Understand the Culture in Which You Practise Hyperthermia: Are ...
Understand the Culture in Which You Practise Hyperthermia: Are ...
Understand the Culture in Which You Practise Hyperthermia: Are ...
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decid<strong>in</strong>g on discipl<strong>in</strong>e<br />
Case 1<br />
Offence relevant to suitability<br />
to practice<br />
Member: David By<strong>the</strong>ll<br />
Hear<strong>in</strong>g Date: March 25, 2009<br />
The Member notified <strong>the</strong> College<br />
that <strong>in</strong> 2006, he was convicted of <strong>in</strong>decent<br />
assault relat<strong>in</strong>g to conduct<br />
that occurred between 1965 and<br />
1970, before he was a member of<br />
<strong>the</strong> College. After an <strong>in</strong>vestigation,<br />
specified allegations of professional<br />
misconduct relat<strong>in</strong>g to <strong>the</strong> conviction<br />
were referred to <strong>the</strong> Discipl<strong>in</strong>e<br />
Committee.<br />
The College presented <strong>the</strong> Panel<br />
with an Undertak<strong>in</strong>g signed by <strong>the</strong><br />
Member, where<strong>in</strong> he <strong>in</strong>dicated his<br />
wish to retire and resign permanently<br />
as a member of <strong>the</strong> College. He also<br />
undertook never aga<strong>in</strong> to practise<br />
pharmacy <strong>in</strong> Ontario, never to reapply<br />
for membership <strong>in</strong> <strong>the</strong> College,<br />
and never to have an ownership <strong>in</strong>terest<br />
<strong>in</strong> a pharmacy. The College and<br />
<strong>the</strong> Member jo<strong>in</strong>tly sought an order<br />
stay<strong>in</strong>g <strong>the</strong> allegations of professional<br />
misconduct, <strong>in</strong> light of <strong>the</strong> member’s<br />
Undertak<strong>in</strong>g. Upon review<strong>in</strong>g<br />
<strong>the</strong> Member’s Undertak<strong>in</strong>g and hear<strong>in</strong>g<br />
submissions by <strong>the</strong> College, <strong>the</strong><br />
Panel ordered that <strong>the</strong> allegations of<br />
professional misconduct be stayed for<br />
as long as <strong>the</strong> Undertak<strong>in</strong>g is <strong>in</strong> effect<br />
and <strong>the</strong> Member complies with all its<br />
terms and conditions.<br />
Case 2<br />
Failure to report f<strong>in</strong>d<strong>in</strong>g of<br />
professional misconduct by<br />
ano<strong>the</strong>r regulatory body;<br />
disgraceful, dishonourable or<br />
unprofessional conduct<br />
Member: Robert Arlen Rosenberg<br />
Hear<strong>in</strong>g Date: February 17, 2009<br />
Facts<br />
This case addressed three allegations<br />
of professional misconduct aga<strong>in</strong>st<br />
<strong>the</strong> Member aris<strong>in</strong>g from <strong>the</strong> revocation<br />
of his licence to practise medic<strong>in</strong>e<br />
by <strong>the</strong> Discipl<strong>in</strong>e Committee of <strong>the</strong><br />
College of Physicians and Surgeons of<br />
Ontario (CPSO) <strong>in</strong> connection with<br />
<strong>the</strong> sexual abuse of, and/or sexual impropriety<br />
with, a patient. The allegations<br />
aga<strong>in</strong>st <strong>the</strong> Member were that<br />
he contravened a term, condition or<br />
limitation on his Certificate of Registration,<br />
and breached <strong>the</strong> regulations<br />
under <strong>the</strong> Pharmacy Act, by fail<strong>in</strong>g to<br />
provide <strong>the</strong> Registrar with details of<br />
<strong>the</strong> CPSO’s f<strong>in</strong>d<strong>in</strong>gs of professional<br />
misconduct. It was fur<strong>the</strong>r alleged<br />
that while he was a member of <strong>the</strong><br />
College, <strong>the</strong> Member engaged <strong>in</strong> conduct<br />
or performed an act relevant to<br />
<strong>the</strong> practice of pharmacy that, hav<strong>in</strong>g<br />
regard to all <strong>the</strong> circumstances,<br />
would reasonably be regarded as disgraceful,<br />
dishonourable or unprofessional<br />
with respect to <strong>the</strong> CPSO’s<br />
f<strong>in</strong>d<strong>in</strong>gs and <strong>the</strong> Member’s failure to<br />
report <strong>the</strong>se f<strong>in</strong>d<strong>in</strong>gs to <strong>the</strong> College.<br />
The hear<strong>in</strong>g proceeded without<br />
<strong>the</strong> Member or his counsel <strong>in</strong> attendance.<br />
The Panel was presented<br />
with material that allowed <strong>the</strong> Panel<br />
to conclude that <strong>the</strong> Member was<br />
aware of <strong>the</strong> allegations aga<strong>in</strong>st him<br />
and of <strong>the</strong> hear<strong>in</strong>g date, that <strong>the</strong><br />
Member had counsel <strong>in</strong> <strong>the</strong> period<br />
immediately before <strong>the</strong> hear<strong>in</strong>g<br />
date, that <strong>the</strong> Member was aware<br />
he could participate <strong>in</strong> <strong>the</strong> proceed<strong>in</strong>gs,<br />
and that <strong>the</strong> Member elected<br />
not to participate or send his counsel.<br />
The Panel ruled that <strong>the</strong> hear<strong>in</strong>g<br />
could proceed <strong>in</strong> <strong>the</strong> Member’s absence.<br />
The Panel assumed that had<br />
he been present, <strong>the</strong> Member would<br />
have pled not guilty to <strong>the</strong> allegations<br />
aga<strong>in</strong>st him.<br />
The Member is an Ontario pharmacist<br />
who, while he was also an Ontario<br />
physician, engaged <strong>in</strong> a sexual<br />
relationship with a patient that resulted<br />
<strong>in</strong> his licence to practice medic<strong>in</strong>e<br />
be<strong>in</strong>g revoked by <strong>the</strong> Discipl<strong>in</strong>e<br />
Committee of <strong>the</strong> CPSO <strong>in</strong> March,<br />
2003, as a result of <strong>the</strong> automatic<br />
revocation provisions of <strong>the</strong> Regulated<br />
Health Professions Act, 1991<br />
(“RHPA”). The Member appealed<br />
<strong>the</strong> revocation to both <strong>the</strong> Divisional<br />
Court and <strong>the</strong> Ontario Court of Appeal,<br />
unsuccessfully, on <strong>the</strong> basis that<br />
<strong>the</strong> patient was a long-time love <strong>in</strong>terest<br />
who should have qualified for a<br />
spousal exemption.<br />
Issues<br />
The Panel had to consider two issues.<br />
First, did <strong>the</strong> Member fail to report<br />
and provide details to <strong>the</strong> College of<br />
<strong>the</strong> revocation of his medical licence<br />
by <strong>the</strong> CPSO, and, if so, did this constitute<br />
an act of professional misconduct?<br />
Second, was it disgraceful, dishonourable<br />
or unprofessional for <strong>the</strong><br />
Member to have (a) engaged <strong>in</strong> sexual<br />
abuse of a patient, as a physician,<br />
while also a pharmacist, and to have<br />
32 pharmacyconnection • July/August 2009