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Professional Conduct reports – September 2024

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Discipline Decisions, September Messenger 2024 | Posted September 5, 2024
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Recent hearing outcome

Dr. Richard Hatfield sanctioned for failing to maintain appropriate boundaries with patient

A CPSA Hearing Tribunal sanctioned family physician Dr. Richard Hatfield for failing to maintain appropriate boundaries with a patient and for improperly prescribing drugs prone to misuse.

Dr. Hatfield was accused of violating physician-patient boundaries in 2023 by hugging and attempting to kiss a patient—actions which meet the definition of sexual misconduct under the Health Professions Act. Dr. Hatfield also prescribed a stimulant and a benzodiazepine to the same patient without meeting the documentation requirements of CPSA’s Prescribing: Drugs Associated with Substance Use Disorders or Substance-Related Harm standard of practice.

Dr. Hatfield admitted to the allegations, and the Hearing Tribunal accepted a joint recommendation on sanction, the particulars of which are:

  • Hatfield will receive a reprimand.
  • Hatfield’s practice permit is suspended for three months, with two months held in abeyance pending completion of the Tribunal’s remaining orders (Dr. Hatfield’s CPSA registration has been inactive since May 2023; the suspension will take effect if/when Dr. Hatfield returns to practice in Alberta).
  • At his own expense, Dr. Hatfield must complete and unconditionally pass two courses, one on boundaries and another on prescribing controlled substances.
  • Hatfield is responsible for 75% of the costs of the investigation and hearing.

Under An Act to Protect Patients, health professionals in Alberta who are found guilty of sexual misconduct towards a patient are subject to a mandatory suspension. The written decision from the Hearing Tribunal can be reviewed in full on CPSA’s website.

Learnings for the profession

The medical profession has long acknowledged the dynamics involved in the physician-patient relationship, including power, authority, control and trust. Patients are often at their most vulnerable when seeking health care, which is why maintaining professional boundaries is an integral part of the physician-patient relationship. All physicians and physician assistants must fully understand and follow the expectations described in CPSA’s standards on boundary violations (sexual and personal). Under An Act to Protect Patients, health professionals whose conduct meets the definitions of sexual abuse or misconduct under the Health Professions Act face mandatory sanctions, up to and including practice permit cancellation.

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