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Insight for Fitness to Practise

Course Description

Insight for Fitness to Practise is a course designed for doctors, nurses, midwives, pharmacists, dentists, and allied health professionals in Canada, especially those facing fitness to practice investigations, who want to strengthen their understanding of regulatory expectations, accountability, and patient safety.

The course explores what “insight” means in the context of fitness to practise processes, why regulators such as the Canadian Nurses Association (CNA), Canadian Medical Association (CMA), National Association of Pharmacy Regulatory Authorities (NAPRA), Royal College of Dental Surgeons of Ontario (RCDSO), and provincial Colleges value it, and how professionals can demonstrate genuine learning and growth following concerns.

It provides practical guidance on recognising errors, acknowledging impact, taking responsibility, and showing meaningful change. Case studies, reflective exercises, and remediation strategies help learners develop and evidence insight for both professional development and regulatory purposes.

Course Content

Course Objectives
Course Objectives
Section 1: Introduction to Insight in Healthcare Practice
1.1 Defining Insight in Professional Contexts
1.2 Why Insight Is Essential in Healthcare
1.3 Insight vs. Defensiveness or Denial
1.4 The Regulatory Perspective
1.5 Insight as an Ongoing Process
1.6 Reflective Quiz
Section 2: Why Insight Matters in Fitness to Practise
2.1 Insight as a Core Marker of Professionalism
2.2 Protecting Patients and Safeguarding Trust
2.3 Regulatory Emphasis on Insight
2.4 Consequences of Failing to Show Insight
2.5 Insight as the Foundation for Remediation
2.6 Reflective Quiz
Section 3: Levels of Insight — From Denial to Accountability
3.1 Denial: Refusing to Acknowledge the Issue
3.2 Minimisation: Downplaying the Concern
3.3 Defensiveness: Shifting the Blame
3.4 Partial Insight: Recognition Without Full Ownership
3.5 Genuine Insight: Full Accountability and Learning
3.6 Moving Along the Spectrum
3.7 Reflective Quiz
Section 4: Impact of Insight on Regulatory Outcomes
4.1 Why Regulators Prioritise Insight
4.2 How Insight Influences Sanctions
4.3 Insight and Public Confidence
4.4 Insight as a Predictor of Future Practice
4.5 Key Lessons for Professionals
4.6 Reflective Quiz
Section 5: Demonstrating Genuine Insight in Practice
5.1 What Genuine Insight Really Means
5.2 Insight Through Reflective Writing
5.3 Insight During Hearings, Interviews, or Meetings
5.4 Practical Ways to Evidence Insight
5.5 The Gap Between Saying and Showing Insight
5.6 Common Pitfalls to Avoid
5.7 Embedding Insight into Daily Practice
5.8 Reflective Quiz
Section 6: Case Studies — Insight in Real Scenarios
6.1 Case Study: Documentation Errors
6.2 Case Study: Communication Breakdown
6.3 Case Study: Prescribing Error
6.4 Case Study: Professional Boundaries
6.5 Case Study: Dishonesty in Records
6.6 Lessons from Case Studies
6.7 Reflective Quiz
Section 7: Reflection, Remediation, and Building Insight
7.1 Reflection as the Foundation of Insight
7.2 Insight as an Outcome of Reflection
7.3 Remediation: Turning Insight into Action
7.4 Building Insight as a Continuous Process
7.5 The Reflection–Insight–Remediation Cycle
7.6 Organisational Support for Building Insight
7.7 Reflective Quiz
Section 8: Conclusion and Key Takeaways
Conclusion and Key Takeaways
Post-Course Assessment
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