discipline summaries
potential harm or injury.
• I t was difficult to determine from the charts who
was providing the care, as notations were not signed.
Charting was below the standard of practice of the
profession. Dr. Nahri failed to document patient
consent to be examined and treated by a staff member. In many cases, management of continuity of
care was below the standard of practice.
Dr. Nahri cooperated throughout the College investigation. In her response to Dr. X’s report, Dr. Nahri
acknowledged that she had not provided adequate
supervision and delegation to the individuals working
in her clinic during the period in question. She stated
that as a result of the College investigation she had
made changes to her practice, including reducing the
size of her practice, ceasing to provide walk-in care, and
improving her record-keeping.
After investigators attended at the clinic in November 2010, Dr. Nahri agreed to enter into an interim
undertaking with the College to protect patients while
the College investigation was ongoing, or until any
allegations against her were finally determined by the
Discipline Committee. As a result, Dr. Nahri ceased
to employ international medical graduates (IMGs) or
other unregulated workers to provide patient care. The
interim undertaking obliged Dr. Nahri to review the
records of all patients who had received patient care
directly from staff members, and to document having done so. Dr. Nahri did undertake such a review as
required. However, initially she failed to adequately
document her review, in breach of her undertaking.
After being alerted to the problem by the College in
2011, Dr. Nahri took steps to document her review.
Since entering into her interim undertaking with the
College, Dr. Nahri has reduced the size of her practice
and has become a sole practitioner.
Reasons for Penalty
After careful consideration, the Committee accepted
the jointly proposed penalty as being both in the public
interest and just.
Public trust is a fundamental principle of the profession of medicine. This trust must be earned on a daily
basis and should