DISCIPLINE SUMMARIES
deficits; and
• Dr. Kakar’s medical reports lack contemporane-
ous information, are often repetitive in nature
and sometimes contain information seen in the
charts of other patients.
The expert opined that Dr. Kakar showed suf-
ficient knowledge, skills and judgment in the clini-
cal practice of psychiatry to meet the standards of
the profession. However, while he appeared to have
sufficient knowledge and judgment regarding infor-
mation which should be documented in charts, his
documentation did not meet the standard of practice.
The Dr. D. Complaint
In August 2015, Dr. D, a psychologist, complained
to the College regarding a psychiatric report Dr.
Kakar prepared on behalf of Patient C, an insured
woman who sustained injuries in a car accident. Dr.
D examined Patient C in November 2013 and com-
pleted a psychological report dated December 2013.
Dr. Kakar saw the same patient later in December
2013, and produced a psychiatric report in January
2014.
In May 2015, Dr. D was asked to do a follow-up
report, and reviewed Patient C’s file in order to do so.
In the file, he found the report of Dr. Kakar in rela-
tion to Patient C, which contained extensive sections
that were copied from Dr. D’s initial report, with
virtually no changes.
Dr. Kakar said that when he was asked to provide a
report, he reviewed the medical brief, which included
Dr. D’s report, in preparation for his independent
psychiatric evaluation of the patient.
He said he used Dr. D’s report as a guide to his in-
terview and as a means of obtaining an accurate and
detailed history from the patient.
AGREED FACTS ON PENALTY
In May 2006, the Inquiries, Complaints and Reports
Committee issued a verbal caution regarding Dr.
Kakar’s care of a patient and in particular, regarding
the preparation of third party reports regarding the
patient’s mental state and ability to care for his child.
In June of 2009, following a public complaint and
investigation regarding his standard of practice, Dr.
Kakar entered into an undertaking with the College
which required among other things, that he practise
under the guidance of a clinical supervisor; complete
courses in pharmacological monitoring, assessment
of suicide, communication skills and record keeping;
and attend psychiatric rounds every two months for
one year.
During 2012 and 2013, Dr. Kakar experienced a
series of stressors which impacted his health. Ulti-
mately, he signed an undertaking to cease practising
medicine which was in effect between February 2014
and January 2015.
Pursuant to an October 23, 2013 undertaking,
which he executed after receiving the complaint of
Patient A, Dr. Kakar has publicly restricted his prac-
tice to that of psychiatry only.
Pursuant to a February 10, 2016 undertaking,
which he executed in lieu of a s. 37 Order, Dr. Kakar
has been practising under supervision since this mat-
ter was referred to discipline.
ORDER
The Discipline Committee ordered: a six-month
suspension of Dr. Kakar’s certificate of registration; a
reprimand; the imposition of terms, conditions and
limitations on Dr. Kakar’s certificate of registration;
and payment to the College of $5,000 in costs.
The terms, conditions and limitations ordered for
Dr. Kakar’s certificate of registration include: restrict-
ing Dr. Kakar to the practice of psychiatry; limiting
the number of patients that Dr. Kakar can see within
a 24-hour period; clinical supervision for 12 months;
a reassessment of Dr. Kakar’s practice; cooperation
with unannounced College inspections; and comple-
tion of a course in medical ethics and a course in
third party report writing.
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.
At the conclusion of the hearing, Dr. Kakar waived his
right of appeal and the Committee administered the
public reprimand.
Full decisions are available online at www.cpso.on.ca.
Select Find a Doctor and enter the doctor’s name.
ISSUE 1, 2018 DIALOGUE
59