Dialogue Volume 11 Issue 4 2015 | Page 79

discipline summaries charts were deficient in documentation, in 12 charts Dr. Z was unable to determine if the standard of care was met due to documentation deficiencies, and seven charts had significant care concerns. The standard of care was met in five charts and partially met in two charts. Dr. Savic failed to maintain the standard of practice of the profession in his care and treatment of patients as identified by Dr. Z in his report. In his reports to the College, clinical supervisor Dr. Y has reported that Dr. Savic now meets the standard of care, including with respect to documentation in charts. Dr. Savic placed himself in a conflict of interest when he ordered diagnostic testing for some of his patients, to be performed at his clinic, and failed to disclose his proprietary interest. As of March 1, 2013, Dr. Savic voluntarily ceased performing diagnostic testing at his clinic in circumstances where he had a conflict of interest. Dr. Savic also signed an undertaking dated November 6, 2013, in which he agreed not to conduct or interpret echocardiograms or exercise stress tests, nor to permit his patients to undergo such testing at facilities owned by Dr. Savic or his family. The College and Dr. Savic agreed to facts relevant to the issue of penalty. In 2007, the Inquiries, Complaints and Reports Committee of the College ordered Dr. Savic to be cautioned in writing regarding the importance of performing and documenting a thorough physical examination of patients. In 2008, the chief of a hospital emergency department notified the College of concerns regarding Dr. Savic’s prescribing practice. Allegations of professional misconduct were referred to the Discipline Committee, but were withdrawn on the basis of an undertaking signed by Dr. Savic on November 22, 2010, one of the terms of which was resignation of his narcotics prescribing privileges. During the course of the investigation that led to the present discipline proceeding, Dr. Savic made changes to his practice in response to concerns that were raised by the investigation, including regarding delegation of controlled acts to unregistered individuals, prescribing, and conflict of interest. Y