Boundary Violations

Under Review: No
Issued by Council (Sexual Boundary Violations): January 1, 2010
Reissued by Council (Boundary  Violations): July 1, 2018 Consultation Outcomes


A regulated member who is uncertain about the potential for a boundary violation should consult with the college or another relevant advisory body (e.g., Alberta Medical Association or Canadian Medical Protective Association).

Physician-Patient Relationship

  1. A regulated member must maintain professional boundaries in any interaction with a patient including, but not limited to:
    1. providing adequate draping:
    2. providing privacy while the patient is undressing or dressing;
    3. obtaining informed consent for intimate or sensitive examinations; and
    4. using appropriate examination techniques when touching sensitive or personal areas of the body including, but not limited to, breasts, genitalia or anus.
  2. A regulated member must consider and minimize any potential conflict of interest or risk of coercion when engaging with a patient in a non-clinical context (i.e., in a personal, social, financial or business relationship).
  3. A regulated member must not:
    1. make sexual comments or gestures toward a patient;
    2. enter into a close personal or sexual relationship with a patient or any person with whom a patient has a significant interdependent relationship (e.g., parent, guardian, child or significant other);
    3. request details of a patient’s sexual or personal history unless related to the patient’s care;
    4. socialize or communicate with a patient for the purpose of pursuing a close personal or sexual relationship; or
    5. terminate a physician-patient relationship for the purpose of pursuing a close personal or sexual relationship.
  4. A regulated member must not enter into a close personal or sexual relationship with a former patient unless:
    1. the regulated member has never provided the patient with psychotherapeutic treatment;
    2. there is minimal risk of a continuing power imbalance; and
    3. sufficient time has passed since the last clinical encounter, given the nature and extent of the physician-patient relationship.
  5. A regulated member must not promote his/her personal or religious beliefs or causes to a patient in the context of the physician-patient relationship.

Physician-Learner and Physician-Subordinate Relationships

  1. A regulated member must not:
    1. sexualize a teacher-learner relationship by making sexual comments or gestures toward a learner1;
    2. enter into a close personal or sexual relationship with a learner while directly or indirectly responsible for mentoring, teaching, supervising or evaluating that learner; or
    3. enter into any relationship with a learner that could present a risk of conflict of interest or coercion while directly or indirectly responsible for mentoring, teaching and/or evaluating that learner.
  2. A regulated member who has a pre-existing (current or past) close personal or sexual relationship with a learner or a subordinate physician must:
    1. notify the applicable clinical and academic leaders of the relationship;
    2. remove him/herself from any role teaching or evaluating the subordinate physician or learner; and
    3. remove him/herself from any discussion of the performance of the subordinate physician or learner.

1.“Learner” includes, but is not limited to, clinical trainee, medical student, other health professional learner, graduate student, resident or fellow.



The CPSA Standards of Practice are the minimum standards of professional behaviour and ethical conduct expected of all physicians registered in Alberta. Standards of practice are enforceable under the Health Professions Act and will be referenced in the management of complaints and in discipline hearings. About the CPSA Standards of Practice

Contact

For archived standards, policies and guidelines:
Chantelle.Dick@cpsa.ab.ca