Dialogue Volume 13 Issue 2 2017 - Page 62

discipline summaries discrepancies when compared to each other. The Committee found that Dr. Marcin engaged in disgraceful, dishonourable or unprofessional conduct in regards to her billing OHIP and record keeping regarding Patient A. Fabricating Patient A’s Medical Records On December 18, 2012, the College received Dr. Marcin’s original patient chart for Patient A, contain- ing a letter from Dr. Marcin to Patient A bearing a date in November 2010 purporting to formally ter- minate her doctor-patient relationship with Patient A. However, the information systems expert deter- mined that the document entitled “letter of termina- tion [Patient A] nov 2010.wps”, bearing a date in November 2010, was in fact created by Dr. Marcin on December 5, 2012. The Committee found that Dr. Marcin engaged in disgraceful, dishonourable, or unprofessional conduct by creating a false and misleading patient record. Dr. Marcin fabricated and inserted a letter in Patient A’s medical chart two years after the date on the letter while under investigation by the College. She was intentionally attempting to convey to the College that she had terminated the doctor-patient relationship with Patient A in a professional manner. The Committee found that Dr. Marcin engaged in disgraceful, dishonourable, or unprofessional con- duct by providing misinformation to the College, delaying the College’s investigation, and attempting to minimize her relationship with Patient A and her boundary violations with this patient. In making this finding, the Committee noted that the College, in carrying out its role as regulator, relies on the honesty of its members. When a member purposefully provides misinformation, the effective regulation of the profession is seriously undermined. Prescribing On February 11, 2013, the Inquiries, Complaints and Reports Committee (ICRC) imposed terms on Dr. Marcin’s certificate of registration, ordering that she retain a Health Monitor. On October 21, 2013, the ICRC gave notice of its intention to vary that Order based on information that Dr. Marcin may be in breach of it. On November 11, 2013, Dr. Marcin entered into an undertaking with the College, in 62 Dialogue Issue 2, 2017 which she agreed to cease to practise medicine in all jurisdictions. Prior to entering into this November 11 under- taking, Dr. Marcin issued eight patients multiple prescriptions for narcotics between November 1 and November 11, 2013. The College expert found that Dr. Marcin’s Novem- ber 1 to 11, 2013 prescribing of narcotic drugs, nar- cotic preparations, controlled drugs, benzodiazepines/ other targeted substances, and all ot