DISCIPLINE SUMMARIES
the standard of care provided by Dr . Kamermans . Upon review of 25 of Dr . Kamerman ’ s patient charts , the medical expert reported that 11 out of 25 patient charts were deficient with respect to narcotic prescribing and the medical records in all the files were disorganized . Dr . Kamermans admitted to not reviewing his patients ' old files , which resulted in him overlooking some crucial pieces of information . The medical expert noted that the decisions about who to prescribe to and what to prescribe often seemed to be in the hands of the patients . Also , that by failing to maintain tight prescribing boundaries in patients with current or prior addictions , both the patients and their communities were placed at risk . During the medical expert ’ s interview with Dr . Kamermans , he commented , “ we are not the police .” The medical expert emphasized in her report that the application of universal precautions in opiate prescribing is crucial , given that it is not possible to always know what patients may be doing with their medications . And despite Dr . Kamerman ’ s best intentions , safety was compromised by his benzodiazepine , hypnotic , and opioid prescribing practices . In an addendum to her report , the medical expert reiterated her concerns with respect to Dr . Kamerman ’ s prescribing of controlled substances and confirmed her opinion that his medical records were “ inadequate .”
Failure to Notify Other Jurisdictions of Action Taken by Discipline Committee On February 27 , 2013 , the CPSO ’ s Discipline Committee found that Dr . Kamermans committed an act of professional misconduct , in that he failed to maintain the standard of practice of the profession . Among other things , the Committee ordered and directed that Dr . Kamermans be reprimanded and imposed terms , conditions and limitations on his certificate of registration . In March 2014 , the Michigan Medical Board found that Dr . Kamermans violated the Public Health Code by failing to notify it , within 30 days , of the action taken by the CPSO ’ s Discipline Committee on February 27 , 2013 . As a result , the Michigan Medical Board imposed terms , conditions and limitations on Dr . Kamermans ’ licence in Michigan , and ordered that he pay a fine .
In January 2015 , the New Mexico Medical Board made an order reprimanding Dr . Kamermans for failing to make a timely report of the action taken by the Discipline Committee of this College on February 27 , 2013 and failure to report the action taken by the Michigan Medical Board in April 2014 , and imposed conditions on his licence in New Mexico .
ORDER The Discipline Committee directed that Dr . Kamermans ’ certificate of registration be revoked ; that he receive a reprimand and pay $ 5,500 in costs to the College . 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 .
APPEAL On October 16 , 2017 , Dr . Kamermans appealed the finding on penalty to the Superior Court of Justice ( Divisional Court ).
DR . ALLYSON ENID KOFFMAN
PRACTICE LOCATION : Toronto AREA OF PRACTICE : Family Medicine
HEARING INFORMATION : Admission , Agreed Statement of Facts ; Joint Submission on Penalty
On August 15 , 2017 , the Discipline Committee found that Dr . Koffman committed an act of professional misconduct in that she has engaged in conduct or an act or omission relevant to the practice of medicine that , having regard to all the circumstances , would reasonably be regarded by members as disgraceful , dishonourable or unprofessional . Dr . Koffman is a family physician who received her certificate of registration authorizing independent practice in June of 2000 and has been providing episodic walk-in care and primary care at the Earl Bales Walk-in Clinic since 2011 . Between January 2004 and December 2010 , Dr . Koffman provided episodic walk-in care and primary care at the Bathurst Walkin Clinic and Family Practice .
40
DIALOGUE ISSUE 3 , 2018