discipline summaries
a) o btaining weights and urine dips in his prenatal
patients;
b) charting pre-operatively and post-operatively;
c) obtaining or documenting informed consent;
d) o btaining appropriate pre-operative medical
and/or anesthetic consults when indicated;
e) f ollowing up appropriately and in a timely manner
in his gynecological and obstetrical practice; and
f ) c ommunicating with physician and nursing
colleagues about his availability and/or lack of
availability and/or when he was or was not taking responsibility for his patients who presented
at or were admitted to hospital.
Reasons for Penalty
As part of the penalty order in this case, Dr. Prévost signed an undertaking to resign his certificate
of registration with the College and not to apply or
re-apply for registration as a physician to practise
medicine in Ontario. Dr. Prévost also agreed never to
practise obstetrics or gynecology in any jurisdiction
after his resignation.
The factors of most concern to the Committee in
the determination of penalty include, but are not
limited to:
• a glaring lack of clinical judgment across the
entire spectrum of his obstetrics and gynecology practice,
• a blatant disregard for the welfare of his patients and for patient safety,
• a cavalier attitude towards both patient care
and relationships with colleagues,
• a failure to follow accepted clinical practice
guidelines expected of a competent specialist,
• a failure to document and therefore obtain
informed consent for medical treatments that
carried significant material risks to patients,
• the very real and potential harm to patients including failed pregnancy terminations, infants
born with congenital anomalies and abandoning patients in critical medical situations,
• inadequate, often non-existent medical recordkeeping,
• a failure to follow up on serious test results, and
• a failure to communicate with colleagues with
respect to transfer of care.
Counsel for the College highlighted the issues
surrounding the seven cases involving med X