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 />
which pharmacy practice must be<br />
based.<br />
The College did not spend a lot of<br />
time on <strong>the</strong> allegation of disgraceful,<br />
dishonourable or unprofessional conduct<br />
<strong>in</strong> regard to <strong>the</strong> Member’s failure<br />
to report <strong>the</strong> f<strong>in</strong>d<strong>in</strong>g aga<strong>in</strong>st him by<br />
<strong>the</strong> CPSO. However, <strong>the</strong> Panel believed<br />
it merited attention. The Member’s<br />
ignorance or conscious choice<br />
to avoid report<strong>in</strong>g <strong>the</strong> CPSO f<strong>in</strong>d<strong>in</strong>gs<br />
to this College calls <strong>in</strong>to question <strong>the</strong><br />
Member’s commitment to, and respect<br />
for, <strong>the</strong> professional standards<br />
govern<strong>in</strong>g <strong>the</strong> practice of pharmacy<br />
and <strong>the</strong> regulatory authority of <strong>the</strong><br />
College. This too impacts on <strong>the</strong> “relevance”<br />
to <strong>the</strong> Member’s “suitability<br />
to practise pharmacy.”<br />
The evidence reflected that <strong>the</strong><br />
Member did not appreciate <strong>the</strong> impact<br />
on this College of <strong>the</strong> revocation<br />
of his licence by <strong>the</strong> CPSO. Revocation<br />
is <strong>the</strong> most serious penalty a<br />
member can receive from a self-regulat<strong>in</strong>g<br />
body. As a member of this College,<br />
<strong>the</strong> Member’s actions sta<strong>in</strong>ed<br />
<strong>the</strong> reputation of all pharmacists. The<br />
Panel found that <strong>the</strong> Member concealed<br />
<strong>the</strong> revocation of his CPSO<br />
license and that, <strong>in</strong> do<strong>in</strong>g so, he misled<br />
<strong>the</strong> College. The Panel found<br />
this conduct not only troubl<strong>in</strong>g, but<br />
also disgraceful, dishonourable and<br />
unprofessional.<br />
With <strong>the</strong> comfort of <strong>the</strong> precedents<br />
presented to <strong>the</strong> Panel and <strong>the</strong><br />
broad def<strong>in</strong>ition of <strong>the</strong> phrase “relevant<br />
to <strong>the</strong> practise of pharmacy,”<br />
<strong>the</strong> Panel had no difficulty f<strong>in</strong>d<strong>in</strong>g<br />
<strong>the</strong> Member guilty of professional<br />
misconduct for engag<strong>in</strong>g <strong>in</strong><br />
conduct or perform<strong>in</strong>g an act relevant<br />
to <strong>the</strong> practice of pharmacy<br />
that, hav<strong>in</strong>g regard to all <strong>the</strong> circumstances,<br />
would reasonably be regarded<br />
as disgraceful, dishonourable<br />
or unprofessional.<br />
Penalty<br />
The College proposed a penalty that<br />
would <strong>in</strong>clude a reprimand to be adm<strong>in</strong>istered<br />
accord<strong>in</strong>g to <strong>the</strong> directions<br />
of <strong>the</strong> Panel, a six-month suspension<br />
of <strong>the</strong> Member’s Certificate of Registration,<br />
and costs of $10,000, to be<br />
paid with<strong>in</strong> thirty days.<br />
The Panel noted that <strong>the</strong> College<br />
did not propose any remediation<br />
<strong>in</strong> <strong>the</strong> form of course work for <strong>the</strong><br />
Member. Ra<strong>the</strong>r, <strong>the</strong> College highlighted<br />
that <strong>the</strong> Member, who currently<br />
practises medic<strong>in</strong>e <strong>in</strong> Arizona,<br />
was required to take a course on professional<br />
boundaries as a requirement<br />
to become licensed <strong>in</strong> that jurisdiction<br />
by its Medical Board.<br />
The College submitted that as a<br />
result of <strong>the</strong> Member’s absence, <strong>the</strong>re<br />
would be no mitigat<strong>in</strong>g factors presented<br />
to <strong>the</strong> Panel. Fur<strong>the</strong>rmore,<br />
<strong>the</strong> College argued that <strong>the</strong> Member’s<br />
failure to appear demonstrated<br />
a disregard for <strong>the</strong> discipl<strong>in</strong>ary process<br />
and/or his obligation to ma<strong>in</strong>ta<strong>in</strong><br />
communications with <strong>the</strong> College.<br />
The Panel was conscious that<br />
while <strong>the</strong> Member had received a significant<br />
and onerous penalty from<br />
his o<strong>the</strong>r govern<strong>in</strong>g college, <strong>the</strong><br />
Panel could not let that <strong>in</strong>fluence <strong>the</strong><br />
strength or weakness of any penalty<br />
ordered by <strong>the</strong> Discipl<strong>in</strong>e Committee<br />
of this College. The Panel was cognizant<br />
of <strong>the</strong> need to devise a penalty<br />
based on <strong>the</strong> Member’s stand<strong>in</strong>g as a<br />
pharmacist and to weigh his behaviour<br />
only <strong>in</strong> regard to <strong>the</strong> allegations<br />
made aga<strong>in</strong>st him as a pharmacist.<br />
In evaluat<strong>in</strong>g <strong>the</strong> College’s proposed<br />
penalty, <strong>the</strong> Panel was concerned<br />
about how to implement a<br />
reprimand with <strong>the</strong> Member currently<br />
resid<strong>in</strong>g <strong>in</strong> Arizona, about <strong>the</strong> lack<br />
of course work or o<strong>the</strong>r rehabilitation<br />
that was be<strong>in</strong>g proposed, and about<br />
<strong>the</strong> fact that <strong>the</strong> Member could avoid<br />
<strong>the</strong> impact of a suspension by simply<br />
stay<strong>in</strong>g <strong>in</strong> Arizona and practis<strong>in</strong>g<br />
medic<strong>in</strong>e while <strong>the</strong> time elapsed.<br />
In <strong>the</strong> Panel’s view, a suspension<br />
served <strong>in</strong> this form would have no deterrent<br />
effect on <strong>the</strong> Member whatsoever.<br />
Given <strong>the</strong> Member’s disregard<br />
for <strong>the</strong> College’s regulatory authority,<br />
as demonstrated by his failure to report<br />
to <strong>the</strong> Registrar and his failure to<br />
attend his own discipl<strong>in</strong>e hear<strong>in</strong>g, <strong>the</strong><br />
Panel believed <strong>the</strong> Member’s physical<br />
attendance <strong>in</strong> Ontario is required<br />
before <strong>the</strong> suspension can be commenced,<br />
<strong>in</strong> order to heighten its impact,<br />
obta<strong>in</strong> <strong>the</strong> maximum remedial<br />
result for <strong>the</strong> Member, and <strong>in</strong>crease<br />
<strong>the</strong> deterrent effect on o<strong>the</strong>r members<br />
of this College.<br />
The Panel was not prepared to<br />
conduct a reprimand <strong>in</strong> writ<strong>in</strong>g. To<br />
make an impact and be a productive<br />
element of <strong>the</strong> penalty, <strong>the</strong> Panel<br />
requires <strong>the</strong> Member to appear and<br />
face <strong>the</strong> Panel ei<strong>the</strong>r <strong>in</strong> person or by<br />
telephone and receive <strong>the</strong> reprimand<br />
orally. Accord<strong>in</strong>gly, <strong>the</strong> Panel’s order<br />
sets out a timel<strong>in</strong>e by which <strong>the</strong><br />
Member must contact <strong>the</strong> College to<br />
schedule <strong>the</strong> reprimand. The Panel<br />
believed <strong>the</strong> option of appear<strong>in</strong>g by<br />
teleconference is an accommodation<br />
to <strong>the</strong> Member that recognizes both<br />
that he lives outside <strong>the</strong> prov<strong>in</strong>ce, and<br />
that it would be unnecessarily costly<br />
34 pharmacyconnection • July/August 2009