Clinical Supervision Draft Form

CLINICAL SUPERVISION:

A form of supervision that focuses on evaluating the physician’s standard of care.

Examples:



An applicant for registration lacks certain prescribed qualifications to practise medicine independently in Ontario, however, satisfies a College registration policy

which requires appointment of a clinical supervisor;



Clinical concerns have been identified in the supervised physician’s practice.

Clinical Supervisor Responsibilities:

Supervised Physician Responsibilities:





signs an undertaking directly with the College;

acknowledges that deficiencies have been identified, or is



missing certain prescribed qualifications for independent

reviews any pertinent background materials;



practice;

maintains a professional relationship with the physician;





1

identifies a potential Clinical Supervisor, and arranges for the

may be requested to submit a detailed Clinical Supervision plan

to the College for

4

Clinical Supervisor to submit a detailed supervision plan

to

consideration and approval by the source Committee, if applicable;



the College for consideration and approval by the source

reports to the College if the physician is practising in a setting not approved by College;



Committee, if applicable;

complies with the College’s expectations around: the use of tools, availability of the Clinical



gives irrevocable consent to the College to provide any

Supervisor, and frequency of reporting to the College;

pertinent background information to the Clinical Supervisor(s)



attends in person at the physician’s practice to verify that patient care provided by the physician

to enable them to carry out duties effectively;

meets the expected standard of care by using the following tools (and others as deemed



is motivated and takes responsibility for improvement;

appropriate):



is open, honest and collegial with his or her colleagues and

o direct observation of patient care, where appropriate;

Clinical Supervisor;

o review of a selection of patient records, as prescribed by the College;



o discussion of any concerns arising from such record review;

demonstrates meaningful signs of progress towards meeting

College expectations;

o interviewing colleagues; and



o making and following up on recommendations to the physician for practice improvements and

ensures that the Clinical Supervisor fulfills obligations, including

providing reports to the College as per agreement;

ongoing professional development;





acknowledges responsibility for payment of all fees, costs,

submits to the College objective progress reports, prepared in accordance with the templates

charges, expenses, etc. arising from the supervision

provided, as prescribed by the College; and



arrangement; and

reports immediately to the College any situations outlined in the

Basis for Immediate Reports



agrees to information sharing amongst all supervisors, as per

to the College section.

agreement.

Quick Link:

Qualifications and Characteristics of an Acceptable Supervisor

Tools: Chart Review

Direct Observation

Case Discussions

Interviewing Colleagues

Report Templates:

(Work In Progress)

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For Registration Committee cases, the physician is encouraged to enter a group practice arrangement where the Clinical Supervisor is able to observe the physician’s practice, and ensure

that the expected standard of care is being met. The Clinical Supervision plan should include details of: the duties and responsibilities of the physician, how and when the Clinical

Supervision will be conducted, what level of autonomy the candidate will have, who will be the Most Responsible Physician (MRP) for the care provided, the availability of the Clinical

Supervisor, identification of a back-up Clinical Supervisor, the frequency with which the physician will be conducting chart reviews, and the minimum number of charts that will be

reviewed. The Clinical Supervisor’s curriculum vitae should also be included with the Clinical Supervision plan.