DISCIPLINE SUMMARIES
the sexual relationship ended until the spring of 2014.
ORDER
The Discipline Committee ordered: the revocation
of Dr. Horri's certificate of registration; a reprimand;
payment to the College of costs in the amount of
$10,000.
For complete details of the Order, please see the
full decision at www.cpso.on.ca. Select Find a Doctor
and enter the doctor’s name.
On April 6, 2017, Dr. Horri appealed the decision
of the Discipline Committee to the Superior Court of
Justice (Divisional Court). Pursuant to s. 25(1) of the
Statutory Powers Procedure Act, the appeal operates to
stay the decision of the Discipline Committee pending
the outcome of the appeal.
DR. SOMCHAI JIARAVUTHISAN
PRACTICE LOCATION: Oshawa
AREA OF PRACTICE: Neurology
HEARING INFORMATION: Admission; Agreed Statement of
Facts; Joint Submission on Penalty
On November 7, 2016, the Discipline Committee
found that Dr. Jiaravuthisan has committed acts
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 circumstanc-
es, would reasonably be regarded by members as
disgraceful, dishonourable, or unprofessional; and
he has failed to maintain the standard of practice of
the profession.
Dr. Jiaravuthisan, a neurologist practising in
Ontario since 1982, worked at the Glazier Medical
Centre in Oshawa.
PATIENT A
Patient A had a single office appointment with Dr.
Jiaravuthisan in May 2009. She was referred to Dr.
Jiaravuthisan for pain in her hand, hyperemia in both
hands, and positive Tinel’s sign.
When Dr. Jiaravuthisan took a history from Patient
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DIALOGUE ISSUE 1, 2018
A, she experienced his questions as abrupt and his
manner as directive. Dr. Jiaravuthisan commenced
and documented an examination of Patient A. He
examined her gait, took her vital signs, and examined
her cardiovascular and respiratory systems.
Although Dr. Jiaravuthisan’s examination of Patient A
was medically indicated, he failed to explain the steps of
his examination or to seek Patient A’s informed consent
to the examination which he was conducting.
As part of his physical examination, Dr. Jiara-
vuthisan began to palpate Patient A’s abdomen while
she lay on an examination table. As he did so, he
moved his hands below the waist band of her trousers
to the suprapubic area below her navel, again without
explanation or seeking informed consent. In doing so,
Dr. Jiaravuthisan failed to show sensitivity and respect
for Patient A’s comfort, which was unprofessional.
Patient A was confused and upset by Dr. Jiara-
vuthisan’s actions and did not know why he had
moved his hands below the waist band of her trou-
sers. She sat up and demanded to know what he was
doing, then left the examination room and com-
plained to his office staff about his behaviour.
PATIENT B
Patient B attended the single office appointment she
had with Dr. Jiaravuthisan in October 2013 with a
friend, who was also present in the examination room.
Patient B’s family physician referred her to see Dr. Jiara-
vuthisan because of leg pain, weakness, and tingling.
Dr. Jiaravuthisan took a history from Patient B.
Dr. Jiaravuthisan also conducted and documented an
examination of Patient B, including a neurological
examination, motor system examination, and physi-
cal examination.
Although Dr. Jiaravuthisan’s examination of Patient B
was medically indicated, he failed to explain the steps of
his examination or to seek Patient B’s informed consent
to the examination which he was conducting.
Dr. Jiaravuthisan failed to offer Patient B appropri-
ate draping or a gown, or to wear a glove or gloves
while examining her. He also displaced her clothing
himself by putting his hand under her pants, by roll-
ing up one of her pant legs himself, and by pulling
her shirt.
Dr. Jiaravuthisan did not take sufficient care to
maintain spatial boundaries with Patient B while