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  2. Before closing a practice entirely, physicians may choose to transition to eventual closure by reducing the size of their practice. Most Colleges generally permit physicians to terminate doctor-patient relationships to reduce their practice size, and some Colleges have published standards and guidelines in this area.

  3. Physicians must notify patients whose care is being actively managed 8 of a practice closure. In cases where the patient is incapable, physicians must notify the patient’s substitute decision-maker. Physicians must provide patients with at least 90 days’ notice of a planned closure.

  4. Generally speaking, it’s considered best practice for physicians who are retiring or relocating their practice outside their current community to try and arrange for a successor to take over the entire practice or at least a part of the practice.

  5. Every physician has the right to close or leave a medical practice or to change their pattern of practice based on personal priorities, financial considerations, health conditions or a variety of other reasons.

    • Mistake 1 Abandoning Patients. Once a physician has established a physician-patient relationship, the physician must not “abandon” the patient. Abandonment is a problem when a physician terminates a relationship with an individual patient, but can also be a problem when a physician closes a practice, thereby terminating all relationships with all patients.
    • Mistake 2 Violating Noncompete Clauses. A noncompetition clause (also called a “covenant not to compete”) prohibits the departing physician from competing with either an existing practice or the purchaser of a practice, for a specific time and in a specific area.
    • Mistake 3 Insisting on Accounts Receivable When There Is No Right to Them. Insisting on accounts receivable when there is no right to them occurs often in separation from employment situations.
    • Mistake 4 Not Understanding the Tail Coverage Obligation. Departing physicians generally want their former employers to pay for extended reporting, or “tail coverage,” when they leave a practice.
  6. How long do I have to keep patients’ medical records? The CPSO’s regulation requires that physicians keep medical records for the following periods: Adult patients: 10 years from the date of the last entry in the record.

  7. Apr 5, 2023 · Critics say that leaves doctors trained abroad at a serious disadvantage. Rosemary Pawliuk, president of the Society for Canadians Studying Medicine Abroad, says the problem is better described...

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