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(b) failed to provide <strong>the</strong> College with<br />

<strong>the</strong> professional misconduct f<strong>in</strong>d<strong>in</strong>gs<br />

of <strong>the</strong> CPSO? The Panel was not to<br />

decide whe<strong>the</strong>r <strong>the</strong> Member engaged<br />

<strong>in</strong> sexual abuse of a patient while<br />

practis<strong>in</strong>g pharmacy.<br />

Failure to Report F<strong>in</strong>d<strong>in</strong>gs<br />

of Misconduct<br />

The College presented evidence that<br />

<strong>the</strong> 2007 Pharmacist Annual Fee<br />

Form asked members <strong>the</strong> follow<strong>in</strong>g<br />

question: “In <strong>the</strong> past year have you<br />

been charged and/or found guilty of<br />

an offence under any Act regulat<strong>in</strong>g<br />

<strong>the</strong> practice of pharmacists or relat<strong>in</strong>g<br />

to <strong>the</strong> sale of drugs, or relat<strong>in</strong>g to<br />

any crim<strong>in</strong>al offence?” This question<br />

was left blank by <strong>the</strong> Member, although<br />

he had completed o<strong>the</strong>r portions<br />

of <strong>the</strong> form and had signed <strong>the</strong><br />

document, which he dated February<br />

2, 2007. The College presented evidence<br />

that <strong>the</strong> Member would have<br />

received a follow-up letter <strong>in</strong>dicat<strong>in</strong>g<br />

that his form was <strong>in</strong>complete. The<br />

College apparently never received a<br />

response from <strong>the</strong> Member to this<br />

letter reply<strong>in</strong>g “Yes” or “No” to <strong>the</strong><br />

question about crim<strong>in</strong>al and drug-related<br />

offences.<br />

The College also presented evidence<br />

that it was not aware of <strong>the</strong><br />

Member’s discipl<strong>in</strong>e history with<br />

CPSO until it received an anonymous<br />

telephone call <strong>in</strong> June, 2007, <strong>in</strong>dicat<strong>in</strong>g<br />

that <strong>the</strong> Member had had his<br />

licence to practise medic<strong>in</strong>e revoked<br />

by <strong>the</strong> CPSO for sexual abuse. The<br />

Panel was directed to <strong>the</strong> decision(s)<br />

of <strong>the</strong> Discipl<strong>in</strong>e Committee of <strong>the</strong><br />

CPSO.<br />

While <strong>the</strong> College’s witnesses<br />

were not subject to cross-exam<strong>in</strong>ation,<br />

<strong>the</strong> Panel accepted <strong>the</strong>ir evidence as<br />

credible and believed that <strong>the</strong> documents<br />

presented not only spoke for<br />

<strong>the</strong>mselves, but that <strong>the</strong>y were expla<strong>in</strong>ed,<br />

and <strong>the</strong>ir contents supported,<br />

by <strong>the</strong> witnesses. The Panel<br />

found that <strong>the</strong> Member did fail to<br />

provide <strong>the</strong> College with <strong>the</strong> f<strong>in</strong>d<strong>in</strong>gs<br />

of professional misconduct by<br />

<strong>the</strong> CPSO as alleged, and that failure<br />

does constitute professional misconduct<br />

as alleged <strong>in</strong> <strong>the</strong> Notice of<br />

Hear<strong>in</strong>g.<br />

Relevance to Suitability to<br />

Practice Pharmacy<br />

With respect to <strong>the</strong> relevance of<br />

<strong>the</strong>se offences to <strong>the</strong> practice of<br />

pharmacy, <strong>the</strong> Panel considered (i)<br />

how <strong>the</strong> revocation of <strong>the</strong> Member’s<br />

license for sexual abuse of a patient<br />

at <strong>the</strong> CPSO and his failure to report<br />

it were relevant to his suitability to<br />

practise pharmacy, and (ii) how that<br />

should lead <strong>the</strong> Panel to conclude that<br />

this behaviour was disgraceful, dishonourable<br />

or unprofessional before<br />

this College.<br />

The College argued that <strong>the</strong> connection<br />

between <strong>the</strong> Member’s conduct<br />

as a physician and <strong>the</strong> impact on<br />

him as a pharmacist was <strong>the</strong> concurrency<br />

of <strong>the</strong>se roles. The Member<br />

operated his pharmacy practice out<br />

of his medical practice. When he was<br />

operat<strong>in</strong>g as a physician, he was essentially<br />

operat<strong>in</strong>g as a pharmacist.<br />

He was not wear<strong>in</strong>g different hats.<br />

He was engaged <strong>in</strong> both health professions<br />

simultaneously, and when<br />

he engaged <strong>in</strong> misconduct of a sexual<br />

nature with a patient as a physician,<br />

that must impact on his status as a<br />

pharmacist. Counsel argued that an<br />

act committed <strong>in</strong> ano<strong>the</strong>r health profession<br />

should be considered a breach<br />

of pharmacy standards before this<br />

College.<br />

The Panel reviewed several past<br />

Discipl<strong>in</strong>e Committee and court decisions<br />

concern<strong>in</strong>g <strong>the</strong> <strong>in</strong>terpretation<br />

of <strong>the</strong> misconduct provision alleg<strong>in</strong>g<br />

that a member “engaged <strong>in</strong> conduct<br />

or performed an act relevant to <strong>the</strong><br />

practice of pharmacy that, hav<strong>in</strong>g regard<br />

to all <strong>the</strong> circumstances, would<br />

reasonably be regarded as disgraceful,<br />

dishonourable or unprofessional.”<br />

The Panel observed that <strong>the</strong> cases<br />

illustrate that prior discipl<strong>in</strong>e panels of<br />

this College and <strong>the</strong> court, <strong>in</strong> general,<br />

have taken a very broad approach to<br />

<strong>the</strong> mean<strong>in</strong>g of <strong>the</strong> phrase “relevant<br />

to <strong>the</strong> practice of pharmacy” <strong>in</strong> <strong>the</strong><br />

misconduct provision.<br />

The Panel concluded that <strong>the</strong><br />

Member’s conduct as a physician<br />

must impact on his suitability as a<br />

pharmacist. The two roles/professional<br />

designations are <strong>in</strong>tertw<strong>in</strong>ed on<br />

<strong>the</strong> facts of this case. He was physician<br />

and pharmacist at <strong>the</strong> same<br />

time. If his behaviour <strong>in</strong> one professional<br />

context br<strong>in</strong>gs that profession<br />

<strong>in</strong>to disrepute – which <strong>the</strong> CPSO<br />

revocation certa<strong>in</strong>ly did <strong>in</strong> regard to<br />

<strong>the</strong> Member’s status as a physician<br />

– it must br<strong>in</strong>g <strong>the</strong> o<strong>the</strong>r professional<br />

designation <strong>in</strong>to disrepute as well.<br />

Sexual abuse of anyone is degrad<strong>in</strong>g<br />

and demean<strong>in</strong>g behaviour. But when<br />

it is practised by a health professional<br />

with a patient, <strong>the</strong> Panel believed,<br />

<strong>the</strong> behaviour is all <strong>the</strong> more disturb<strong>in</strong>g<br />

and unprofessional, as it exploits<br />

<strong>the</strong> health provider/patient relationship,<br />

plays on an imbalance of power,<br />

and breaches a fundamental trust on<br />

pharmacyconnection • July/August 2009<br />

33

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