Complaints and Discipline
Frequently Asked Questions
The material in this section is for general information purposes only. As the nature and complexity of a complaint is unique, each case is independently reviewed and processed in accordance with the Health Professions Act.
What is the obligation of Regulated Members to participate?
Pursuant to the Health Professions Act (HPA) Regulated Members of a regulatory body must comply with all requests to participate in investigations and/or hearings. The HPA defines unprofessional conduct in part as “the failure or refusal to comply with a request of or co-operate with an investigator” and “failure or refusal to comply with a notice to attend or a notice to produce under Part 4”. Participation in investigations and/or hearings is a professional obligation of all Regulated Members regardless of whether their conduct is the subject of the investigation, and failure or refusal to participate is in contravention of the MLT Standards of Practice and Code of Ethics. Furthermore, the HPA includes unprofessional conduct as “contravention of this Act, a code of ethics or standards of practice”.
What kind of tasks/work do witnesses need to be prepared for with respect to participation of hearings?
In preparation of a hearing, witnesses will be contacted by the CMLTA’s legal counsel and briefed on the CMLTA’s anticipated line of questioning during the initial examination. CMLTA legal counsel will also provide the individual with a copy of their statement obtained during the investigation to refresh their memory as usually a significant period of time has elapsed. The CMLTA prefers to enter the investigator’s report as an exhibit at the hearing, but sometimes cannot obtain consent from the Regulated Member’s legal counsel to do so. CMLTA legal counsel will instruct a witness to recall any relevant events and/or documents pertaining to the alleged misconduct of the Regulated Member in question. A witness should comment on all information regarding the case involving the Regulated Member including information which ultimately supports the employer’s rationale for termination or suspension of the affected Regulated Member.
At the hearing itself, the Regulated Member or legal counsel for the Regulated Member are given an opportunity for cross-examination of a witness. The CMLTA can do their best to anticipate this line of questioning, but is not privy to this information. The CMLTA is also given the opportunity for re-direct questioning of a CMLTA witness based on information from the cross-examination.
What expenses does the CMLTA pay for?
The CMLTA will pay for all travel and accommodation costs associated with a hearing as per CMLTA policy in effect at that time. The employer is responsible for wages/premiums and/or alternate day(s) of rest associated with scheduled shifts as per the appropriate article of applicable Collective Bargaining Agreement (e.g. article 35 – court appearance).
What about costs to the organization, e.g. salaries, administrative time, etc.?
The organization is responsible for these costs; however, the CMLTA does appreciate these costs can be substantive in lengthy matters.
Who can individuals speak with if they have further questions?
Individuals can contact the CMLTA’s legal counsel, the CMLTA Hearings Director, or the CMLTA Complaints Director at any time with questions. In most cases, it is best to speak directly with the CMLTA’s legal counsel.
Why are hearings held in Edmonton when this results in multiple witnesses travelling?
In previous years, the CMLTA travelled to the location of the complaint; however, the costs associated with this protocol are much more substantive for the CMLTA. At any hearing, the minimum number of individuals required to attend is 9 (CMLTA legal counsel, CMLTA Hearings Director, CMLTA Complaints Director, court reporter, three hearing tribunal members including a government-appointed public member, independent legal counsel for the Hearing Tribunal, administration support, and a variable number of witnesses). The CMLTA does acknowledge the impact hearings have on the workplace and workflow, and even staff morale. The CMLTA has proposed teleconference options in some cases, but requires consent from opposing legal counsel to proceed in this manner. In most cases, opposing legal counsel prefers witnesses to be present for questioning.
Under what circumstances would a CMLTA Regulated Member have their CMLTA practice permit suspended or cancelled?
Under the HPA, a Hearing Tribunal is given the authority to suspend or permanently cancel a practice permit and registration with a written order if a finding of unprofessional conduct is made. This type of order is only made where the unprofessional conduct is of a very serious nature, public safety is compromised, or both.
The CMLTA Registrar can cancel a Regulated Member’s practice permit and registration, after 30 days written notice, if the Regulated Member does not apply for a practice permit or is in default of payment of the appropriate dues/fee.
The CMLTA Complaints Director can also direct a Regulated Member cease providing professional services if the Complaints Director has grounds to believe a regulated member is incapacitated whether or not a complaint has been received (section 118 of the HPA).
Does the CMLTA ever approach an employer directly prior to making a final adjudication?
If one or more findings of unprofessional conduct are made by a Hearing Tribunal, the CMLTA Complaints Director in consultation with legal counsel submit penalty sanction recommendations (including general orders, fines, and costs) to a Hearing Tribunal, but ultimate discretion to make orders rests with the Hearing Tribunal. If an employer has an appropriate penalty sanction for an accused Regulated Member, they could present this to the CMLTA for consideration; however the CMLTA must weigh several factors when proposing penalties to a Hearing Tribunal. Such factors include the harm to public, harm to integrity of the profession, the number of previous offences, cooperation of the accused, remedial or rehabilitative options, and any mitigating or extenuating circumstances.
Is staff expected to drop everything to work around the investigators’ schedules?
The CMLTA investigator strives to accommodate supervisor and staff schedules; however, in the essence of a timely investigation, sometimes individuals are requested to appear to make a statement at a specific time. If at all possible, interview times should be arranged for mutually agreeable times for the organization and the investigator.
How much latitude does the CMLTA have with the investigator?
In order to maintain fairness and impartiality once the CMLTA appoints an investigator, the CMLTA cannot direct the investigation in any manner. If the CMLTA attempts to control an investigation, there is the potential to lose jurisdiction or jeopardize findings of unprofessional conduct if the accused Regulated Member or their legal counsel raised this argument.
Why are multiple witnesses called, some seemingly unrelated to the incident? Is this not increasing the costs for the CMLTA as well as the stress for those involved in the investigation?
Pursuant to Section 63 of the HPA, an investigator may:
- require any person to answer any relevant questions and direct the person to answer the questions under oath;
- require any person to give the investigator any document, substance, or thing relevant to the investigation that the person possesses or that is under the control of the person; or
- require any person to give up possession of any document to allow the investigator to take it away to copy, in which case the investigator must return it within a reasonable time of being given it but must return it no later than after a hearing is completed
The CMLTA investigator is a “professional interviewer” and approaches each complaint on a case-by-case basis. Pursuant to Section 52 of the HPA, an investigator in the course of an investigation may investigate all matters that are related to the conduct of the investigated person that could give rise to a finding of unprofessional conduct. The investigator is not purposefully invasive and disruptive to an organization and its staff, but rather has to exercise due diligence to ensure all evidence is collected and presented to the CMLTA Complaints Director.
The CMLTA is mindful of costs related to conduct, and encourages a thorough investigation at the onset. If an investigator concludes an investigation and the Complaints Director determined the report is not complete or the investigation was not properly conducted, the Complaints Director must direct the same investigator or another to undertake further investigation and submit a subsequent report, or may request an expert to assess and prepare a written report on the subject matter of the complaint or matters arising from the investigation of the complaint.
Why do staff feel like they are victims and need to justify their actions?
Individuals who appear on behalf of the CMLTA as witnesses are never purposefully made to feel like they are being interrogated or their professional integrity and conduct is being judged. The atmosphere in a Hearing Tribunal can at times be tense as an individual’s professional career and reputation is at stake. The CMLTA is doing its best to protect the public and the profession, and the opposing legal counsel is also doing its best to exonerate their client. In an attempt to defend their client, opposing legal counsel may “attack” a witness to attempt to discredit them.
Who arranges for the investigation meetings?
The CMLTA does not intervene in an investigation so all interviews are arranged and conducted by the appointed investigator. The CMLTA investigator attempts to have one point of contact to schedule interviews to ensure the organization is aware of all staff being impacted by the investigation.
Is an employer obligated to pay overtime or premiums for meetings falling outside of regular work hours?
An employer is responsible for compensate as per their Collective Bargaining Agreement.
What information (eg: employee personnel file, emails, notes, etc.) should be provided to an investigator?
All information, including an employee file should be given to an investigator upon request. It is best to provide all information up front and be transparent, even if one feels it is irrelevant to the investigation. Often, it is the notes and emails on an employee’s file that contain relevant information to a complaint of unprofessional conduct. It is the investigator’s responsibility to determine the appropriate individuals to interview, and the information relevant to the complaint.
Why is a tape recorder used to record investigative meeting conversations sufficient in some situations and a stenographer as well as a tape recording used in other interviews?
The HPA does not provide specifics on how an investigation is conducted so there is ample latitude for the investigator; however, the CMLTA strives for consistent processes to obtain the best information.
What are the privacy obligations of the CMLTA regarding investigations?
The CMLTA respects the confidentiality of all individuals during the course of an investigation. In some cases, interviewed parties are privy to sensitive information; however, they are briefed on the confidential nature of the interview and any matters which are discussed. The witnesses are provided with a copy of their witness statement to help recall previous testimony, but they are not given copies of the investigators report in its entirety. In the hearing, they may be referred to another individual’s statement if the context is necessary for them to answer a question.
The CMLTA expects all Regulated Members who are interviewed to maintain confidentiality regarding the matters and information discussed during an interview or, ultimately, at a hearing if the matter proceeds to this stage. The “duty of confidentiality” is one of the professional obligations for all Regulated Members.
What are the factors that determine whether an investigative meeting is held on an employer’s premises or offsite? If possible, interviews are conducted on the employer’s premises for three reasons:
- minimize additional costs for renting meeting space at conference facilities;
- minimize the impact to workload and reduce the time staff must be away from work (e.g. time needed to travel off-site); or
- ensure the complainant (employer) is aware of all individuals affected by the investigation and to make it convenient if an HR representative needs to be present.