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Ensuring a Mistake or Misconduct Is Not Repeated

Course Content

1

Section 1: Why Prevention Matters

  • 1.1 Why recurrence matters more than the original incident

  • 1.2 Patient safety as the central concern

  • 1.3 Public trust and professional integrity

  • 1.4 Regulator expectations in Canada

  • 1.5 Preventing repeat issues as a professional duty

2

Section 2: The Regulatory View

  • 2.1 How regulators interpret recurrence

  • 2.2 The escalation of regulatory sanctions

  • 2.3 Impact on professional credibility and probity

  • 2.4 The role of insight in regulatory decisions

  • 2.5 Recurrence and public trust

  • 2.6 The balance between punishment and rehabilitation

3

Section 3: Common Risk Factors

  • 3.1 Lack of reflection and insight

  • 3.2 Inadequate or superficial remediation

  • 3.3 Systemic and workplace pressures

  • 3.4 Personal stressors and health concerns

  • 3.5 Poor professional boundaries and conduct

  • 3.6 Lack of systems for feedback and accountability

  • 3.7 Organisational culture and environment

4

Section 4: Reflection & Insight

  • 4.1 The role of reflection

  • 4.2 Reflection without insight

  • 4.3 Developing insight from reflection

  • 4.4 Linking reflection and insight

  • 4.5 Reflection and insight as predictors of safe future practice

  • 4.6 Reflective tools and models

5

Section 5: Remediation Strategies

  • 5.1 Why root cause analysis is essential

  • 5.2 Educational remediation

  • 5.3 Supervised or conditional practice

  • 5.4 Mentorship and coaching

  • 5.5 Audits and quality improvement

  • 5.6 Reflective writing and portfolios

  • 5.7 Multi-modal remediation

  • 5.8 Sustaining remediation beyond the investigation

6

Section 6: Practical Safeguards

  • 6.1 Why safeguards are necessary

  • 6.2 System-based safeguards

  • 6.3 Behavioural safeguards

  • 6.4 Team and environmental safeguards

  • 6.5 Monitoring and accountability safeguards

  • 6.6 Sustaining safeguards long-term

7

Section 7: Evidencing No Repeat

  • 7.1 Why evidence matters more than assurances

  • 7.2 Types of acceptable evidence

  • 7.3 Linking evidence to the concern

  • 7.4 Presentation of evidence

  • 7.5 The role of longitudinal evidence

  • 7.6 Common pitfalls in evidencing ‘no repeat’

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Section 8: Case Studies

  • 8.6 Lessons from the case studies

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Section 9: Long-Term Resilience

  • 9.1 What professional resilience means

  • 9.2 Embedding reflection as a habit

  • 9.3 Continuous learning and CPD

  • 9.4 Mentorship and peer support

  • 9.5 Managing health and wellbeing

  • 9.6 Creating a culture of accountability

  • 9.7 Sustaining resilience beyond investigations