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Ensuring No Repeat of Misconduct or Mistake in Future Practice

Course Description

Ensuring No Repeat of Misconduct or Mistake in Future Practice is a course for healthcare professionals who want to show regulators, employers, and patients that they have learned from past difficulties and can practise safely going forward.

The course explores strategies for preventing recurrence of misconduct or mistakes, including structured reflection, building insight, targeted remediation, and embedding safer habits into daily practice. It addresses both clinical and professional risks — from prescribing and documentation errors to boundary issues and communication concerns.

Learners will gain practical tools to identify risk factors, implement system safeguards, and provide credible evidence to Colleges and employers that misconduct or errors will not be repeated. Through regulatory guidance, case studies, and practical exercises, this course helps professionals rebuild trust, strengthen resilience, and demonstrate ongoing commitment to patient safety and professionalism.

Course Content

Course Objectives
Course Objectives
Section 1: Introduction — Why Preventing Repeat Misconduct or Mistakes 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
1.6 Reflective Quiz
Section 2: The Regulatory View — How Recurrence Affects Fitness to Practise
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
2.7 Reflective Quiz
Section 3: Common Risk Factors Leading to Repeat Issues
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
3.8 Reflective Quiz
Section 4: Reflection and Insight as Tools for Preventing Recurrence
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
4.7 Reflective Quiz
Section 5: Remediation Strategies That Address Root Causes
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
5.9 Reflective Quiz
Section 6: Practical Safeguards — System and Behavioural Changes
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
6.7 Reflective Quiz
Section 7: Evidencing “No Repeat” to Regulators and Employers
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
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