DISCIPLINE SUMMARIES notations on the charts of his patients . The medical expert noted that Dr . Baranick recently took one of the College ’ s courses on record-keeping and should be familiar with the College ’ s guidelines . In addition , the medical expert was surprised that Dr . Baranick did not seem familiar with the “ SOAP ” format advocated by the College , and that he rarely uses that format to help him structure his patient assessments . The medical expert concluded that Dr . Baranick failed to meet the standard of practice of a competent practitioner in his care of patients . Specifically , he found that beyond charting issues :
• Dr . Baranick ' s care displays a lack of medical knowledge of clinical conditions commonly seen in the walk-in setting , including upper respiratory tract infections , eye and ear problems , genitourinary conditions and asthma . This hampers Dr . Baranick ’ s abilities to appropriately assess patients and to effectively manage their problems .
• Dr . Baranick ’ s assessment of ocular problems exemplifies that in some instances Dr . Baranick ’ s care displays a lack of skill .
• Dr . Baranick ’ s care displays a lack of judgment in management of patients requesting repeats of prescription drugs , with the potential to expose such patients to harm .
The medical expert recommended that :
• Dr . Baranick make efforts to limit the number of patients seen during his shifts ; that he make efforts to identify areas of clinical weakness in addition to those identified during the medical expert ’ s reassessment process ; and that he take steps to increase his medical knowledge .
• Dr . Baranick ’ s practice be supervised by a clinician whose practice is more closely aligned with that of Dr . Baranick and that his practice be subsequently reassessed .
2013 Practice Assessment On April 17 , 2013 the Inquiries , Complaints and Reports Committee considered the expert ’ s report and directed another undertaking for Dr . Baranick to restrict his practice to no more than six patients per hour ; to complete the Comprehensive Family
Practice Review ( CFPR ) course ; to practise under supervision of a Clinical Supervisor ; and to undergo a comprehensive practice reassessment . The independent medical expert who conducted the comprehensive practice assessment opined that although Dr . Baranick is an experienced physician who has undergone reassessment and remediation of his practice in previous years , he still fails to meet the standard of practice of the profession in his record keeping due to legibility concerns and in not providing enough detail about some presenting complaints . Also , Dr . Baranick does not meet the standard of practice of the profession in assessing and managing community acquired infections , infant care , and chronic illness , such as arthritis , diabetes , and hypercholesterolemia . The medical expert concluded that Dr . Baranick demonstrates a lack of knowledge , skill , and judgment in these areas which have a potential to cause harm .
ORDER The Discipline Committee ordered : a reprimand ; a two-month suspension ; terms , conditions and limitations on Dr . Baranick ’ s certificate of registration ; and payment to the College of costs in the amount of $ 5,500.00 . The terms , conditions and limitations on Dr . Baranick ’ s certificate of registration include : a requirement to successfully complete a continuing medical education program ; six months of clinical supervision at a moderate level , followed by a reassessment of his practice ; and a requirement to limit his practice to seeing six patients an hour . Dr . Baranick is required to co-operate with unannounced inspections and shall consent to the monitoring of his OHIP billings of his practice for the purpose of monitoring and enforcing his compliance with the terms of this Order .
For complete details , 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 . Baranick waived his right to an appeal and the Committee administered the reprimand .
ISSUE 3 , 2018 DIALOGUE 31