Saskatchewan's College of Physicians and Surgeons is considering tougher penalities for doctors who sexually abuse their patients.
It's one of the issues to be reviewed by a committee struck by the regulatory body to look at boundary breaches by doctors, which is set to begin its work later this year and table recommendations to council.
Council president Dr. Brian Brownbridge recently penned an article in the college's newsletter, stating that changes could be coming.
"I do see a pressure on Saskatchewan to look at our present penalties and probably get in line with where they're going in the rest of the country," Brownbridge said in a recent CBC interview.
Pressure to follow Alberta's lead
He pointed to the rules in place for physicians in Ontario, Prince Edward Island and Alberta, which recently passed Bill 21, called An Act to Protect Patients.
"Before this legislation, penalties for conduct determined to be sexual abuse or sexual misconduct varied across almost 30 health regulatory colleges in Alberta and were determined on a case-by-case basis," according to the Alberta government's website.
It states that under the new rules, health professionals determined to have sexually abused a patient will face mandatory penalties, like cancelling their permit to practise.
"Saskatchewan will likely be under pressure to accept similar durations of revocation or suspension," Brownbridge writes in his article.
"Whether this prolonged period of suspension will reduce the incidence of these violations is yet to be seen," he writes, adding it's "highly likely" the tougher penalties will be adopted here.
Dr. Bryan Salte, the deputy registrar and legal counsel for the college, said the committee will look at the idea of introducing presumptive penalties and examine whether existing punishments for sexual violations are appropriate.
A statement provided by a government spokesperson from the Ministry of Health says the college has the power to regulate and discipline its members, adding it will work with the college to determine if any legislative changes ought to be considered.
Increase in complaints driving review
Brownbridge said besides following what other provinces are doing, another factor driving the review is the increase of complaints coming into the college.
"Is it part of the Me Too movement, where people are coming forward more often and willing to make the complaints?" he said.
"It doesn't really matter what's causing it. We have to deal with it as the body that protects the public."
A recent CBC News analysis looking at the period from 1999 to 2018 found at least 20 doctors in Saskatchewan have been found guilty of, or pleaded guilty to, charges related to breaching a patient's boundaries.
In November 2018, Regina police charged Dr. Sylvester Ukabam with sexual assault against four of his patients after an investigation began in 2017.
More supports for patients to be considered
Taking a new approach to punishing doctors is only one potential measure when it comes to tackling the problem of boundary violations, Brownbridge said, adding this issue has been on the college's radar for awhile.
The committee will also look at more education for both physicians and patients. It will also examine how the college handles patients who come forward with complaints, including looking at support programs.
"I do feel that patients often are traumatized significantly and they may require ongoing counselling to get over this, and it can have a detrimental effect to their relationship with future physicians," Brownbridge said.