Open Disclosure After Harm: Honest Communication When Care Goes Wrong
Honest communication when care goes wrong: SMC ECEG C13, board codes, MOH serious reportable events, apology, family-centred disclosure and accurate records.
Complaints, insight and remediation
From the clinic counter to the SMC Inquiry Committee and the other professional boards: what happens after a complaint and how to write a response that holds up
Registered health professionals in Singapore: doctors, nurses and midwives, dentists and oral health therapists, pharmacists, optometrists and opticians, and allied health professionals.
Structured learning and a written reflection to show insight after a complaint, an investigation or a board inquiry.
Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.
This course explains what happens when a complaint or concern is raised about a registered health professional in Singapore, and how to respond at every stage. It covers complaints to clinics and institutions, complaints to the Singapore Medical Council under the amended Medical Registration Act (Inquiry Committees, Complaints Committees, mediation, the Disciplinary Commission and Disciplinary Tribunals), and the complaints processes of the Singapore Nursing Board, Singapore Dental Council, Singapore Pharmacy Council, Allied Health Professions Council and Optometrists and Opticians Board.
It is written for doctors, nurses and midwives, dentists and oral health therapists, pharmacists, optometrists and opticians, and allied health professionals registered in Singapore. It suits professionals who want to be prepared, those currently responding to a complaint or board inquiry, and those supporting colleagues or handling complaints in a team.
The course is practical. You will learn the formal requirements and timeframes, the outcomes each body can reach, how claims, mediation and serious reportable event reviews run alongside board processes, how to build a chronology, how to write a response that is honest, reflective and evidenced, how to handle complaints from families in a multilingual setting, how to use indemnity and legal advice, and how to look after your wellbeing while a matter is open.
10 sections · 27 lessons · 3 hours (estimated) · 20-question final assessment
Final assessment
20scenario-based questions
Certificate of completion
A certificate of completion for your learning portfolio.
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.
Under the amended Medical Registration Act, a complaint from the public must be typed in English and supported by a statutory declaration. You are notified early and asked for a written explanation with all relevant documents. An Inquiry Committee then has three weeks, with one extension of up to three weeks, to dismiss the complaint, issue a letter of advice or refer it to a Complaints Committee. The course walks through each later stage too.
Generally, yes. The SMC cannot usually refer a complaint made more than six years after the conduct, or after the complainant knew or could reasonably have discovered it. The President of the Disciplinary Commission can allow a late complaint in the public interest, so records still matter for older matters.
Yes. Section 4 covers the SNB, SPC, SDC, AHPC and OOB processes, including the outcomes each board can order and the appeal routes, such as appeals against SNB decisions to the High Court within three months and appeals against SPC Complaints Committee decisions to the Minister within 30 days.
It teaches a method: secure the records, build a chronology that separates what the record shows from what you recall and what you usually do, then answer each allegation with the relevant standard, a specific apology where appropriate, reflection and evidence of change. It is education, not legal advice, so use it alongside your indemnity provider or lawyer.
Not about the complaint itself, unless an agreed process such as mediation provides for it. Pressing a complainant to withdraw, or offering a refund on condition of withdrawal, can become a conduct issue in its own right. You can and should continue to care for the patient, or help them move to another clinician, if that is what they want.
For doctors, an Inquiry Committee or Complaints Committee may refer a complaint to mediation through the Singapore Mediation Centre and pause its inquiry. Mediation suits concerns about communication, fees and relationships. Even if the complaint is withdrawn afterwards, the SMC can continue the inquiry where the public interest requires.
It provides about 3 hours of learning with a 20-question assessment, a certificate and a reflective account. No course can change or predict the outcome of a complaint.
Every legal and regulatory point comes from primary sources: the Acts that set up each professional board, the boards' own codes and guidance, and the Ministry of Health. Anything we cannot confirm is left out.
Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.
When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.
Honest communication when care goes wrong: SMC ECEG C13, board codes, MOH serious reportable events, apology, family-centred disclosure and accurate records.
Turn a concern into a credible remediation plan: precise definition, root-cause analysis, testable objectives, supervision and audit, and an evidence bundle that shows real change.
Understand and show genuine insight: the four elements Singapore committees and tribunals weigh, red flags of limited insight, and a seven-question reflection method.