Complaints process for sexual abuse and sexual misconduct
Respecting professional-patient boundaries
Pharmacists and pharmacy technicians are in positions of power over a patient, by virtue of having professional knowledge and skill that patients rely on for their well-being. In addition, they have access to patients' personal health information.
Pharmacists and pharmacy technicians must always maintain professional boundaries with their patients. Ethically, and further as addressed in the Health Professions Act, they are prohibited from engaging in any form of sexual abuse or sexual misconduct with a patient.
What is sexual abuse and sexual misconduct
Sexual abuse “means the threatened, attempted or actual conduct of a regulated member towards a patient that is of a sexual nature and includes any of the following conduct:
- sexual intercourse between a regulated member and a patient of that regulated member;
- genital to genital, genital to anal, oral to genital or oral to anal contact between a regulated member and a patient of that regulated member;
- masturbation of a regulated member by, or in the presence of, a patient of that regulated member;
- masturbation of a regulated member’s patient by that regulated member;
- encouraging a regulated member’s patient to masturbate in the presence of that regulated member; and
- touching of a sexual nature of a client’s genitals, anus, breasts or buttocks by a regulated member.”1
Sexual misconduct “means any incident or repeated incidents of objectionable or unwelcome conduct, behaviour or remarks of a sexual nature by a regulated member towards a patient that the regulated member knows or ought reasonably to know will or would cause offence or humiliation to the patient or adversely affect the patient’s health and well-being but does not include sexual abuse.”2
1Health Professions Act, Section 1(1), (nn.1)
2Health Professions Act, Section 1(1), (nn.2)
Are you a patient?
The Standards of Practice for Pharmacists and Pharmacy Technicians define a patient as a person to whom a regulated member provides a professional service and includes a parent or guardian of a patient who is a minor.
Do you think your pharmacist or pharmacy technician may have violated a boundary or otherwise engaged in sexual misconduct or abuse?
Did your pharmacist or pharmacy technician do something to make you feel uncomfortable? Maybe they touched you in a way that was not medically necessary or appropriate, or perhaps they said something sexually suggestive. If this is the case, please contact the Alberta College of Pharmacy (ACP) to discus your concerns.
We recognize that coming forward with a complaint about sexual abuse or sexual misconduct can be very difficult. If you believe your pharmacist or pharmacy technician may have committed sexual abuse or sexual misconduct, we urge you to contact us at 780-990-0321 or toll free at 1-877-227-3838.
Complaints of a sexual nature may involve the following:
- Privacy and respect: This could include a pharmacist or pharmacy technician asking a patient to excessively disrobe for a pharmacy service such as an injection or stocking fitting.
- Inappropriate comments or gestures: This could include saying something sexually suggestive or seductive to you, commenting or unnecessarily asking questions about sexual relationships or sexual orientation, making sexually insulting or offensive comments or jokes, or giving unwanted attention (e.g., kissing).
- Unnecessary or improper physical examinations: This could mean touching you without permission, explanation, or consent, or performing a pharmacy service such as an injection, point-of-care test, or a physical examination in a sexual rather than a medical way.
- Sexual contact or assault: This encompasses everything from inappropriate touching to sexual assault. It also may include sexual contact between a health care professional and patient that would otherwise be considered consensual.
Note: If the health care provider is not a member of a regulated profession, they are not subject to the authority of any regulatory college. Should you have a complaint or concern about their conduct or the care they provided, please contact the employer of the unregulated provider and/or the police.
Coming forward about an experience that you’ve had with your pharmacist or pharmacy technician that may constitute sexual abuse or sexual misconduct can be incredibly difficult. There are many reasons why you may choose not to come forward. There are, however, good reasons for reporting:
- Public protection: Incidents of sexual abuse and sexual misconduct are often not isolated. By coming forward, you could help us act to ensure that what happened to you does not happen to someone else.
- Awareness: As ACP won’t know otherwise, we rely on individuals to make us aware when things aren’t right. We can only learn about sexual abuse and sexual misconduct from people who make complaints.
- Your own sense of closure: If you’ve been the victim of sexual abuse or sexual misconduct by a pharmacist or pharmacy technician, knowing that there is an investigation and potential consequences may play a role in your healing process.
When you call for assistance or to make a complaint, you will speak to a member of ACP’s Complaints Department. They have specific training in the area of sexual abuse and sexual misconduct, are very familiar with the college’s complaint process, and can give you an idea of what to expect. They will record that a concern of sexual abuse or sexual misconduct was received and discussed. Our Complaints Department can be reached by calling 780-990-0321 or toll free at 1-877-227-3838. You can remain anonymous, use an alias, or arrange to meet someone from our Complaints Department in person. If you then decide to make a formal complaint, it must be submitted in writing and signed.
When your formal written complaint is received, the complaints director may conduct, or may appoint an investigator to conduct, an investigation. The investigator will contact you to discuss your concerns and obtain additional information. If you prefer, you can meet in person. The investigator will ask you to explain what happened as clearly and in as much detail as you can possibly provide. During an investigation, the investigator may obtain copies of your pharmacy records relevant to the concerns raised.
Legislation requires that we notify the pharmacist or pharmacy technician about your complaint. They will be given opportunity to respond to it.
Your complaint is handled with the utmost seriousness and privacy, and all written complaints will be fully investigated. When the investigation is complete, all the materials gathered by the investigator will be forwarded to ACP’s complaints director, who will review the information and determine what should happen next.
The complaints director may decide to refer the concerns about the pharmacist or pharmacy technician to a Hearing Tribunal or may determine that no further action is needed if the conduct or care was appropriate.
What happens if my complaint is referred to a Hearing Tribunal?
Your complaint may be referred to a Hearing Tribunal for hearing. Hearings at ACP are much like proceedings in a court of law. At a hearing, the college will present evidence before a panel consisting of pharmacists or pharmacy technicians and a member of the public. The Hearing Tribunal’s role is much like that of a jury. They will hear evidence presented by the college and the pharmacist or pharmacy technician whose professional conduct is being investigated. Upon considering all of the information, they must determine whether the complaint is well-founded or not.
You may be asked to testify at the hearing. If so, you are encouraged to bring someone with you for support. You may be questioned by the legal representatives for the college and the investigated pharmacist or pharmacy technician.
If the Hearing Tribunal finds the allegations of sexual abuse are proven, the pharmacist or pharmacy technician’s registration will be permanently cancelled. If the Hearing Tribunal finds allegations of sexual misconduct proven, the pharmacist or pharmacy technician will be suspended for a period of time determined appropriate by the Tribunal depending on the circumstances of the case.
The decisions of the Hearing Tribunal are subject to an appeal process whereby the investigated person or the complaints director, on behalf of ACP, may appeal the Hearing Tribunal’s decision to ACP Council.
Hearings are open to the public and the media may attend unless the Hearing Tribunal orders or accepts an application from one of the parties to hold the hearing in private. The media can publish the name of the pharmacist or pharmacy technician, but in cases involving unprofessional conduct of a sexual nature, the Hearing Tribunal is required, by law, to order a publication ban on information that could identify you if you request such an order.
What happens if the complaints director dismisses my complaint?
You will be provided with the complaints director’s written decision, including reasons why your complaint was dismissed. Should you be dissatisfied with the decision to dismiss your complaint, you may request that the decision be reviewed by ACP’s Complaint Review Committee. You will be provided with instructions on how to make this request.