· Canada edition: online, self-paced courses with certificate

Ethics and professional conduct

Probity and Honesty in Practice

Honesty and integrity in communication, records, billing to provincial plans, professional claims and self-reporting, and how to reflect and remediate after a probity concern in Canada

  • 2hours (estimated)
  • 6sections
  • 10final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written province by provinceUpdated 25 October 2026

What you will learn

  • Explain what probity means and why Canadian colleges treat it as central to fitness to practise.
  • Apply probity to communication, documentation, prescriptions, billing and professional claims.
  • Describe billing integrity expectations for provincial health plans and how billing concerns are audited and referred.
  • Identify mandatory self-reporting and declaration duties, including reporting criminal charges to your college.
  • Recognize common breaches of probity and their professional, regulatory and legal consequences.
  • Reflect on a probity concern using a structured model and demonstrate genuine insight.
  • Develop a remediation plan that supports the restoration of trust.

Who this course is for

Doctors, nurses, dentists, pharmacists and other regulated health professionals in Canada, including those responding to a complaint, billing audit, investigation or fitness-to-practise concern.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a college inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

Probity, honesty and integrity in every part of practice, is treated by Canadian colleges as a core element of fitness to practise, and breaches can lead to serious outcomes even where clinical skill is not in doubt. This course explains what probity means in clinical care, documentation, communication, billing and professional claims, and how it is overseen by provincial and territorial colleges under national codes such as the CMA Code of Ethics and Professionalism, the CNA Code of Ethics, the CDA Code of Ethics and pharmacy standards based on NAPRA's model standards.

It covers the core dimensions of honest practice: truthful communication with patients and families, accurate and contemporaneous records with no backdating or after-the-fact alteration, transparency with colleagues, employers and regulators, and avoiding misrepresentation, fraud and deception, including deception by omission. It sets out the Canadian specifics: billing integrity for public plans such as OHIP, MSP, AHCIP and RAMQ, error disclosure supported by provincial apology legislation, honesty in virtual care and online, and mandatory self-reporting duties such as reporting a criminal charge to your college.

The course then explains how probity concerns are reported and investigated, the possible outcomes from a caution or SCERP to revocation, and the wider impact of dishonesty. It ends with reflection, insight and remediation: how to write an honest reflective account, what insight into a probity concern looks like, which remediation activities are relevant and how trust is rebuilt through sustained conduct. It is educational and does not replace advice from your protective association or legal counsel.

Course details

Learning time
2 hours (estimated learning time including knowledge checks, reflection and assessment)
Standards covered
CMA Code of Ethics and Professionalism and CanMEDS Professional role; CNA Code of Ethics; CDA Code of Ethics; NAPRA Model Standards of Practice; self-reporting duties under provincial legislation (e.g. Ontario's Regulated Health Professions Act, 1991); provincial health plan billing rules (OHIP, MSP, AHCIP, RAMQ); provincial apology legislation; PIPEDA and provincial health-privacy laws; college screening processes (e.g. Ontario's ICRC and SCERPs)
Format
Online and self-paced: gated lessons with knowledge checks, a reflective account and a final assessment
Assessment
10 scenario-based multiple-choice questions, 80% to pass (8 of 10), with an explanation for each answer
Outcome
Certificate of completion and a written reflective account you can keep for your CPD or quality-assurance record

Course curriculum

6 sections · 37 lessons · 2 hours (estimated) · 10-question final assessment

  1. 1Introduction5 lessons
    • Defining probity and honesty in Canadian healthcare
    • Why probity matters for trust, safety, and professional integrity
    • Oversight of probity by Canadian regulators
    • Probity in everyday grey areas
    • A quick probity test
  2. 2Core Dimensions7 lessons
    • Truthfulness in communication with patients and families
    • Honesty in documentation, records, and prescriptions
    • Transparency with colleagues, employers, and regulators
    • Avoiding misrepresentation, fraud, and deception
    • Applying the dimensions: third-party forms and reports
    • Declaring and managing conflicts of interest
    • Probity in teams, supervision and delegation
  3. 3Professional Standards8 lessons
    • Expectations in clinical practice
    • Probity in billing, consent, and professional claims
    • Disclosure of errors and the duty of candour
    • Probity in digital practice and social media
    • Disclosing an adverse event: a practical sequence
    • Privacy, access and honesty in records
    • Research, teaching and academic integrity
    • Province-by-province notes
  4. 4Breaches & Consequences7 lessons
    • Common breaches of probity
    • How concerns are reported and investigated by regulators
    • Possible outcomes of investigations
    • Wider impacts of dishonesty
    • Worked scenario: correcting a billing error
    • Outline of a self-report to your college
    • How colleges weigh probity concerns
  5. 5Reflection, Insight & Remediation9 lessons
    • Self-awareness as the basis of honest practice
    • Reflective practice as required by regulators
    • Demonstrating insight in response to probity concerns
    • Remediation: education, mentorship, and practice changes
    • Rebuilding trust after a lapse in probity
    • Worked example: a probity reflection
    • Building a probity remediation plan
    • A personal probity audit
    • Speaking up about someone else’s honesty
  6. 6Conclusion & Key Takeaways1 lesson
    • Key takeaways

Assessment and certificate

Final assessment

10scenario-based questions

  • Pass mark 80%: 8 correct out of 10
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

What does probity mean for a health professional?

The course defines probity as unwavering honesty, integrity and ethical conduct, especially where scrutiny is limited. It covers honesty, openness, transparency, integrity and reliability across clinical care, documentation, communication, billing and professional or organizational dealings.

Does the course cover billing to provincial health plans?

Yes. It explains that claims to plans such as OHIP, MSP, AHCIP and RAMQ must reflect services actually delivered and time genuinely spent, how post-payment audits can lead to college referral and, where fraud is suspected, police referral, and that plans have processes for voluntarily disclosing and repaying claims made in error.

What must I self-report to my college?

Using Ontario's RHPA as an example, the course explains the duty to report promptly and in writing matters such as being charged with an offence and related bail conditions, being found guilty of an offence, professional negligence or malpractice findings, and misconduct or incompetence findings by another governing body. Other provinces impose similar duties, and failure to self-report is itself serious misconduct. Check your own college's requirements.

Is dishonesty treated more seriously than a clinical error?

Regulators weigh severity, pattern, impact, insight and especially any attempt to conceal or shift blame. The course explains why concealment is treated as an aggravating factor, often more serious than the original error, and why dishonesty can lead to revocation even where clinical competence is not in question.

Does the course help if I am facing a probity complaint?

Yes. The final teaching section covers self-awareness, reflective writing using Gibbs or Rolfe, demonstrating insight, remediation through targeted CPD, mentorship, practice changes and, where appropriate, apology, and rebuilding trust over time. Your college decides what remediation it requires, and you should take advice from your protective association or counsel.

Will this course satisfy a SCERP that requires a probity course?

Only your college can confirm that. Where a SCERP or undertaking specifies a course, it may name a provider or set content requirements.

How long is it and how is it assessed?

It is a 2-hour online, self-paced course with gated sections, knowledge checks, a written reflection and a final assessment of 10 questions with an 80% pass mark. It costs CA$95 and includes a certificate of completion.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: provincial and territorial health professions statutes, the regulatory colleges' standards and codes, and federal and provincial privacy law. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 25 October 2026

Related courses

All courses
Ethics and professional conduct2 hours

Billing, Claims and Financial Integrity

Honest billing and fees under Canada's public and private funding: conflicts of interest, stewardship, audits and when an error becomes misconduct.

10-question final assessment, 80% pass

Records, competence and development2 hours

Clinical Documentation and Record Keeping

Accurate, timely, objective and secure clinical documentation under Canadian college standards and privacy law, from consent and clinical reasoning to EMR risks, late entries and high-risk situations.

10-question final assessment, 80% pass

Complaints, insight and remediation2 hours

Rebuilding Trust After a Complaint

How to rebuild trust with patients, the public and your college after a complaint or incident, through insight, honest disclosure and apology, cultural safety and sustained, evidenced change.

10-question final assessment, 80% pass

CA$952 hours (estimated) · 10 questions
Enrol now