DISCIPLINE SUMMARIES
was intentional, immoral and dishonest in telling the
College that he was unable to meet with his super-
visor for health reasons while carrying on with his
practice.
The Committee also considered Dr. Botros’ lengthy
history with the College, including multiple cautions
by the ICRC, including 2 cautions in 2011 regarding
his obligations to comply with College requests.
Dr. Botros also had a history before the Discipline
Committee. In 2015, the Committee found that Dr.
Botros was incompetent, had failed to meet the stan-
dard of practice of the profession, and had engaged
in disgraceful, dishonourable, or unprofessional
conduct, including unprofessional treatment of Col-
lege investigators. He was suspended for six months,
and had a number of terms, conditions, and limita-
tions placed on his certificate of registration. Also in
2015, the Committee found that Dr. Botros engaged
in disgraceful, dishonourable, or unprofessional
conduct for his failure to comply with a Specified
Continuing Education Program (SCERP), for which
he was suspended for at least six months, and until
he provided proof of his compliance with the SCERP
to the College.
The Committee found that there were no mitigat-
ing factors, as Dr. Botros did not cooperate with the
investigation or admit any facts or allegations, and
resigned just before the hearing date so that no hear-
ing dates could be cancelled.
The Committee found that, based on Dr. Botros’
prior history with the College, persistent unprofes-
sional behaviour and responses to the College, failure
to comply with his undertaking and outright decep-
tion, Dr. Botros was ungovernable.
ORDER
The Committee ordered the revocation of Dr.
Botros’s certificate of registration, and that Dr.
Botros pay costs of $39,948.71.
For complete details, please see the full decision at
www.cpso.on.ca. Select Find a Doctor and enter the
doctor’s name.
DR. ROBERT STEWART CAMERON
PRACTICE LOCATION: Windsor
AREA OF PRACTICE: General Practice
HEARING INFORMATION: Admission; Agreed Statement of
Facts; Joint Submission On Penalty
On March 26, 2018, the Discipline Committee
found that Dr. Cameron committed an act of profes-
sional misconduct, in that he failed to maintain the
standard of practice of the profession.
Dr. Cameron is a 65-year-old general physician
who received his certificate of registration authoriz-
ing independent practice in 1978. At the relevant
time, Dr. Cameron practised at a walk-in clinic in
Windsor, Ontario.
Information from the Narcotics Monitoring
System
In July 2016, the College received information from
the Ministry of Health and Long-Term Care’s Nar-
cotics Monitoring System (NMS) regarding Dr.
Cameron’s prescribing of controlled drugs, including
narcotics, from January 1, 2015 to December 31,
2015. The NMS data indicated that Dr. Cameron had
been identified as a physician who, in 2015, prescribed
eight or more patients at least 650 oral morphine
equivalents per day and issued at least one prescription
exceeding 20,000 oral morphine equivalents.
INVESTIGATION
The College retained an expert, a family physician,
to opine on Dr. Cameron’s prescribing of controlled
drugs including narcotics. The expert reviewed 24
charts, the NMS data, and interviewed Dr. Cameron.
At the request of the College, the expert provided an
addendum report to the College, containing indi-
vidual patient reports of the charts he reviewed. The
expert opined that Dr. Cameron’s care of his patients
fell below the standard of practice of the profession
in 18 of 24 charts and that Dr. Cameron’s care in 16
of 24 charts placed his patients at a risk of harm.
In particular, the expert noted that:
ISSUE 4, 2018 DIALOGUE
49