Annual Report 2017 - Page 26

Fitness to Practise Committee The Fitness to Practise (FTP) Committee rarely hears cases, as matters of incapacity tend to resolve through health monitoring agreements with the Ontario Medical Association’s Physician Health Program. When incapacity matters resolve through monitoring agreements, the allegation of incapacity before the Committee is withdrawn. The FTP Committee referrals and caseload have been decreasing since 2013. There were no hearings in 2014, 2015 and 2016. There were two referrals and one hearing in 2017. Compliance Monitoring and Supervision restriction requirements in each of the various outcomes appears to be increasing. This layering of outcomes increases the complexity of the files. Also, Committees are increasingly issuing outcomes, such as clinical supervision, which are often complex in and of themselves. Since 2015, there has been a 14% increase in the number of active files with supervision issued by a variety of Committees. With the amendments to the Regulated Health Professions Act in May 2017, the ICR Committee has the power to impose Interim Orders earlier than at the time of referral to the Discipline Committee or Fitness to Practice Committee. These interim orders would be issued when the ICR Committee identifies a risk of harm to patients and therefore directs the Registrar to suspend, or to impose terms, conditions or limitations on, a physician’s certificate. Nineteen Interim Orders were issued in 2017 and it is anticipated this number will only rise. The College’s Compliance, Monitoring and Supervision Department (CMS) monitors all Committee decisions, undertakings and Orders (outcomes) for which there is an education, remediation and/or restriction requirement. The CMS monitors over 1600 active files. The total number of education, remediation or CPSO ANNUAL REPORT 2017 // page 26