https://www.cbc.ca/news/canada/edmonton/alberta-doctors-regulator-covid-inspections-1.6237202
Wallis Snowdon · CBC News · Posted: Nov 05, 2021 2:00 AM MT | Last Updated: 11 hours ago
As opponents of vaccinations, vaccine passports, masking and physical distancing have become more vocal, the College of Physicians and Surgeons of Alberta is conducting unannounced inspections at medical clinics in an attempt to enforce regulations against doctors who have spread misinformation about COVID-19. (David Donnelly/CBC)
The regulator of Alberta's physicians is performing unannounced inspections at medical clinics in a bid to crack down on doctors who spread COVID-19 misinformation or prescribe unproven remedies for the disease.
The College of Physicians and Surgeons of Alberta (CPSA) said it has conducted five inspections related to COVID-19 complaints since targeted enforcement began three weeks ago.
In a statement to CBC News on Thursday, the regulator said the five cases are at various stages in the investigative process, but it declined to provide further details on the allegations.
CPSA deputy registrar Dr. Susan Ulan said the five sites were selected to be inspected first as they had been subject to numerous complaints or were facing the most serious allegations.
She said she hopes the threat of enforcement will act as a deterrent.
"There are some physicians that are simply ungovernable and those are very rare and very much the exception," she said.
"This tool that we have is going to be effective, I hope, for the majority of physicians that have come under our radar. But there's always going to be some outliers that are more defiant."
Ulan declined to provide further details but said "several more" inspections are already planned for the coming weeks.
"There's more to come," she said.
The CPSA announced its plan to increase enforcement in a memo issued on Oct. 14.
As opponents of vaccinations, vaccine passports, masking and physical distancing became more vocal, regulatory bodies in other provinces started investigating complaints about doctors providing misinformation on COVID-19, but Alberta's use of unannounced inspections is unusual, one expert says.
If doctors refuse an inspection, the college has the authority to apply to the Alberta Court of Queen's Bench for a court order.
"We have not encountered the need to seek a court order to force a physician to co-operate with an inspection at this point," the statement said.
The college said it is "very concerned" about the increasing number of doctors reportedly violating the CPSA's standards of practice and pandemic-related public health orders.
The province's Health Professions Act gives the college the authority to conduct unannounced site inspections to investigate possible breaches of CPSA's standards of practice.
Inspectors can question witnesses under oath and gain access to documents, including medical charts, as well as substances such as medical samples.
Formal investigations that find standards are breached are turned over to a discipline tribunal to determine guilt and penalty. Penalties include restrictions on a doctor's ability to practise, suspension or loss of a physician's practice permit, a fine or a mandate for additional training.
If there is blatant evidence, such as video recordings or social media posts "where physicians publicly attack other physicians" or "egregiously spread misinformation," the case will be directly referred to the CPSA's professional conduct department, the college said.
Alberta Medical Association president Dr. Vesta Michelle Warren said the vast majority of Alberta doctors have nothing to hide from the regulator and support the new measures.
"The actions of a very vocal few have done a lot of damage," she said. "We need to condemn, in the strongest of terms, the promotion of anti-vaccination propaganda by health-care providers."
She said this is the first time she's heard of a physicians' college taking this measure, adding that the CPSA's new enforcement strategy is part of a larger crackdown on COVID-19 misinformation among doctors.
Lorian Hardcastle, an associate professor at the University of Calgary's faculty of law, says a small minority of defiant doctors has an oversized impact on public health by eroding trust in proven science and the government response to the pandemic. (Colin Hall/CBC)
Canada's medical regulators are taking on a stronger enforcement role, while attempting to distance themselves from the "dissenters," Hardcastle said.
"If they allow certain members to become voices of the anti-vaccine, anti-mask movement, then they're failing at their duty to protect the public. This shows that they're taking that mandate seriously."
"Those individuals tend to become sort of heroes to the anti-vax movement," she said.
"They become these public figures, and their voices can tend to be amplified over the voices of the thousands and thousands of physicians who are pro-mask and pro-vaccine."
The threat of inspections will likely dissuade some doctors "on the fence" from breaking the rules, but Hardcastle said she suspects some may hold firm.
"It's difficult to know how effective it will be at targeting those people who are really the problem."
WATCH | Doctors use facts to dispel misinformation about vaccine safety:
2:01
As misinformation about the safety of COVID-19 vaccines and potential side-effects continue to circulate, some doctors have made it a mission to use the facts in order to help people get vaccinated. 2:01
Regulator has targeted five clinics with unannounced inspections since Oct. 14
Wallis Snowdon · CBC News · Posted: Nov 05, 2021 2:00 AM MT | Last Updated: 11 hours ago
As opponents of vaccinations, vaccine passports, masking and physical distancing have become more vocal, the College of Physicians and Surgeons of Alberta is conducting unannounced inspections at medical clinics in an attempt to enforce regulations against doctors who have spread misinformation about COVID-19. (David Donnelly/CBC)
The regulator of Alberta's physicians is performing unannounced inspections at medical clinics in a bid to crack down on doctors who spread COVID-19 misinformation or prescribe unproven remedies for the disease.
The College of Physicians and Surgeons of Alberta (CPSA) said it has conducted five inspections related to COVID-19 complaints since targeted enforcement began three weeks ago.
In a statement to CBC News on Thursday, the regulator said the five cases are at various stages in the investigative process, but it declined to provide further details on the allegations.
CPSA deputy registrar Dr. Susan Ulan said the five sites were selected to be inspected first as they had been subject to numerous complaints or were facing the most serious allegations.
She said she hopes the threat of enforcement will act as a deterrent.
"There are some physicians that are simply ungovernable and those are very rare and very much the exception," she said.
"This tool that we have is going to be effective, I hope, for the majority of physicians that have come under our radar. But there's always going to be some outliers that are more defiant."
Ulan declined to provide further details but said "several more" inspections are already planned for the coming weeks.
"There's more to come," she said.
The CPSA announced its plan to increase enforcement in a memo issued on Oct. 14.
As opponents of vaccinations, vaccine passports, masking and physical distancing became more vocal, regulatory bodies in other provinces started investigating complaints about doctors providing misinformation on COVID-19, but Alberta's use of unannounced inspections is unusual, one expert says.
False exemptions, unproven remedies
The statement detailed how inspectors would arrive, without warning, at medical practices where doctors have been subject to COVID-related complaints.If doctors refuse an inspection, the college has the authority to apply to the Alberta Court of Queen's Bench for a court order.
"We have not encountered the need to seek a court order to force a physician to co-operate with an inspection at this point," the statement said.
The college said it is "very concerned" about the increasing number of doctors reportedly violating the CPSA's standards of practice and pandemic-related public health orders.
- Regulator to get tough with doctors undermining pandemic response in Alberta
- Alberta regulator toughens stance against doctors who spread misinformation about COVID-19
The province's Health Professions Act gives the college the authority to conduct unannounced site inspections to investigate possible breaches of CPSA's standards of practice.
Inspectors can question witnesses under oath and gain access to documents, including medical charts, as well as substances such as medical samples.
Formal investigations that find standards are breached are turned over to a discipline tribunal to determine guilt and penalty. Penalties include restrictions on a doctor's ability to practise, suspension or loss of a physician's practice permit, a fine or a mandate for additional training.
In some cases, an inspection may not be necessary to trigger disciplinary action.
If there is blatant evidence, such as video recordings or social media posts "where physicians publicly attack other physicians" or "egregiously spread misinformation," the case will be directly referred to the CPSA's professional conduct department, the college said.
Alberta Medical Association president Dr. Vesta Michelle Warren said the vast majority of Alberta doctors have nothing to hide from the regulator and support the new measures.
"The actions of a very vocal few have done a lot of damage," she said. "We need to condemn, in the strongest of terms, the promotion of anti-vaccination propaganda by health-care providers."
The danger of misinformation 'heroes'
The move is unusual, said Lorian Hardcastle, an associate professor in the faculty of law at the University of Calgary, with a cross-appointment to the Cumming School of Medicine.She said this is the first time she's heard of a physicians' college taking this measure, adding that the CPSA's new enforcement strategy is part of a larger crackdown on COVID-19 misinformation among doctors.
Lorian Hardcastle, an associate professor at the University of Calgary's faculty of law, says a small minority of defiant doctors has an oversized impact on public health by eroding trust in proven science and the government response to the pandemic. (Colin Hall/CBC)
Canada's medical regulators are taking on a stronger enforcement role, while attempting to distance themselves from the "dissenters," Hardcastle said.
"If they allow certain members to become voices of the anti-vaccine, anti-mask movement, then they're failing at their duty to protect the public. This shows that they're taking that mandate seriously."
Hardcastle said a small minority of defiant doctors has an oversized impact on public health by eroding trust in proven science and the government response to the pandemic.
"Those individuals tend to become sort of heroes to the anti-vax movement," she said.
"They become these public figures, and their voices can tend to be amplified over the voices of the thousands and thousands of physicians who are pro-mask and pro-vaccine."
- 4 doctors not co-operating with investigations into COVID practices: Ontario medical regulator
- 2 B.C. doctors linked to website selling bogus mask and vaccine exemption 'certificates'
The threat of inspections will likely dissuade some doctors "on the fence" from breaking the rules, but Hardcastle said she suspects some may hold firm.
"It's difficult to know how effective it will be at targeting those people who are really the problem."
WATCH | Doctors use facts to dispel misinformation about vaccine safety:
Using facts to dispel misinformation about COVID-19 vaccine side-effects
24 days ago2:01
As misinformation about the safety of COVID-19 vaccines and potential side-effects continue to circulate, some doctors have made it a mission to use the facts in order to help people get vaccinated. 2:01
