DISCIPLINE SUMMARIES
Rudd was accompanied by a nurse throughout the
patient encounter.
Patient B was seen by Dr. Rudd in November
2017 for an anorectal examination which involved
an anoscopy and sigmoidoscopy. On the way to the
examination room, Dr. Rudd made an unprofessional
comment to Patient B and another patient. During
the course of the encounter, Dr. Rudd also made in-
appropriate comments about Patient B’s appearance
and inquired about her personal life.
During the appointment, Dr. Rudd did not obtain
consent in an appropriate manner and did not take
sufficient care to ensure privacy and appropriate cov-
erage of Patient B. After his examination, Dr. Rudd
instructed Patient B on how to keep the affected area
clean and dry and suggested certain treatments. As
part of this process, Dr. Rudd demonstrated proper
ano-rectal self-care by placing his gloved hand on
Patient B’s hands to guide her, without first ensuring
she consented to him doing so. Dr. Rudd was accom-
panied by a nurse throughout the patient encounter.
Dr. Rudd had relevant history at the College,
including a caution by the Complaints Commit-
tee regarding sensitivity around assisting patients to
pull up their undergarments and trousers following
anorectal examinations. Dr. Rudd was directed to ask
patients if they want help and, if so, to offer to have
his nurse provide assistance.
Dr. Rudd entered into an undertaking to the Col-
lege on May 7, 2018, by which he agreed to resign
his certificate of registration, effective May 25, 2018,
and to never to reapply for a license in any jurisdic-
tion.
ORDER
The Discipline Committee ordered Dr. Rudd to
attend before the panel to be reprimanded and to
pay hearing costs to the College in the amount of
$6,000.
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. Rudd waived his
right to an appeal and the Committee administered the
public reprimand.
DR. JOHN DOUGLAS STRANG
PRACTICE LOCATION: Burlington
AREA OF PRACTICE: Family Medicine
HEARING INFORMATION: Admission; Agreed State-
ment of Facts; Joint Submission on Penalty
On September 10, 2018, the Discipline Committee
found that Dr. Strang committed an act of profes-
sional misconduct, in that he has engaged in con-
duct or an act or omission relevant to the practice of
medicine that, having regard to all the circumstances,
would reasonably be regarded by members as dis-
graceful, dishonourable or unprofessional.
Background: The 2013 SCERP
In August of 2013, the Inquiries, Complaints and
Reports Committee (ICRC) considered two public
complaints against Dr. Strang and directed in each case
that Dr. Strang complete a specified continuing educa-
tion or remediation program (SCERP) including:
• attending and successfully completing a Medical
Record-Keeping Course; and
• undergoing a reassessment, approximately six
months following completion of the course, con-
sisting of a chart review of 15 - 20 charts
On March 4, 2015, Dr. Strang provided the Col-
lege with the certificate of completion of the Medi-
cal Record-Keeping Course. A Reassessment of Dr.
Strang's practice was completed in November 2015.
The assessor concluded that Dr. Strang did not meet
the standard of practice for medical record-keeping
in 15 of the 16 charts reviewed.
The 2016 SCERP
In August of 2016, the ICRC considered the results of
the reassessment. The ICRC ordered a verbal caution
with respect to medical record-keeping, clinical care
regarding test results and professionalism in failing
repeatedly to respond to the College. The ICRC also
issued a SCERP consisting of clinical supervision for a
period of six months followed by a reassessment.
On October 6, 2016, Dr. Strang was informed of
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