Dialogue Volume 11 Issue 2 2015 | Page 64

discipline summaries Allegation of Disgraceful, Dishonourable or Unprofessional Conduct Apart from the intimate sexual relationship, the Committee also found Dr. Gale engaged in conduct relevant to the practice of medicine that, having regard to all the circumstances would reasonably be regarded by members as disgraceful, dishonourable or unprofessional. In particular, the Committee found that: •  r. Gale participated in the hiring of a young D female patient to work in his home as a nanny. While the Committee heard evidence from Mrs. Gale that she had called the Public and Physician Advisory Service, the Committee found that either no call was made or if made, Mrs. Gale minimized or failed to properly characterize the circumstances; •  fter hiring Ms. X , Dr. Gale developed a perA sonal and flirtatious relationship with her which included hot tubbing and watching television alone together; •  r. Gale smoked marijuana with Ms. X in the D family garage as testified by Mr. B who was visiting at the time; and •  r. Gale corresponded with Ms. X after she was D fired and after he had transferred her care to another ophthalmologist. The Committee accepted that email sent by Dr. Gale made reference to Ms. X’s “boobs”. Dr. Gale testified that it was Ms. X who made the reference. Either way, such interaction with a former patient speaks to a pattern of sexualized interaction which was inappropriate. Reasons for Penalty The sexual abuse as found in this case, including sexual intercourse and oral sex, is of the most serious nature. Such actions betray not only the trust patients place in their treating physician but the trust that the public have in the profession. This trust is fundamental and reflects a professional duty inherent to the practice of medicine. Nothing short of separation of the member from the profession will suffice when such sexual abuse of a patient occurs. Dr. Gale has academic standing and teaching responsibilities as an assistant professor. The profession looks to its teachers to present role models for young physi- 64 Dialogue Issue 2, 2015 cians in training. This makes Dr. Gale’s misconduct all the more grave. The consequences to the profession and the public are significant. Revocation serves to denounce the misconduct from the perspective of the profession and the public. Further, revocation will be a specific deterrent to Dr. Gale and will illustrate clearly to the profession that such conduct is unacceptable and irreconcilable with medical practice. In addition, revocation demonstrates to the public that the profession will not tolerate such behaviour. A reprimand provides the opportunity for the Committee to speak directly to Dr. Gale regarding the nature and impact of his professional misconduct. Given the findings of the Committee, that Dr. Gale took advantage of a vulnerable young woman for his own purposes is clear. The Committee agrees with the submissions of the College that Dr. Gale should reimburse the College for any funding provided for Ms. X under the program required under section 85.7, and therefore Dr. Gale should post an irrevocable letter of credit or other security acceptable to the College. The amount of $16,060 is the maximum permitted by the regulation and is appropriate in the circumstances. As to costs in this matter, the Committee agreed with the position of the College that costs should reflect 10 days of hearing time at the rate of $4,460 per day. This cost is rightly borne by the member and not the membership at large. Order The Discipline Committee ordered and directed that: 1. the Registrar revoke Dr. Gale’s certificate of registra tion effective immediately. 2. Dr. Gale appear before the panel to be reprimand ed. 3. Dr. Gale reimburse the College for funding pro vided to patients under the program required under section 85.7 of the Code, by posting an irrevocable letter of credit or other security acceptable to the College within 30 days of this Order, in the amount of $16,060. 4. Dr. Gale pay costs to the College in the amount of  $44,600 within 30 days of this Order.