Mandatory Clinical Governance Curriculum

Required Prior to Operational Activation

All physicians, contractors, employees, and affiliated professionals must complete and formally acknowledge the CoreMD Clinical Governance Curriculum before participating in patient care or operational workflows.

Completion is documented internally.

SECTION I — FOUNDATIONAL CLINICAL PRINCIPLES

(Mandatory for All Physicians & Clinical Staff)

Module 1 — CoreMD Clinical Philosophy & Model of Care

Defines institutional values, longitudinal care structure, and governance commitments.

Module 2 — The CoreMD Safety Hierarchy & Clinical Decision-Making Model

Explains the internal safety prioritization structure and decision thresholds.

Module 3 — Risk Stratification & Safety First

Formal criteria for inclusion, exclusion, contraindications, and escalation.

Module 4 — Intake & Assessment Protocol

Standardized intake model and structured first-contact evaluation.

Module 5 — General Laboratory Interpretation Framework

Foundational interpretation principles across CoreMD programs.

SECTION II — CORE CLINICAL WORKFLOWS

(Mandatory for Physicians)

Module 6 — Red Flags & Emergency Protocols

Escalation criteria and emergency referral structure.

Module 7 — TRT Clinical Framework

Structured Health Progression System™ applied to testosterone therapy.

Module 8 — Medical Weight Management Framework

Longitudinal obesity management under SHPS governance.

Module 9 — Hair Restoration Medicine Framework

Structured evaluation and therapeutic progression model.

Module 10 — PrEP Clinical Framework

Risk-based eligibility, monitoring intervals, and adherence standards.

SECTION III — FOLLOW-UP, CONTINUITY & COMPLIANCE

(Mandatory for Physicians & Clinical Operations Team)

Module 11 — Follow-Up Timeline by Program

Defined monitoring intervals across all care pathways.

Module 12 — Patient Engagement & Retention Model

Behavioral integration under the SHPS framework.

Module 13 — Documentation Standards

SOAP consistency, rationale documentation, monitoring logs.

Module 14 — Ontario Telemedicine Compliance

Regulatory obligations, CPSO alignment, privacy standards.

SECTION IV — COMMUNICATION & PROFESSIONAL STANDARDS

(Mandatory for All Staff)

Module 15 — How CoreMD Explains Medicine to Patients

Clarity, transparency, non-promissory communication.

Module 16 — Standardized Messaging & Templates

Email, follow-up, safety communication structure.

SECTION V — INTERNAL MEDICAL PROTOCOLS

(Physician Certification Required)

Module 17 — CoreMD Internal Medical Protocols Master Document

Initial Consultation Standards:

Module 18 — TRT Initial Consultation

Module 19 — Weight Loss Initial Consultation

Module 20 — PrEP Initial Consultation

Module 21 — Hair Loss Initial Consultation

SOAP & First Visit Standards:

Module 22 — TRT First Visit + SOAP

Module 23 — Weight Loss First Visit + SOAP

Module 24 — PrEP First Visit + SOAP

Module 25 — Hair Loss First Visit + SOAP

SECTION VI — APPOINTMENT STRUCTURE PROTOCOLS

(Physician Operational Training)

Module 26 — 25-Minute Weight Loss Appointment Structure

Module 27 — Weight Loss Medications Framework

Module 28 — Prescription Protocols for Weight Loss Agents

Module 29 — 20-Minute TRT Appointment Structure

Module 30 — 20-Minute PrEP Appointment Structure

Module 31 — 20-Minute Hair Loss Appointment Structure

SECTION VII — CONSULTATION MAPS & TEMPLATE ALIGNMENT

(Physician & Clinical Documentation Certification)

# TRT:

Module 32 — Consultation Map (Patient)

Module 33 — Consultation Map (Physician)

Module 34 — SOAP Template

# Weight Management:

Module 35 — Consultation Map (Patient)

Module 36 — Consultation Map (Physician)

Module 37 — SOAP Template

# Hair Loss:

Module 38 — Consultation Map (Patient)

Module 39 — Consultation Map (Physician)

Module 40 — SOAP Template

# PrEP:

Module 41 — Consultation Map (Patient)

Module 42 — Consultation Map (Physician)

Module 43 — SOAP Template

SECTION VIII — MEDICATION-SPECIFIC PATIENT CHECKLISTS

(Mandatory Review for Prescribing Physicians)

Module 44 — Ozempic Checklist

Module 45 — Wegovy Checklist

Module 46 — Zepbound Checklist

Module 47 — Truvada Checklist

Module 48 — Descovy Checklist

SECTION IX — STRUCTURED HEALTH PROGRESSION SYSTEM™ CERTIFICATION

(Mandatory for All Clinical Providers)

Module 49 — Structured Health Progression System™ (The Core)

This module defines:

• The official CoreMD clinical model

• The four governance pillars

• Progression thresholds

• Monitoring integration

• CoreMD Points™ engagement layer

• Tier neutrality policy (Silver, Gold, Platinum, Elite)

• Institutional documentation expectations

• Medico-legal defensibility structure

No clinical activity may occur outside the SHPS framework.

Governance Acknowledgment Requirement

Before operational activation within CoreMD Clinic, all applicable personnel must:

Complete required modules

Review governance documentation

Acknowledge institutional standards

Confirm understanding of compliance obligations

Failure to comply with governance standards may result in suspension of clinical privileges.