Dialogue Volume 14 Issue 1 2018 | Page 71

DISCIPLINE SUMMARIES regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional. Dr. Yaghini is a family physician who practised at a community health centre and a hospital’s emergency department. Patient A, a teenage girl, had received an antibiotic from a doctor at the local hospital for a kidney infec- tion in April 2012. She then developed an allergic reaction consisting of swelling and redness around her eye, and a rash on her stomach, back, neck and chest. Since her parents were out of town, and her fam- ily doctor’s office was far away, a family friend took Patient A to the Emergency Department of the hospital. Dr. Yaghini saw Patient A in the examina- tion room of the hospital alone. The Committee found that Dr. Yaghini made a comment to Patient A during this examination at the hospital that she was “pretty” or “very pretty”. Patient A was discharged home with a different antibiotic prescription and instructions to return either to her family doctor, the Emergency Department, or Dr. Yaghini’s clinic if she had further problems. After this, Patient A again developed a rash on her stomach, neck, chest, back, and possibly her face. She made an appointment to see Dr. Yaghini at his clinic in April 2012. She attended there with a friend, who waited in the waiting room. Dr. Yaghini examined Patient A at his clinic that day. The Committee found that Dr. Yaghini made a simi- lar comment to the “pretty” or “very pretty” remark to Patient A at her second appointment with him. The Committee also found that, at this second ap- pointment, Dr. Yaghini came close to Patient A and kissed her on the cheek. Then, with his hands on her face and jaw, the Committee found that Dr. Yaghini tried to kiss Patient A on the lips. This resulted in her feeling scared and uncomfortable. The Committee further found that Dr. Yaghini’s kiss on Patient A’s cheek and his attempted kiss on her lips constitute sexual abuse. The Committee con- cluded that it is obvious that kissing the cheek and then attempting to kiss the lips of a teenage girl in the context of a medical examination is a sexual act that violated the sexual integrity of the victim. The Committee further found that during the second April 2012 appointment, Dr. Yaghini told Patient A that she reminded him of a woman he had dated or an ex-girlfriend and, after the attempted kiss on Patient A’s lips when Dr. Yaghini apologized to her, he told her he was excited. The Committee found that these comments constitute sexual abuse, being behaviour or remarks of a sexual nature by the member towards the patient. The Committee also found the making of these remarks to a teenage patient in private during a medical examination to be conduct relevant to the practice of medicine that, having regard to all the circumstances, would reason- ably be regarded by members as disgraceful, dishon- ourable or unprofessional. ORDER The Discipline Committee ordered: a suspension of Dr. Yaghini’s certificate of registration for nine months; successful completion of a boundaries course; participation in a counselling program; a reprimand; reimbursement to the College for fund- ing provided to patients under the program required under section 85.7 of the Code, by the posting an ir- revocable letter of credit to guarantee payment in the amount of $16,060; payment of costs to the College in the amount of $31,500. 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 January 19, 2017, Dr. Yaghini appealed the deci- sion on the findings of the Professional Misconduct to the Superior Court of Justice (Divisional Court). Pursuant to s.25(1) of the Statutory Powers Procedure Act, the appeal operates as a stay of the decision pending the outcome of the appeal. Therefore, the decision of the Discipline Committee is not in effect. ISSUE 1, 2018 DIALOGUE 71