The medical profession objects to being asked to police such absenteeism. The CMA recommends that a physician should complete a certificate of disability only if he or she has attended the patient and the patient has been ill for at least 5 days or if the physician has satisfactory knowledge of such illness for 5 days and it is so stated on the certificate. This policy is to be interpreted and applied according to provincial legislation and regulations. The supplying of a certificate of disability by a physician to a patient during treatment is recognized as a valid service to the patient. Since the 1960s, though, there has been an increasing demand on physicians to provide certification of disability to their patients.
Many employers require such a document as justification for the employee's official sick leave.
This is particularly burdensome for physicians with respect to short-term illnesses. The CMA appreciates the effects that unwarranted absenteeism can have on workplace productivity and the high costs involved. Following consultation with many employers and insurance carriers, the CMA recommended in 1971 that a physician should complete a certificate of disability only if he or she has attended the patient and the patient has been ill for at least 5 days or if the physician has satisfactory knowledge of such illness for 5 days and it is so stated on the form. The association's 5-day policy is intended to be permissive. While the policy provides a 5-day standard, physicians should deal with their patients in line with their conscience and while understanding their patient's needs.