Dialogue Volume 15 Issue 1 2019 - Page 65

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 ISSUE 1, 2019 DIALOGUE 65