Dialogue Volume 14 Issue 4 2018 - Page 61

DISCIPLINE SUMMARIES tive agreement dealing with government funding for physician services and changes to the physician fee schedule, among other issues ("tPSA"). The tPSA was endorsed by the OMA's Board, including by Dr. Walley. The OMA promoted the agreement in the weeks leading up to a General Meeting, which took place on August 14, 2016. In the lead-up to the gen- eral meeting, the OMA Board promoted the agree- ment as providing "stability" and "predictability.” On August 14, 2016, the OMA membership voted to reject the tPSA. On July 29, 2016, Dr. Goodwin posted a letter to "Virginia" signed by "Santa" on a physician-only forum which requires registration and a password to access and which is accessible to the approximately 13,000 OMA members who practise general or fam- ily medicine. Dr. Goodwin also emailed the letter to approximately 20 colleagues in the Executive of the SGFP and copied it to an editor at the Medical Post. In addition, Dr. Goodwin forwarded the letter directly to Dr. Walley's personal email address. The letter signed by "Santa" was written by Dr. Goodwin. It read, in part: Dear Virginia Thank you for writing me with your existential ques- tion.....So yes, Virginia, you can have STABILITY… if you just bend a little further forward and get those hands firmly on the ground. You can also have PRE- DICTABILITY, but you'll have to keep letting that nice Eric have his way with you. And yes, Virginia, it is ok to vote yes. But it's also ok to vote no. Yours in perpetuity Santa Dr. Goodwin's certificate of registration with the College expired on May 31, 2018. Dr. Goodwin has advised the College that he does not intend to renew his certificate of registration. ORDER The Committee ordered: a one-month suspension of Dr. Goodwin’s certificate of registration; a rep- rimand; and payment to the College for costs of $10,180. The College also ordered Dr. Goodwin to successfully complete the PROBE course in ethics and professionalism. For complete details, 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. Goodwin waived his right to an appeal and the Committee administered the public reprimand. DR. PAUL MAXWELL IRWIN PRACTICE LOCATION: Cornwall AREA OF PRACTICE: General Surgery HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On May 30, 2018, the Discipline Committee found that Dr. Irwin committed acts of professional mis- conduct, in that he failed to maintain the standard of practice of the profession in his surgical practice. The Committee also found that Dr. Irwin was incompe- tent. The findings related to three investigations com- pleted by the College. The College commenced the first investigation based on information it received from the Cornwall Community Hospital in 2015, based on a review by the hospital which resulted in a recommendation from the hospital’s Medical Advisory Committee that Dr. Irwin undergo a residency-type retraining program at a Canadian university centre. The College’s expert opined that Dr. Irwin’s care of his patients fell below the standard of practice of the profession in 12 out of 36 charts reviewed and found “substantial deficits” in Dr. Irwin’s knowledge and judgment. In particular, the College’s expert noted the following issues: • Incomplete medical records, including missing operative reports, missing discharge summaries or combined admission notes and discharge summaries; • U  nacceptable use of slang or colloquial terms in the medical record; • Low threshold of operation; • M  ultiple instances of incidental appendectomies and oophorectomies, which in one case led to an appendiceal stump leak that was significant in the death of a patient; ISSUE 4, 2018 DIALOGUE 61