Dialogue Volume 14 Issue 4 2018 - Page 58

DISCIPLINE SUMMARIES THE EXPERT REPORT An expert was retained by the College to provide an opinion about the care Dr. Doyle provided to Patient A as well as the care Dr. Doyle provided to 24 pa- tients treated by Dr. Doyle in his private practice. The expert identified wide ranging deficiencies including: • Inadequate documentation/record-keeping; • Lack of diagnostic clarity/consistency; • Inadequate risk assessments and/or interventions for self-harm and aggressive ideation; • Lack of attention to substance use history and/or inadequate assessment of alcohol/substance use; • Use of non-professional and/or non-objective lan- guage in clinical notes; • Inadequate psychotropic medication intervention and/or sub-therapeutic medication dosing; • Failure to make mandatory report to MOT and/or CAS; • Inadequate follow-up/frequency of monitoring/ap- pointments; • Inappropriate prescribing of stimulant medication; • Inappropriate prescribing of a narcotic; • Inappropriate prescribing of medical marijuana in patient with primary psychotic illness; • Ongoing prescribing of a medication (stimulants, benzodiazepines) that patient is known to be abusing; • Inadequate medication monitoring (efficacy, side effects, interactions, blood work); • Failure to maintain appropriate/professional boundaries; • Inappropriate polypharmacy and/or combinations of benzodiazepines, atypical antipsychotics and/or sedative hypnotics; and • Inappropriate prescribing of medications for non- psychiatric conditions and without notifying the patient's primary care provider. The expert opined that Dr. Doyle exposed or is likely to expose Patient A as well as 19 of the 24 patients to harm or injury. Dr. Doyle posted a series of YouTube videos. The expert reviewed the videos and described concerns about 23 of the 29 videos, including lack of judg- ment, professionalism and boundaries. In January of 2017, Dr. Doyle engaged in unpro- 58 DIALOGUE ISSUE 4, 2018 fessional communications with a medical adjudica- tor in the Canada Student Loans Program. He used profanities in his conversation with the adjudicator, explaining afterwards that he thought that she was a patient who was calling him non-stop. In 2009, the Discipline Committee made a finding of professional misconduct against Dr. Doyle following his admission to having engaged in disgraceful, dis- honourable or unprofessional conduct. Specifically, Dr. Doyle was found to have failed to maintain appropriate boundaries, in that he commenced a romantic relation- ship with a patient shortly after the termination of the doctor/patient relationship and made serious errors in failing to maintain appropriate boundaries with the patient during the last three months of treatment. ORDER The Committee ordered: revocation of Dr. Doyle’s certificate of registration; a reprimand; and payment to the College for costs in the amount of $16,500. For complete details, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. APPEAL On September 6, 2018, Dr. Doyle appealed the Discipline Committee’s decision on penalty and costs to the Divisional Court of the Superior Court of Justice. Pursuant to s.71 of the Health Professions Procedural Code, the Discipline Committee’s penalty decision remains in effect despite the appeal. DR. TROY CHRISTIE DRONE PRACTICE LOCATION: Kitchener AREA OF PRACTICE: Anesthesiology HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On June 25, 2018, the Discipline Committee found that Dr. Drone committed an act of professional misconduct, in that he engaged in an act or omis- sion relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be