Manitoba • Physicians

    CPSM Physician Complaints in Manitoba: What Physicians Should Know

    The College of Physicians and Surgeons of Manitoba (CPSM) regulates physicians under The Regulated Health Professions Act of Manitoba. Complaints are screened by the CEO/Registrar and referred to the Complaints Investigation Committee (CIC). Serious matters proceed to the Inquiry Committee for a formal hearing.

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    Regulator

    College of Physicians and Surgeons of Manitoba

    cpsm.mb.ca

    Governing statute

    The Regulated Health Professions Act, CCSM c. R117 (RHPA Manitoba)

    First-stage decision-maker

    Complaints Investigation Committee

    Registrant response window

    Set by the Investigation Committee in writing (typically 30 days)

    Mailing address

    1000-1661 Portage Avenue Winnipeg, MB R3J 3T7

    1-204-774-4344

    Understanding the CPSM complaints process

    Manitoba's RHPA is the procedural backbone for nurses, pharmacists, and physicians alike. CPSM's intake follows that shared statute: a complaint is screened by the Registrar, then referred to the Complaints Investigation Committee (CIC), which includes both physician and public members.

    Response deadlines are set in writing by the Investigation Committee, typically around 30 days, with extensions available on request. The CIC reviews the file on the written record. Most matters resolve at the CIC stage through dismissal, a censure, an undertaking, or a remedial requirement.

    Serious matters or unresolved factual disputes are referred to the Inquiry Committee, which conducts a formal public hearing. Inquiry Committee decisions are posted on the CPSM register.

    Manitoba's Physician Health Program is well-established, and the CPSM frequently uses fitness-to-practise pathways for health-driven complaints rather than treating them as disciplinary matters.

    What's distinctive about the CPSM complaints process

    • Manitoba's RHPA provides a shared procedural framework across regulated health professions.
    • CIC includes both physician and public members, similar to the nursing College's CIC model.
    • Inquiry Committee hearings and decisions are public and posted on the CPSM register.
    • Strong Physician Health Program presence for fitness-to-practise files.

    What triggers complaints against physicians in Manitoba

    Administrative concerns

    • Practising on an expired or lapsed certificate of registration
    • Failing to meet continuing professional development (CPD) or revalidation requirements
    • Not reporting a change of practice location, employer, or hospital privileges in time
    • Failing to disclose a charge, finding, or condition on annual renewal
    • Inadequate or missing chart documentation discovered on audit

    Conduct or practice concerns

    • Prescribing concerns (opioids, benzodiazepines, controlled drugs, off-label use)
    • Standard-of-care concerns raised by a patient, family, or another physician
    • Professional boundary or sexual abuse allegations (zero-tolerance regime in most provinces)
    • Communication concerns: tone, lack of informed consent, or perceived dismissiveness
    • Billing or OHIP/MSP/AHCIP irregularities flagged by the provincial insurer
    • Confidentiality or privacy breaches under PHIPA / PIPA / HIA
    • Concerns about fitness to practise (health, cognition, substance use)

    How a CPSM complaint typically moves

    1. 1

      Complaint received and acknowledged

      The College receives the written complaint, assigns a file number, and sends a written acknowledgement to the complainant and the physician.

    2. 2

      Notice to the physician

      You are sent the complaint and supporting materials, and invited to provide a written response. The College's investigations or professional conduct staff is typically your point of contact.

    3. 3

      Investigation

      An investigator gathers records (chart, billing, hospital file, expert opinions), interviews witnesses, and asks you targeted questions. You have a duty to cooperate but you are entitled to counsel and to decline to admit fault.

    4. 4

      Written response from the physician

      You submit a written response addressing each allegation, ideally with supporting documentation and, where appropriate, a peer-reviewed clinical rationale. This is usually the single most important document on the file.

    5. 5

      Review by the Complaints Investigation Committee

      The Complaints Investigation Committee reviews the investigation file and your response on the record. It can take no action, issue advice or a caution, accept an undertaking, require remediation (SCERP), or refer the matter forward.

    6. 6

      Possible referral to the Inquiry Committee

      Serious matters or unresolved factual disputes may be referred to the Inquiry Committee for a formal hearing on the merits.

    Possible outcomes

    No further action or dismissal

    The committee determines the complaint is unfounded, outside its jurisdiction, or does not warrant further action. The file is closed and (in most provinces) does not appear on the public register.

    Advice, caution, or reminder

    A non-disciplinary measure intended to support reflection on practice. Usually recorded on your College file; often not posted publicly.

    Specified Continuing Education and Remediation Program (SCERP) or undertaking

    A structured remedial plan, typically including coursework, a chart-stimulated recall, or a period of practice monitoring. Some appear on the public register.

    Referral to discipline or formal hearing

    A formal hearing-style proceeding before a panel that can issue findings of professional misconduct or incompetence and impose conditions, suspension, or licence revocation.

    Suspension or revocation of certificate of registration

    Reserved for the most serious findings, including sexual abuse, criminal-grade conduct, or repeated failures of practice. Always published on the College's public register.

    Practical tips for physicians in Manitoba

    • Read the College's notice carefully. Your deadline, the scope of the allegations, and the specific information requested are spelled out in it.
    • Notify CMPA (Canadian Medical Protective Association) the same day you receive the complaint; CMPA assistance typically includes legal representation.
    • Preserve all relevant records immediately: chart entries, hospital records, billing data, on-call schedules, and any text or email communications with the patient or colleagues.
    • Do not contact the complainant directly. Communicate only through the College or through counsel.
    • Be calm, factual, and chronological in your written response. The committee reviews the file on the record; the quality of that document drives the outcome.

    Explore More Licensing Guidance

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