Dialogue Volume 14 Issue 2 2018 - Page 56

DISCIPLINE SUMMARIES repeatedly treated his family member. On October 17, 2016, Dr. Adams signed an un- dertaking with the College agreeing to restrict his surgical practice to hair transplantation procedures, ancillary procedures and commonly performed minor procedures of the skin and subcutaneous tissue. the sole primary care physician, and also operates the Fresh Medical Spa, which is located at the same ad- dress as his family medicine practice. ORDER The Discipline Committee ordered: a three month suspension of Dr. Adams’ certificate of registration; terms, conditions and limitations on Dr. Adam’s cer- tificate of registration; a reprimand and payment to the College for costs in the amount of $5,500. The terms, conditions and limitations include: success- ful completion of instruction in medical ethics; clinical supervision for six months, and re-assessment six months after completion of the period of supervision. 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. Investigation into care of a single patient On October 18, 2012, the College received a letter from the Chief Coroner for Ontario, enclosing reports from a Coroner’s investigation of the death of a person who was a regular patient of Dr. Barnard’s between May 2000 and April 2012. The Coroner’s report indi- cated that the cause of death was a multi-drug toxicity, which included controlled substances that had been prescribed to the patient by Dr. Barnard. The College retained a family physician who found that Dr. Barnard demonstrated a lack of skill and did not meet the standard of practice for the following reasons: At the conclusion of the hearing, Dr. Adams waived his right to an appeal and the Committee administered the public reprimand. • His information gathering was perfunctory; • His histories were not sufficiently detailed; • The physical examinations were cursory at best and appeared to be generated from a template. Often they were not relevant to the presenting complaint; • There was no information about family history in his notes. It was gathered from the consultant reports; • The patient's surgical history was not recorded except in the consultant's notes; • He did not routinely ask about allergies; • His assessments were not based on the history and physical findings – he often reiterated the patient's complaint rather than making a true diagnosis; • The rationale for his treatment plans was difficult to understand; • The Cumulative Patient Profile (CPP) at the front of the chart was difficult to read; • The results of the patient's tests were not organized for easy retrieval; and • He did not keep an up-to-date list of the medica- tions that were prescribed and every consultant who looked after the patient had an incomplete or inaccurate list of her actual medications. DR. THOMAS JOSEPH BARNARD PRACTICE LOCATION: Windsor AREA OF PRACTICE: Family Medicine HEARING INFORMATION: Admission, Plea of No Contest, Agreed Statement of Facts, Joint Submission on Penalty On February 13, 2017, the Discipline Committee found that Dr. Barnard committed an act of profes- sional misconduct in that he failed to maintain the standard of practice of the profession, and he en- gaged 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 dis- graceful, dishonourable or unprofessional. Dr. Barnard is a family physician practising in Windsor. He operates a family medicine practice called the Barnard Wellness Centre, at which he is 56 DIALOGUE ISSUE 2, 2018 FAILURE TO MAINTAIN THE STANDARD OF PRACTICE The family physician also opined that Dr. Barnard: