Dialogue Volume 14 Issue 1 2018 - Page 70

DISCIPLINE SUMMARIES gown, but only with a drape, which was inad- equate for the examinations performed. Patient A found it hard to cover herself sufficiently through- out the appointment. This left her feeling exposed and vulnerable. • Dr. Wilson did not adequately explain the pelvic and breast examinations that he conducted to Pa- tient A to obtain her informed consent. Patient A did not understand the purpose and steps involved. • Although Dr. Wilson asked Patient A for sexual information relevant to the pain she was expe- riencing after intercourse, he did not explain the clinical basis for his questions. He asked her whether it hurt and how it felt when her boy- friend “went deep,” and repeated the word “deep” several times. Patient A felt very uncomfortable. • Dr. Wilson directed Patient A to bend over with her back to him, without explaining the clinical reason or seeking her consent. Patient A bent over as directed, but had only the drape to hold in place at her front, while her back (which was towards Dr. Wilson) was fully exposed, including her but- tocks. Patient A did not understand the purpose of this examination and felt shocked and violated. As a result, Patient A experienced great discomfort during the appointment. She returned to see Dr. Wilson on several more occasions but was not com- fortable with him. The experience made her more reluctant to seek medical care in general. In 2013, Patient A considered the continued impact of her experience with Dr. Wilson. Subsequently, Patient A decided to report her experience to the College. Dr. Wilson is subject to an undertaking to the College into which he entered on January 13, 2012. It requires Dr. Wilson to have a practice monitor who is a regulated health professional acceptable to the College, who must carefully observe all of his examinations of female patients and remain in the examination or consulting room at all times during all professional encounters with female patients. The practice monitor is required to report on at least a monthly basis to the College. Dr. Wilson is required to post a sign regarding this restriction in his waiting room and all examination rooms, and there are vari- ous provisions to permit compliance monitoring. Dr. Wilson entered into this undertaking at the College’s request after the College received complaints 70 DIALOGUE ISSUE 1, 2018 about female patients’ experiences in Dr. Wilson’s office, including two instances in which Dr. Wilson moved the patient’s clothing aside and commenced an examination without adequate explanation or consent. In 2011, Dr. Wilson voluntarily completed a course offered by the University of Western Ontario on Un- derstanding Boundary Issues and Managing the Risks Inherent in the Doctor-Patient Relationship. Dr. Wilson’s practice monitor has advised that she has not had concerns regarding his respect for female patients’ boundaries and privacy. The College has not received any complaints regarding conduct by Dr. Wilson towards female patients that has taken place since he entered into the 2012 undertaking. ORDER The Discipline Committee ordered: a four-month suspension of Dr. Wilson’s certificate of registration; that the the terms imposed on Dr. Wilson’s under- taking with the College dated January 13, 2012, be imposed as terms, conditions and limitations on Dr. Wilson’s certificate of registration; a reprimand; and payment of costs to the College in the amount of $5,000. 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. At the conclusion of the hearing, Dr. Wilson waived his right to an appeal and the Committee administered the public reprimand. DR. REZA YAGHINI PRACTICE LOCATION: Thornbury AREA OF PRACTICE: Family Medicine HEARING INFORMATION: Contested Hearing On December 21, 2016, the Discipline Committee found that Dr. Yaghini committed acts of profession- al misconduct, in that he engaged in the sexual abuse of a patient; and he has engaged in an act or omis- sion relevant to the practice of medicine that, having