CPSNB Physician Complaints in New Brunswick: What Physicians Should Know
The College of Physicians and Surgeons of New Brunswick (CPSNB) regulates physicians in New Brunswick under the Medical Act. Complaints are screened by the Registrar and reviewed by the Complaints Committee. Serious matters are referred to a Board of Inquiry for a formal hearing.
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Governing statute
Medical Act, SNB 1981, c. 87
First-stage decision-maker
Complaints Committee
Registrant response window
Set by the Registrar / Complaints Committee in writing (typically 30 days)
Mailing address
One Hampton Road, Suite 300 Rothesay, NB E2E 5K8
1-800-667-4641
Understanding the CPSNB complaints process
CPSNB operates under a single-statute model (the Medical Act). The Registrar screens incoming complaints, refers them to the Complaints Committee, and corresponds with the physician about the response.
Response deadlines are set in writing by the Committee, typically about 30 days. Extensions are usually granted on written request before the deadline.
The Complaints Committee can dismiss, issue a caution, accept an undertaking, or refer the matter to a Board of Inquiry for a formal hearing. Hearings and decisions are public.
Engage CMPA the day you receive the notice; New Brunswick's smaller physician population means direct contact with the College team is often available, but the formal procedure must still be followed.
What's distinctive about the CPSNB complaints process
- Single-statute regime under the Medical Act, with the Registrar as the first decision point.
- Complaints Committee handles intake; Board of Inquiry conducts formal hearings.
- Operates in both English and French (most correspondence in English).
- Smaller jurisdiction with relatively direct access to investigators.
What triggers complaints against physicians in New Brunswick
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 CPSNB complaint typically moves
- 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
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
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
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
Review by the Complaints Committee
The Complaints 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
Possible referral to the Board of Inquiry
Serious matters or unresolved factual disputes may be referred to the Board of Inquiry 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 New Brunswick
- 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.
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