discipline summaries
duct related to a single patient, arose in a social context
(although the complainant was a patient), and did not
occur at his office. The Committee determined that patient safety would be better protected by unannounced
or random inspections, surveys or questionnaires, and
using methods that shall be determined by the College.
Dr. Manohar shall cooperate with any such evaluations.
Order
The Discipline Committee ordered and directed that:
1. The Registrar issue a certificate of registration to Dr.
Manohar. The certificate of registration shall only
become effective after Dr. Manohar has completed
the Needs Assessment referred to in 2(i)(a) (including
the completion of any training or education as recommended by the Needs Assessment) and after the
appointment of a clinical supervisor for the Competency Evaluation referred to in 2(i)(b).
2. the Registrar impose the following terms, conditions and limitations on Dr. Manohar’s certificate of
registration:
i. Dr. Manohar shall comply with the College Policy
on Re-entering Practice and will provide to the
College a plan for re-entry that incorporates the
following components:
a. a needs assessment, to be performed by a clinical
preceptor, who shall not be a physician who is
or has acted as a physician in a practice owned
by Dr. Manohar and who is acceptable to the
College, to determine the education and training, if any, that is required of Dr. Manohar. The
needs assessment shall also specifically take into
account the particulars of this Order and determine if any additional supervision is required;
b. a competency evaluation during which Dr.
Manohar will work in the practice of a clinical supervisor, who shall not be a physician
who is or has acted as a physician in a practice
owned by Dr. Manohar, and who is acceptable
to the College. This period of evaluation shall
include direct observation of Dr. Manohar’s
patient interactions and a review of his patient
charts. This period of evaluation shall be for at
least three months or until such longer time as
the clinical supervisor shall determine that Dr.
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Dialogue Issue 3, 2015
Manohar has the required knowledge and skills
to practise under the supervision of a clinical
supervisor as set-out in paragraph 2(i)(c) below.
The clinical supervisor shall sign an undertaking with the College, in a form approved by the
College, and shall provide written reports to the
College each month.
c. O
n completion of the competency evaluation
and when approved by the College, Dr. Manohar shall work in a practice under the supervision of a clinical supervisor, acceptable to the
College, for a period of at least one year. The
clinical supervisor will report in writing quarterly to the College and execute an undertaking
acceptable to the College. The clinical supervisor may be the same or a different physician as
the clinical supervisor referred to in 2(i)(b). The
clinical supervisor shall meet with Dr. Manohar
initially on a weekly basis to review patient care,
including direct observation of patient interactions, and shall pay special attention to Dr.
Manohar’s interactions with, and respect for the
boundaries of, female patients. The quarterly
reports from the clinical supervisor shall include
the clinical supervisor’s impression of Dr. Manohar’s judgment, behaviour and attitude in the
provision of patient care including Dr. Manohar’s interaction with patients, colleagues and
co-workers. The frequency of meetings may be
decreased at the recommendation of the clinical
supervisor and with the approval of the College;
and
d. Dr. Manohar shall agree to and cooperate in
an assessment of his practice to be conducted
approximately one year after starting with the
clinical supervisor, as referred to in paragraph
2(i)(c) above. The assessment is to be carried
out by a physician appointed by the College
and may include direct observation of patient
interactions, chart review and the review of the
result of surveys, questionnaires or reports from
patients, staff and associated health professionals and physician colleagues. The physician who
conducts the practice assessment shall be provided with a copy of the Discipline Committee’s
reasons for decision in this matter and copies of
the reports of the clinical supervisors referred to