I’m Kate Dewhirst.

My team and I write about legal issues affecting healthcare in Canada.

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Category: Credentialing


Updates to the Professional Staff Credentialing Toolkit

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In September 2021, the Ontario Hospital Association (OHA) release the second edition of its Professional Staff Credentialing Toolkit. There were 8 main updates: Changes to the Public Hospitals Act (“PHA”) The toolkit reflects the requirements of section 33 (mandatory reporting of physicians to the CPSO – see pages 43, 84, 95) and section 44 (ceasing… Read more »


Summary of Updates to the OMA/OHA Hospital Prototype for Board-Appointed Professional Staff By-Laws

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In September 2021, the Ontario Medical Association (OMA) and Ontario Hospitals Association (OHA) released an updated version of their Prototype Board-Appointed Professional Staff Bylaws. Among the revisions are changes to the bylaw’s language and tone, updates regarding the requirements of medical leadership and updated obligations for professional staff with respect to disclosure and notice obligations…. Read more »


The crisis phase is over – the emergency continues – how should health leaders move forward?

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I have noticed over the last month that the tone of conversations has changed and social critique has resurfaced. Individuals are rightly asking more questions. There is greater need in all aspects of life and public service for clarity and certainty.  There are more queries and complaints about the impact of decisions made in the… Read more »


COVID-19: Professional Staff Credentialing Considerations for Ontario Hospitals

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The Public Hospitals Act deals with the relationship between hospitals and their Professional Staff members (physicians, dentists, midwives and some nurse practitioners). In a pandemic, pull out your Professional Staff By-laws and look for provisions dealing with temporary appointments to the Professional Staff to deal with an emergency. The concept of temporary appointments should be… Read more »


Key issues hospitals need to manage when recruiting non-licensed MDs to non-medical positions

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Not everyone who trains as a physician practices medicine or continues to practice medicine. Some choose to work in a hospital environment but not as a physician such as in administration, research, information technology, finance, risk, law, policy, public relations, or interdisciplinary professional practice. Medical training can be an enormous advantage for a candidate applying… Read more »


What do medical affairs leaders in hospitals do?

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One of my favourite activities is working with medical affairs leaders in hospitals managing complaints and concerns about physicians.  But when I tell people about that work – I get a few quizzical looks. Medical affairs? What is that? The public knows very little about the tangled web relationship between hospitals and physicians and their… Read more »



Professional Staff Leaves of Absence – is your hospital prepared?

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Does your hospital explain to your Professional Staff members the rules about taking a leave of absence? Remember: Professional Staff members may include doctors, dentists, midwives and independent contractor nurse practitioners. Since members of the Professional Staff are usually independent contractors and not employees of a hospital, they independently arrange for their colleagues to cover… Read more »


Professional Staff succession planning – does your hospital have a plan?

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Professional Staff in hospitals are doctors, dentists, midwives and privileged staff nurse practitioners. Does your hospital have a plan to deal with Professional Staff retirements, departures and recruitment? Do any of these scenarios sound familiar? You are worried about a future brain drain – when you look into the future, you can see the possibly of… Read more »


Have you looked at your hospital’s Professional Staff Rules and Regulations lately?

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Back in the 1980s and 90s, many hospitals published Medical Staff “Rules and Regulations”. And in some cases, that package then went dormant as hospital-wide policies and procedures were introduced. Have a look on your intranet. Do you have Rules and Regulations that are still on the books but have not been updated in awhile?… Read more »


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Kate Dewhirst Health Law

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