DISCIPLINE SUMMARIES
repeatedly treated his family member.
On October 17, 2016, Dr. Adams signed an un-
dertaking with the College agreeing to restrict his
surgical practice to hair transplantation procedures,
ancillary procedures and commonly performed minor
procedures of the skin and subcutaneous tissue. the sole primary care physician, and also operates the
Fresh Medical Spa, which is located at the same ad-
dress as his family medicine practice.
ORDER
The Discipline Committee ordered: a three month
suspension of Dr. Adams’ certificate of registration;
terms, conditions and limitations on Dr. Adam’s cer-
tificate of registration; a reprimand and payment to
the College for costs in the amount of $5,500.
The terms, conditions and limitations include: success-
ful completion of instruction in medical ethics; clinical
supervision for six months, and re-assessment six months
after completion of the period of supervision.
For complete details of the Order, please see the
full decision at www.cpso.on.ca. Select Find a Doctor
and enter the doctor’s name. Investigation into care of a single patient
On October 18, 2012, the College received a letter
from the Chief Coroner for Ontario, enclosing reports
from a Coroner’s investigation of the death of a person
who was a regular patient of Dr. Barnard’s between
May 2000 and April 2012. The Coroner’s report indi-
cated that the cause of death was a multi-drug toxicity,
which included controlled substances that had been
prescribed to the patient by Dr. Barnard.
The College retained a family physician who found
that Dr. Barnard demonstrated a lack of skill and did
not meet the standard of practice for the following
reasons:
At the conclusion of the hearing, Dr. Adams waived his
right to an appeal and the Committee administered the
public reprimand. • His information gathering was perfunctory;
• His histories were not sufficiently detailed;
• The physical examinations were cursory at best and
appeared to be generated from a template. Often
they were not relevant to the presenting complaint;
• There was no information about family history
in his notes. It was gathered from the consultant
reports;
• The patient's surgical history was not recorded
except in the consultant's notes;
• He did not routinely ask about allergies;
• His assessments were not based on the history and
physical findings – he often reiterated the patient's
complaint rather than making a true diagnosis;
• The rationale for his treatment plans was difficult to
understand;
• The Cumulative Patient Profile (CPP) at the front
of the chart was difficult to read;
• The results of the patient's tests were not organized
for easy retrieval; and
• He did not keep an up-to-date list of the medica-
tions that were prescribed and every consultant
who looked after the patient had an incomplete or
inaccurate list of her actual medications.
DR. THOMAS JOSEPH BARNARD
PRACTICE LOCATION: Windsor
AREA OF PRACTICE: Family Medicine
HEARING INFORMATION: Admission, Plea of No Contest,
Agreed Statement of Facts, Joint Submission on Penalty
On February 13, 2017, the Discipline Committee
found that Dr. Barnard committed an act of profes-
sional misconduct in that he failed to maintain the
standard of practice of the profession, and he en-
gaged 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 dis-
graceful, dishonourable or unprofessional.
Dr. Barnard is a family physician practising in
Windsor. He operates a family medicine practice
called the Barnard Wellness Centre, at which he is
56
DIALOGUE ISSUE 2, 2018
FAILURE TO MAINTAIN THE STANDARD OF
PRACTICE
The family physician also opined that Dr. Barnard: