Dialogue Volume 14 Issue 4 2018 - Page 49

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