DISCIPLINE SUMMARIES
DR . ALI ALI ABDULLA MANSOUR
PRACTICE LOCATION : Toronto AREA OF PRACTICE : Family Medicine
HEARING INFORMATION : Statement of Agreed Facts , Admission , Joint Submission on Penalty
On July 27 , 2016 , the Discipline Committee found that Dr . Mansour committed an act of professional misconduct , in that he has engaged in an act or omission relevant to the practice of medicine that , having regard to all the circumstances , would reasonably be regarded by members as disgraceful , dishonourable , or unprofessional ; and he has failed to maintain the standard of practice of the profession . On July 30 , 2013 , the College received an anonymous call from a physician who indicated she had concerns with Dr . Mansour ’ s use of a Physician Assistant ( PA ), namely , that a PA was seeing and treating patients without proper supervision , while Dr . Mansour was not in the clinic and was , in fact , on vacation . The College launched an investigation into Dr . Mansour ’ s practice in August 2013 after receiving this information . On August 14 , 2013 , representatives of the College attended unannounced at the Clinic and spoke with the receptionist , the PA , and the Clinic Manager . Dr . Mansour was not present . The receptionist said Dr . Mansour was away for a month and that Dr . Mansour ’ s PA was seeing patients with no physician on the premises . The PA initially denied any knowledge of Dr . Mansour being out of the country on vacation , saying she understood Dr . Mansour was not in the clinic that day because he was home sick . Once the PA was told that the College understood Dr . Mansour was away , the PA said Dr . Mansour was in Libya and had been gone for a month . The PA also said that she was working on her regularly scheduled days in Dr . Mansour ’ s absence , and did not work under the supervision of any other physician . She worked only under the supervision of Dr . Mansour . She stated that she communicated electronically with
Dr . Mansour about any difficult cases . The PA confirmed Dr . Mansour had remote access to the patient records and could look at them ( with the exception of lab results ) and discuss the plan with her . If she was ordering medication , she would enter the medications into the electronic record and print it out , then use a stamp of Dr . Mansour ’ s . She would not prescribe narcotics or controlled drugs . Some of the patients she would see were walk-in patients and did not have an established physician-patient relationship with Dr . Mansour .
Around August 14 , 2013 , Dr . Mansour spoke on the telephone with a College representative and said that he was sick and therefore had been unable to go to work that day . Dr . Mansour states that this telephone conversation took place after Dr . Mansour spoke with the Clinic Manager , during which the Clinic Manager advised Dr . Mansour he ought not to have let the PA see patients in his absence , among other things . Dr . Mansour states that he panicked and told the College representative he was not at the clinic because he was sick . In actuality , Dr . Mansour was out of the country at that time . On March 26 , 2014 , the College requested various documents and information pertaining to when Dr . Mansour was on vacation / out of the country , where he was during that period , and copies of any supporting documentation , as well as dates when the PA worked at the clinic and information about what Dr . Mansour billed OHIP during that period from Dr . Mansour ’ s counsel . Dr . Mansour advised the College he was checking his records regarding where he was in July and August of 2013 , and whether bills were submitted to OHIP during this time period , and would write again once this information had been compiled . On May 13 , 2014 , Dr . Mansour told the College he had not found any records documenting where he was in July and August of 2013 , and that his recollection was that he was in Libya from July 3 to 8 , 2013 , and in Turkey from August 9 to 15 or 16 , 2013 . He told the College that his PA worked at the clinic for three days in July and four days in August while he was away . Dr . Mansour further advised he was in Turkey when he spoke with the College representative on August 14 , 2013 , that he had “ panicked and spoke without thinking first ” and that he “ is very anxious
82
DIALOGUE ISSUE 4 , 2017