DISCIPLINE SUMMARIES
DR. ALI ALI ABDULLA MANSOUR
PRACTICE LOCATION: Toronto AREA OF PRACTICE: Family Medicine
HEARING INFORMATION: Statement of Agreed Facts, Admission, Joint Submission on Penalty
On July 27, 2016, the Discipline Committee found that Dr. Mansour committed an act of professional misconduct, in that he has engaged in an act or omission relevant to the practice of medicine that, having regard to all the circumstances, would reasonably be regarded by members as disgraceful, dishonourable, or unprofessional; and he has failed to maintain the standard of practice of the profession. On July 30, 2013, the College received an anonymous call from a physician who indicated she had concerns with Dr. Mansour’ s use of a Physician Assistant( PA), namely, that a PA was seeing and treating patients without proper supervision, while Dr. Mansour was not in the clinic and was, in fact, on vacation. The College launched an investigation into Dr. Mansour’ s practice in August 2013 after receiving this information. On August 14, 2013, representatives of the College attended unannounced at the Clinic and spoke with the receptionist, the PA, and the Clinic Manager. Dr. Mansour was not present. The receptionist said Dr. Mansour was away for a month and that Dr. Mansour’ s PA was seeing patients with no physician on the premises. The PA initially denied any knowledge of Dr. Mansour being out of the country on vacation, saying she understood Dr. Mansour was not in the clinic that day because he was home sick. Once the PA was told that the College understood Dr. Mansour was away, the PA said Dr. Mansour was in Libya and had been gone for a month. The PA also said that she was working on her regularly scheduled days in Dr. Mansour’ s absence, and did not work under the supervision of any other physician. She worked only under the supervision of Dr. Mansour. She stated that she communicated electronically with
Dr. Mansour about any difficult cases. The PA confirmed Dr. Mansour had remote access to the patient records and could look at them( with the exception of lab results) and discuss the plan with her. If she was ordering medication, she would enter the medications into the electronic record and print it out, then use a stamp of Dr. Mansour’ s. She would not prescribe narcotics or controlled drugs. Some of the patients she would see were walk-in patients and did not have an established physician-patient relationship with Dr. Mansour.
Around August 14, 2013, Dr. Mansour spoke on the telephone with a College representative and said that he was sick and therefore had been unable to go to work that day. Dr. Mansour states that this telephone conversation took place after Dr. Mansour spoke with the Clinic Manager, during which the Clinic Manager advised Dr. Mansour he ought not to have let the PA see patients in his absence, among other things. Dr. Mansour states that he panicked and told the College representative he was not at the clinic because he was sick. In actuality, Dr. Mansour was out of the country at that time. On March 26, 2014, the College requested various documents and information pertaining to when Dr. Mansour was on vacation / out of the country, where he was during that period, and copies of any supporting documentation, as well as dates when the PA worked at the clinic and information about what Dr. Mansour billed OHIP during that period from Dr. Mansour’ s counsel. Dr. Mansour advised the College he was checking his records regarding where he was in July and August of 2013, and whether bills were submitted to OHIP during this time period, and would write again once this information had been compiled. On May 13, 2014, Dr. Mansour told the College he had not found any records documenting where he was in July and August of 2013, and that his recollection was that he was in Libya from July 3 to 8, 2013, and in Turkey from August 9 to 15 or 16, 2013. He told the College that his PA worked at the clinic for three days in July and four days in August while he was away. Dr. Mansour further advised he was in Turkey when he spoke with the College representative on August 14, 2013, that he had“ panicked and spoke without thinking first” and that he“ is very anxious
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DIALOGUE ISSUE 4, 2017