety" where it says "Under the Occupational Health and Safety Act physicians who conduct medical examinations on individuals in relation to employment conditions or hazards have a number of reporting requirements and are advised to consult the legislation to understand their obligations" is not helpful at all. The details should be spelled out. Possibly a working group of occupational medicine physicians/representatives from the Ministry of Labour should be consulted.
Organization
[August 22, 2022 3:44 PM]
Information and Privacy Commissioner of Ontario (IPC)
Response in PDF format.
Organization
[August 22, 2022 3:16 PM]
Ontario Trial Lawyers Association (OTLA)
Response in PDF format.
Member of the public
[August 15, 2022 4:14 PM]
To ensure compliance as laws may change and we agree Ontario physicians are exhausted at this stage of the COVID-19 Pandemic, I suggest resources to quickly direct them to medical-legal resources to ensure their observations and impressions might warrant reporting. General practice physicians frequently offer patients requisitions for laboratory testing with reporting, order prescription drugs to be dispensed at a pharmacy, order medical imaging with reporting and sometimes referral for specialist consultation. Might it be prudent to consider including reference to some or all of the the above so that in the event of rare impression of questionable professional conduct, reporting would be advised.
Organization
[August 10, 2022 3:37 PM]
Retirement Homes Regulatory Authority
Response in PDF format.
Organization
[August 02, 2022 10:00 AM]
College of Kinesiologists of Ontario (COKO)
Suggest development of a searchable/filterable resource/table for reporting requirements and obligations.
Other health care professional (including retired)
[July 22, 2022 2:57 PM]
Section 5.d) is a huge issue due to its subjectiveness. "The child has suffered or there is a risk that the child is likely to suffer emotional harm10, resulting from the actions, inaction, or pattern of neglect by the child’s parent or the person responsible for the child." I can just see this in a case where a young child wants to get started on irreversible puberty blockers before their parent consents. The policy should remove the word 'inaction' and instead add a description to what constitutes as "neglect" (eg: as it relates to food, shelter, water, transportation) Is not agreeing with everything your kid wants considered emotional abuse? According to this policy, it seems like it could be.
Member of the public
[June 26, 2022 9:18 AM]
I agree with this suggestion. Many years ago, I was in the care of a physician who regularly fell asleep for a few seconds at a time, but refused to acknowledge it (“I don’t know what you think you saw”). I left her care, but never reported it. However, many years later, I looked at her ratings page, and found that other people complained of this too. Frightening.
Physician (including retired)
[June 23, 2022 9:41 PM]
The CPSO (and other physician regulatory bodies) SHOULD HAVE a mandatory reporting of any physician that might have cognitive impairment that could endanger many patients. Traumatic brain injury likely is the commonest cause in younger age groups of loss of executive function, judgement, short term memory, ability to multitask.... and, affecting all age groups would be serious addictions and other disorders affecting the brain (tumor, post electroconvulsive therapy, dementia, stroke). Needless to say, the processes to assess and if possible reinstate when better must be fair and clear to all, .... it is odd that its mandatory to report financial fraud but not something that might directly endanger many patients.....
Physician (including retired)
[June 20, 2022 2:28 PM]
In response to the federal government's plan to introduce Red Flag Laws in which firearms are to be temporarily removed from an individual at risk and given that the CMA seems supportive and given that reporting of such individuals at risk falls within provincial jurisdiction we need a thoughtful discussion in Ontario as to what that law ideally should look like and what wold be a physician's response
Physician (including retired)
[June 20, 2022 12:00 PM]
It might be helpful to have a time line included in your reporting guidelines. Sometimes, the process of gathering the optimal information takes time - and the ultimate benefit of the report for the patient and their family may be superior if immediate reporting is not done. Clearly if it is an active situation, immediate reporting would be required.
Physician (including retired)
[June 20, 2022 11:39 AM]
We are required to report gunshot wounds but not knife wounds . I was a surgical assistant when a young woman of East Asian ethnicity was brought in to hospital with a severe knife wound from the corner of her eye down across her cheek and through her lip. The story given by her two brothers and father was that someone had thrown a beer bottle through the car window ( it was February in Toronto !) striking her. We were not required to notify the police and she would not talk. Because she was 23 we could do nothing ! I believe the rules need to be expanded.