DISCIPLINE SUMMARIES
Unwanted Rostering
The College received complaints from three patients
about being rostered to Dr. Koffman’s practice without
their knowledge and consent after they attended with
Dr. Koffman at the walk-in clinics and she requested
them to complete a “Patient Enrolment and Consent
to Release Personal Health Information” form.
Patient A complained that when she first attended
the Bathurst Walk-In Clinic, she indicated on the
clinic registration form the name of her family physi-
cian. When several months later Patient A visited
the clinic and was seen by Dr. Koffman, she was
told by Dr. Koffman that in order to make a refer-
ral to a specialist, she had to complete the “Patient
Enrolment and Consent to Release Personal Health
Information” form. Patient A was not informed that
by completing the form she would change her family
physician to Dr. Koffman. She had no intention to
de-roster from her family physician’s practice when
she completed the form.
Patient B complained about being surprised and
upset to find out that his care had been switched
from his family doctor to Dr. Koffman after he
completed the “Patient Enrolment and Consent to
Release Personal Health Information” form when be-
ing treated by Dr. Koffman at the Earl Bales Walk-In
Clinic. Patient B indicated in the clinic registration
form that he had a “previous” family physician.
Patient C received episodic care from physicians
other than Dr. Koffman. When she attended the
Bathurst Walk-In Clinic and was treated by Dr.
Koffman, Dr. Koffman requested her to sign a
patient enrollment form. Patient C did not un-
derstand that in doing so she would be rostered to
Dr. Koffman’s practice and found out that she was
listed as Dr. Koffman’s patient several years later,
when she contacted the Ministry of Health and
Long-Term Care. She indicated that it was stressful
experience for her to have been rostered without her
knowledge and the subsequent need to undo the
rostering.
The College commenced an investigation of Dr.
Koffman’s office practices, which revealed that Dr.
Koffman engaged in inappropriate rostering with
respect to an additional 11 patients at the Bathurst
Walk-In Clinic.
ORDER
The Discipline Committee ordered: a four-month
suspension on Dr. Koffman’s certificate of registra-
tion; a reprimand; terms, conditions and limitations
on Dr. Koffman’s certificate of registration; and pay-
ment of costs in the amount of $5,500.
The terms, conditions and limitations on her cer-
tificate of registration include successful completion
of individualized instruction in medical ethics and
individualized instruction with respect to OHIP bill-
ing with an instructor approved by 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.
At the conclusion of the hearing, Dr. Koffman waived
her right to an appeal and the Committee administered
the public reprimand.
DR. MARTIN M.S. LEE
PRACTICE LOCATION: Pickering, Mississauga
AREA OF PRACTICE: Rheumatology
HEARING INFORMATION: Contested Allegations; Four
Hearing Days
On January 17, 2017, the Discipline Committee
found that Dr. Lee committed an act of professional
misconduct in that he engaged in the sexual abuse of
a patient and he engaged in conduct relevant to the
practice of medicine that, having regard to all the cir-
cumstances, would reasonably regarded by members
as disgraceful dishonorable and unprofessional.
Dr. Lee is a rheumatologist. During the relevant
time period, Dr. Lee practised in both Pickering and
Mississauga. Dr. Lee saw these patients for the treat-
ment of pain and fibromyalgia between January 2008
and June 2012.
Patient A
Dr. Lee engaged in sexual abuse by asking Patient A
inappropriate and personal questions about her sex
life and by showing and discussing a pornographic
ISSUE 3, 2018 DIALOGUE
41