DISCIPLINE SUMMARIES
Dr. Alexander entered into an undertaking with the
College to practise under clinical supervision and
undergo a reassessment of his practice. As a result of
the reassessment of his practice, the College’s assessor
identified numerous deficiencies in Dr. Alexander’s
practice, including that he:
• Took limited patient histories;
• Performed physical examinations that were not
tailored to the patient’s presenting problems and/or
were performed incorrectly;
• Did not consistently document physical examina-
tions;
• Performed assessments that were lacking;
• Developed treatment plans that were lacking or
absent;
• Failed to take appropriate steps to manage infection
control; and
• Provided only monthly prescriptions to patients
on chronic medication, requiring them to return
frequently and unnecessarily to the office.
Dr. Alexander admitted that he failed to maintain
the standard of practice of the profession with respect
to 13 out of 15 charts reviewed.
In the course of communicating with the College
regarding the cases reviewed by the College’s assessor,
Dr. Alexander forwarded to the College a copy of a
patient agreement for opioid therapy pertaining to
Patient Q. Dr. Alexander’s counsel advised that the
agreement was signed in 2009, but the agreement
had a copyright date of 2011. The College obtained
three patient charts of Dr. Alexander’s patients
containing opioid agreements, all of which had a
copyright date of 2011 but were dated 2009, 2008,
and 1996, respectively. Dr. Alexander admitted that
he had back-dated each of the patient agreements for
opioid therapy and that providing Patient Q’s agree-
ment to the College with the assertion that it had
been signed in 2009, when it had been signed in or
after 2011 and dated 1996, was misleading.
At the penalty phase of the hearing, the Committee
considered Dr. Alexander’s history with the College,
including two prior Discipline Committee findings:
a 1991 finding of disgraceful, dishonourable and un-
professional conduct for failing to report an incident
of suspected abuse to the Children’s Aid Society; and
44
DIALOGUE ISSUE 1, 2019
a 2012 finding that he failed to maintain the stan-
dard of practice of the profession in his care of 28
patients. The 2013 reassessment that led to Dr. Alex-
ander’s undertaking was conducted pursuant to the
Discipline Committee’s 2012 Order. The Committee
also considered Dr. Alexander’s complaints history
with the College, including a caution in writing and
three verbal cautions.
ORDER
The Discipline Committee ordered: a six-month
suspension on Dr. Alexander’s certificate of registra-
tion; a reprimand; terms, conditions and limitations
placed on Dr. Alexander’s certificate of registration;
and hearing costs to the College in the amount of
$6,000.
The terms, conditions and limitations include
ordering Dr. Alexander to practice under clinical
supervision for 12 months following his return to
practice; a reassessment; and a restriction on how
many patients Dr. Alexander can see each day.
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. Alexander
waived his right to an appeal and the Committee ad-
ministered the public reprimand.
DR. FELIPE EDUARDO ALLENDES
PRACTICE LOCATION: Hamilton
AREA OF PRACTICE: Emergency Medicine
HEARING INFORMATION: Plea of No Contest; State-
ment of Uncontested Facts; Joint Submission on Penalty
On October 16, 2018, the Discipline Committee
found that Dr. Allendes committed an act of profes-
sional misconduct, in that he engaged in conduct or
an act or omission relevant to the practice of medi-
cine that, having regard to all the circumstances,
would reasonably be regarded by members as dis-
graceful, dishonourable or unprofessional, in that
he has breached a term, condition or limitation on