Dialogue Volume 12 Issue 3 2016 - Page 43

discipline summaries manner, under the guise of a medical examination. In addition, the Committee found that Dr. Iqbal failed to maintain the standard of practice in respect of Ms A by: failing to ensure her privacy (failing to leave the room while dressing and not ensuring appropriate draping), performing perianal and digital rectal examinations in the prone position, and performing unnecessary intimate examinations in an inappropriate manner. failed to maintain the standard of practice of the profession in respect of Ms D by: not respecting her privacy when he remained in the room while she changed, and by performing inappropriate examinations of her vagina. The Committee found that Dr. Iqbal’s conduct with respect to these four patients would also reasonably be regarded by members as disgraceful, dishonourable, or unprofessional. Ms B Reasons for Penalty While the Committee made findings of failing to maintain the standard of practice and of disgraceful, dishonourable or unprofessional conduct in respect to all four patients, it was the finding of sexual abuse in respect to these same four patients which drove the penalty determination. These patients described sexually stimulating actions performed by Dr. Iqbal, including repeated in and out movements of the rectum and vagina and in one case touching of the clitoris. They were violated in an intimate and most abhorrent manner. The Committee agreed with the submissions of the College that these actions constitute masturbation and, as a consequence, immediate and mandatory revocation of Dr. Iqbal’s certificate of registration was appropriate. While the Committee found revocation of Dr. Iqbal’s certificate of registration to be mandatory under the Code, the dimensions of the misconduct in this matter were such that nothing short of revocation would suffice, even if not required by law. Protection of the public, proportionality and maintaining the public trust demand nothing less than revocation of Dr. Iqbal’s certificate of registration which removes him from the practice of medicine in Ontario. The nature and extent of the sexual abuse perpetrated by Dr. Iqbal was particularly callous and cruel. All four patients were extraordinarily vulnerable given their significant symptoms. In these circumstances, the Committee determined that it was appropriate to order reimbursement from Dr. Iqbal of funding provided by the College to any of the patient’s for counselling or therapy. The College also ordered Dr. Iqbal to post security acceptable to the College in the amount of $64,240 (the maximum amount, representing $16,060 for each of the four patients sexually abused) within 60 days. The Committee found that Dr. Iqbal sexually abused Ms B by penetrating her vagina with his finger and moving it in a sexual manner in an attempt to sexually stimulate her. Further, while performing a cortisone injection, Dr. Iqbal sexually abused Ms B by having a finger in her vagina and massaging the area without medical justification. In addition, the Committee found that Dr. Iqbal failed to maintain the standard of practice of the profession by: failing to respect the privacy of Ms B (failing to leave the room while dressing and assisting undressing), and by performing an unjustified vaginal examination in an inappropriate manner. Ms C The Committee found that Dr. Iqbal sexually abused Ms C on the office visit of June 2011 by touching her vagina and clitoris in a sexually stimulating manner under the guise of a medical examination. In addition, the Committee found that Dr. Iqbal failed to maintain the standard of practice of the profession by: failing to respect Ms C’s privacy, assisting her in removing her clothing, the manner and position he performed a perianal examination, and by inappropriately touching her vagina and clitoris during the examination. Ms D The Committee found Dr. Iqbal engaged in sexual abuse of Ms D in May 2011, by touching her lower vulva and separating her labia without clinical justification, and in June 2011, when he inserted his fingers into her rectum and vagina and moved them in a sexual manner under the guise of a medical examination. In addition, the Committee found that Dr. Iqbal Issue 3, 2016 Dialogue 43