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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

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