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Welcome to Dialogue! 

Work from wherever you want, whenever you want.

Ready to learn more before joining our team? Check out what Dialogue has to offer below, then fill out this form for us to contact you with next steps.

 

 

 

What Dialogue can offer you

Schedule - purple
A FLEXIBLE schedule

Dialogue fits your busy lifestyle - practice medicine when and how much you want.

World
Work from ANYWHERE

All your work is performed online, so YOU choose where you practice (yes, even from home!).

Income
A new source of INCOME

Dialogue offers you the chance to earn additional income that is complementary to your current practice.

Care-1
Spend more time TREATING PATIENTS

At Dialogue, you have the full support of our administrative and technical teams to ensure that you spend your time with patients.

Star
Provide QUALITY CARE

Dialogue has a team of experienced physicians who work hard to ensure that quality of care is our top priority.

Light bulb
Shape the FUTURE of healthcare

Millions of Canadians visit ERs for minor medical issues each year, spending countless hours mainly waiting - telemedicine is the future of healthcare.

And much more...

Check-circle-Secondary Access to 800+ patients per day

Check-circle-Secondary Receive competitive remuneration WITHOUT any overhead costs

Check-circle-Secondary Your work does not affect your status with the public health system

Check-circle-Secondary You are fully protected by the CMPA, the same as with conventional care

Check-circle-Secondary Our care processes are 100% aligned with regulatory college guidelines (e.g. CMQ, CPSO)

Check-circle-Secondary We adhere to a carefully defined scope of practice developed by physicians for physicians

 

 

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What do other physicians have to say?

FAQ

Virtual care refers to any encounter between a patient and a healthcare professional that takes place when they are in separate locations. It includes asynchronous written messaging (including email), live chat, audio calls and video calls.

 

Dialogue operates using a 'Human in the Loop' model. That means that when we use technology or AI to automate workflows, we always make sure that it is ultimately a healthcare professional who makes the final decision and communicates guidance to the patient. Dialogue is available only through employers, who purchase Dialogue access as part of their employee benefits plan.

Final Dialogue Eng Video with subtitles

 

As a physician, you will register for shifts using our scheduling tool. Once you begin, you will log into your Dialogue appointment schedule and begin seeing patients. Initial triage is performed by experienced nurses and you will have access to the patient’s medical history before you start your consultation. Most administrative tasks (sending documents to patients, reminders, booking follow-up appointments, finding specialists) are handled by our care coordinators or automatically by the software platform.

Physicians typically see 2-4 patients every hour via video consultation, depending on the complexity of the cases.

Our care team adheres to a clear scope of practice that ensures patient safety and standardization of care among our practitioners. Patients use Dialogue for a subset of non-emergent clinical care issues that do not require physical examination.

Video consultations for non-urgent simple cases have been evaluated in studies and in a recent review of an Ontario Telemedicine Network (OTN) pilot project. They uniformly report that video consultations are safe and appreciated by the patient and providers. They are also equivalent in terms of diagnostic accuracy.

Common chief complaints include, but are not limited to:
  • Upper respiratory illnesses
  • Painless eye issues
  • Minor skin trauma
  • Rashes
  • UTI
  • Sleep disturbance
  • Allergies
  • Sexual health
  • Depression
  • Anxiety
  • Pre/post travelers’ issues
  • Basic prescription renewals
Yes. Our scope of practice and the triage performed by our nursing team ensures that you only see patients that are safe to be treated by video encounters. Prescribing for such patients adheres to the same standard of care as conventional encounters, which includes exercising your professional judgement on what constitutes a sufficient assessment of the patient’s problem. If you think that something cannot be fully assessed without a physical exam, you direct the patient to visit a doctor in-person.

Dialogue recognizes that fragmenting care introduces risk. That’s why we always follow-up with patients after an encounter to verify that their problem is resolved. In addition, if you order tests or referrals to specialists, we arrange that you are the doctor who sees the patient for the follow-up visit (unless urgency requires the patient to be seen sooner). And if patients have a regular family doctor and ask us to send your assessment and any documents to their doctor, we always do so once the patient has provided consent.

Throughout the industrialized world, the longstanding principle has been that the physician must be licensed in the jurisdiction where the patient is located at the time of the encounter. However, this is quickly evolving and British Columbia, Ontario, Nova Scotia and Newfoundland currently permit doctors who are licensed elsewhere in Canada to serve their patients. Dialogue encourages physicians to arrange licenses in other jurisdictions and with prior approval, will pay for the application costs and annual fees.

As a healthcare organization that provides service across Canada, Dialogue maintains detailed databases of specialists, labs, imaging facilities and pharmacies that we use to direct requests for tests and specialist referrals.

We have onboarding sessions weekly and your training program is typically completed over one day. It includes an introduction to our platform, the EMR and related tools, as well as the team who will support you in delivering patient care. We also prepare you for situations and considerations unique to telemedicine. You will be using your own computer and communication equipment but Dialogue will provide access to all the software you need, along with a stylish white lab coat, if needed.

In keeping with standard practice, Dialogue provides permanent access to patient records or copies of records for all entries that a doctor creates or views in Dialogue’s systems. Access to patient records outside Dialogue is subject to the same constraints that doctors face when working at any clinic or institution: the patient must explicitly consent or the physician must be deemed to be in the “circle of care”.

At present, BC is the only Canadian province/territory that has a telemedicine fee code that can be used by any physician with a BC license. Some other provinces have fee codes that are restricted to approved telemedicine encounters that provide specialist services to patients located in remote areas.

Dialogue is available only through employers, who purchase Dialogue access as part of their employee benefits plan.

The CMPA recognizes that telemedicine is an entirely legitimate form of medical practice and it provides the same assistance for complaints and legal action that it does for conventional encounters. It also encourages its members to follow standard professional guidelines and reminds physicians that they must meet licensure requirements where the patient is located at the time of the telemedicine encounter. There are no additional membership costs to practice telemedicine within a jurisdiction where you have your primary medical license/permit. However, if you have or obtain additional Canadian licenses/permits (which Dialogue encourages), there may be additional CMPA fees, depending on which geographic CMPA fee zones your licenses/permits are in.

For more information, visit: https://www.cmpa-acpm.ca/en/membership/protection-for-members/principles-of-assistance/practising-telehealth

The CMPA does not require members to notify them that they are providing care through virtual delivery systems because CMPA rates are determined by two things: your specialty and your geographic fee region. And since virtual care is a subset of conventional care, there is no expansion of your scope of practice. However, if you obtain additional licenses/permits to increase the number of provinces in which you can provide care, the CMPA wants to know that and they will assess additional annual fees if any of your licenses/permits are in jurisdictions with higher fees than your “home” jurisdiction. In such cases, as with permits/licenses, Dialogue will cover these costs if you obtain prior approval.

Dialogue’s remuneration for clinical work is competitive with both the public and private systems.

 

In addition, we will pay you for the time you spend training, for peer meeting and for participation in our business and accredited CME meetings.

And, if you work for Dialogue for at least 90 hours per 3-month period (about 8 hours weekly), we will provide:

  • Free subscription to UpToDate
  • All expenses paid to our annual CME conference at a Canadian resort location

 

We pay physicians to complete forms for patients and third parties, as well as for any administrative work assignments. However, there is almost no administrative work for you to do a routine basis.

Dialogue has a well-defined scope of practice that was developed by physicians for physicians and which is continuously reviewed to align with evidence, best practice and the evolving experience with virtual care. For example, abdominal pain is presently outside the scope of practice because assessment requires auscultation, percussion and palpation, none of which can be performed over a video call.

Professional liability is unchanged by the form of contact between the physician and the patient. Doctors have been speaking to patients on the phone since the device was invented and patients and doctors sent postal mail to one another for centuries before that. The essential requirement is that the physician never compromises on meeting the standard of care, which means that if the assessment or treatment of the patient’s current problem requires hands-on examination or intervention, the patient must be directed to an in-person encounter.

All communications and data transmissions through our platform are compliant with the highest standards of security. We safeguard the confidentiality of all patient information according to law and regulation and never disclose it unless the patient consents or we are compelled by law.

Yes. Dialogue has a medical committee that meets twice monthly to set clinical standards. Its membership consists of two family doctors, one ER doctor, one nurse practitioner and two nurses, as well as clinical administrators. The role of the medical committee is to define rules, guidelines and medical protocols for our care team, guided by evidence and by experience gained from our patient care. The committee focuses on patient safety, quality of care, professional autonomy and patient satisfaction.

Dialogue is happy to provide opportunities for doctors who are on maternity leave. However, if you are receiving maternity leave benefits of any kind, we advise that you verify how earning professional income might affect those benefits.

Dialogue welcomes qualified physicians who are patient-centred and interested in the great opportunities available in virtual healthcare. If that sounds like you, get in touch with us at mdrecruitment@dialogue.co.

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Fill out the form, and our team will contact you as soon as possible!

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