Dialogue Volume 11 Issue 4 2015 | Page 62

discipline summaries physical examination. Dr. X opined that Dr. Aziz failed to maintain the standard of practice of the profession. Dr. Y disagreed with Dr. X’s opinion that Dr. Aziz’s care fell below the standard of practice of the profession. Dr. Aziz admitted that his documentation was deficient in respect of Patient B and that he failed to maintain the standard of practice of the profession with respect to his record-keeping. In respect of the finding of disgraceful, dishonourable and unprofessional conduct: Dr. Aziz failed to cooperate in the College’s investigation in that he failed to complete and return a physician questionnaire to provide detailed information regarding his practice to facilitate the investigation and failed to transcribe his entries in 30 patient records, despite repeated requests and notice that his failure to respond was obstructing the investigation. It was only after the allegations of professional misconduct had been referred to the Discipline Committee that Dr. Aziz provided the transcriptions of the charts and the completed physician questionnaire, permitting completion of the College’s investigation. Dr. Aziz breached an undertaking dated September 12, 2012, made in lieu of an Order under s. 37 of the Code. Dr. Aziz undertook to practice under the guidance of a clinical supervisor who was to meet weekly with Dr. Aziz to review a minimum of 10 patient charts at each meeting and discuss any issues arising therefrom. Between September 2012 and October 2013, Dr. Aziz breached his undertaking with the College in that he failed to meet his supervisor weekly on 24 occasions. On 15 of the 24 occasions, Dr. Aziz and his supervisor reviewed approximately twice the amount of charts required under the undertaking in an attempt to account for the missed weeks of supervision. Dr. Aziz made no attempt to seek prior approval of the College to proceed in this manner. Following the referral to the Discipline Committee, Dr. Aziz entered into a new undertaking with the College on Nov. 21 2013, whose provisions included among other things, that Dr. Aziz engage in clinical supervision, professional education and a reassessment. Reasons for Penalty In considering the jointly proposed penalty, the Committee was mindful of the principles which 62 underlie the crafting of a suitable penalty. These include: protection of the public; the need to maintain the integrity of the medical profession; public confidence in its capability for self-regulation; specific and general deterrence; and, where appropriate, rehabilitation of the member. Dr. Aziz’s conduct in failing to comply with an undertaking given in lieu of a College order involved repeated failures to meet the supervisory requirements to which he had agreed. Dr. Aziz did not seek the College’s approval to modify the elements of his supervision. Dr. Aziz repeatedly failed to respond to College requests to provide information, documentation and transcriptions in connection with an investigation, even after Dr. Aziz was advised that