Course Content
Course Objectives
Course Objectives
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Section 1: Introduction — Why Preventing Repeat Misconduct or Mistakes Matters
1.1 Why Recurrence Matters More Than the Original Incident
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1.2 Patient Safety as the Central Concern
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1.3 Public Trust and Professional Integrity
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1.4 Regulator Expectations in Canada
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1.5 Preventing Repeat Issues as a Professional Duty
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1.6 Reflective Quiz
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Section 2: The Regulatory View — How Recurrence Affects Fitness to Practise
2.1 How Regulators Interpret Recurrence
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2.2 The Escalation of Regulatory Sanctions
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2.3 Impact on Professional Credibility and Probity
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2.4 The Role of Insight in Regulatory Decisions
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2.5 Recurrence and Public Trust
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2.6 The Balance Between Punishment and Rehabilitation
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2.7 Reflective Quiz
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Section 3: Common Risk Factors Leading to Repeat Issues
3.1 Lack of Reflection and Insight
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3.2 Inadequate or Superficial Remediation
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3.3 Systemic and Workplace Pressures
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3.4 Personal Stressors and Health Concerns
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3.5 Poor Professional Boundaries and Conduct
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3.6 Lack of Systems for Feedback and Accountability
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3.7 Organisational Culture and Environment
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3.8 Reflective Quiz
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Section 4: Reflection and Insight as Tools for Preventing Recurrence
4.1 The Role of Reflection
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4.2 Reflection Without Insight
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4.3 Developing Insight from Reflection
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4.4 Linking Reflection and Insight
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4.5 Reflection and Insight as Predictors of Safe Future Practice
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4.6 Reflective Tools and Models
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4.7 Reflective Quiz
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Section 5: Remediation Strategies That Address Root Causes
5.1 Why Root Cause Analysis Is Essential
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5.2 Educational Remediation
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5.3 Supervised or Conditional Practice
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5.4 Mentorship and Coaching
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5.5 Audits and Quality Improvement
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5.6 Reflective Writing and Portfolios
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5.7 Multi-Modal Remediation
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5.8 Sustaining Remediation Beyond the Investigation
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5.9 Reflective Quiz
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Section 6: Practical Safeguards — System and Behavioural Changes
6.1 Why Safeguards Are Necessary
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6.2 System-Based Safeguards
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6.3 Behavioural Safeguards
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6.4 Team and Environmental Safeguards
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6.5 Monitoring and Accountability Safeguards
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6.6 Sustaining Safeguards Long-Term
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6.7 Reflective Quiz
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Section 7: Evidencing “No Repeat” to Regulators and Employers
7.1 Why Evidence Matters More Than Assurances
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7.2 Types of Acceptable Evidence
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7.3 Linking Evidence to the Concern
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7.4 Presentation of Evidence
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7.5 The Role of Longitudinal Evidence
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