Doctors with Good Borders

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Presenting Author(s): Dr. Jeremy Beach, MBBS, MD, FRCP(Edin), FFOM, FRCP(C), FCCP, FRCP (Lond), Dr. Jodie Oosman, MD, LMCC, FRCP(C)

Date and time: 23 Mar 2019 from 10:20 to 11:50

Location: Hawthorn A  Floor Map


  1. Be able to identify, recognize, and describe the main characteristics of relationships / interactions with patients that are inappropriate and could potentially violate the CPSA boundary violation Standard of Practice;
  2. Be able to discuss the risk factors for the development of boundary violations, and recognize when they may be developing; and
  3. Be able to describe when and how to seek advice and support were a boundary concern to arise for you or a colleague.

Literature References



The July 1, 2018 introduction of the new Boundary Violation Standard of Practice (SOP) broadened the scope of what might constitute a boundary violation to include types of relationships other than sexual where a power imbalance and potential for conflict between a physician’s personal and professional roles may arise. The SOP also introduced new rules around boundaries with learners. Since then the passage of Bill 21 through the Legislative Assembly has further focused attention on boundary issues between patients and regulated health professionals with further changes to the SOP in progress. In this interactive session physicians will have the opportunity to clarify their understanding of the new SOP in the context of their own practice/working environment, in order to examine and recognize their own areas of risk, and potentially mitigate that risk. By the end of the workshop participants will be better informed which physician patient and supervisor learner relationships and interactions are professionally inappropriate and how better to recognize and safely navigate these boundaries.

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