Physicans dating patients
In reducing a practice size, physicians must not selectively or disproportionately discharge difficult or complex patients.When a patient has not been in contact with a practice for an extended period of time (for example, several years), some physicians may assume that the patient has sought care elsewhere, and seek to remove the patient from the practice.For specialist physicians, the expectations of this policy apply only when ending the physician-patient relationship prior to reaching the normal or expected conclusion of the patient’s treatment or assessment (for example, as the result of a significant conflict with the patient).When, in the normal course of providing care, a specialist’s involvement with a patient reaches its natural or expected conclusion (for example, because the treatment or assessment have concluded, and/or the patient’s care has been transferred back to their referring physician), this policy does not apply.Where no response is received, or the patient indicates that care has been sought elsewhere, physicians may formally remove the patient from the practice.In the course of providing care, physicians may sometimes charge patients for services that are not covered by the Ontario Health Insurance Plan (OHIP).Where these qualities are absent or have been undermined, the provision of quality care may be compromised.
These factors may include, as examples: the stage of the physician’s career, the status of the physician’s health or well-being, or the physician’s career goals.
In these circumstances, it may be necessary for the physician to decrease the number of patients to whom care is provided.
As each practice and patient population is unique, physicians must exercise their own professional judgment, consistent with this policy, in selecting which patients to remove from their practice.
These uninsured services may include sick notes for work, copies of medical records, and some uninsured medical procedures.
Physicians are entitled to pursue and receive payment for these services.
Physicians embody these values and uphold the reputation of the profession by: This policy articulates the College’s expectations of physicians when ending the physician-patient relationship.