MPAR Report Follow-Up

For the majority of physicians, an MPAR review ends when they receive their confidential report. For those physicians in the upper and lower 10 percent, there will be further follow-up. Support is available for those physicians who request assistance in interpreting the results of their review and report.

Great care is taken to ensure that physician anonymity is protected during this process.

MPAR physician advisors, who are experienced practitioners themselves, are consultants to the Physician Practice Enhancement Committee (PPEC).They assist physicians to better understand the results of their reviews. Reviewed physicians are offered guidance to use these results to make practice improvements and/or choose professional development opportunities.

Physicians in the upper and lower 10 percent will be contacted by a Physician Advisor for an interview with respect to survey feedback. Physicians are expected to make themselves available for the interview.

The Physician Advisors will discuss the outcome of the interviews with the PPEC non-nominally. The PPEC may recommend a further assessment that may include a practice visit by a peer. PPEC recommendations are educational and are intended to benefit the physician’s practice.

Physicians who are participating in a practice assessment are requested to:

  1. permit the assessors appointed by the committee to enter and inspect the premises where the physician engages in the practice of medicine;
  2. permit the assessors appointed by the committee to inspect the physician’s records of the care of patients;
  3. provide to the assessors the information requested by the committee about the practice of medicine conducted by the physician;
  4. provide the information in clause (c) in the form requested by the assessors or the committee;
  5. answer questions posed by the assessors or the committee on matters pertaining to medical competence and performance;
  6. confer on the contents of a draft report of the practice visit;
  7. meet with the Physician Advisor of the Physician Practice Enhancement Committee and discuss final recommendations for practice changes or improvements;
  8. participate in an interview for follow-up of a practice visit.

Rarely, a physician will be referred to the Registrar of the College through the MPAR process. This will happen only if the review determined that the public was at immediate risk of harm, if there was a serious breach of ethics identified during the review, or if there were an unreasonable failure to comply with the requirements of the MPAR process.

MPAR information is designed for educational and practice improvement purposes.

Where a physician’s performance is deemed a risk to patients that cannot be resolved collaboratively, referral is made to the Registrar for potential referral to the Investigation Committee.

The Physician Practice Enhancement Committee must refer a physician to the Registrar if it believes that a physician:

  1. may be guilty of criminal conduct or unprofessional conduct, whether in a professional capacity or otherwise;
  2. may be incapacitated;
  3. displays a lack of skill or judgment in carrying out the professional practice that has not been remedied by participation in the MPAR Program.