DISCIPLINE SUMMARIES
tis C positive. Dr. Young did not meet the standards
of practice regarding infection control procedures. It
is extremely likely that the five patients were infected
with Hepatitis C from contaminated intravenous
medication administered by Dr. Young, In addition,
there were poor infection control practices observed
both in medication preparation (e.g., not cleaning
the tops of vials before re-entering) as well as failure
to change gloves frequently enough and disposal of
contaminated syringes in a bio-medical waste bin.
The second College expert reported that Dr. Young
displayed a lack of knowledge regarding appropriate
infection control techniques with respect to multi-
dose vials and that Dr. Young’s clinical practice
exposed five patients to harm as they were infected
with Hepatitis C.
ORDER
The Discipline Committee ordered: a three-month
suspension on Dr. Young’s certificate of registration;
terms, conditions and limitations on Dr. Young’s
certificate of registration: a reprimand; and payment
of $10,000 in costs to the College.
The terms, conditions and limitations on Dr.
Young’s certificate of registration include a course on
infection control, and a reassessment of his practice.
At the conclusion of the hearing, Dr. Young waived his
right to an appeal and the Committee administered the
public reprimand.
Full decisions are available online at www.cpso.on.ca.
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DR. JOSEPH ANTONIO ZADRA
PRACTICE LOCATION: Barrie
AREA OF PRACTICE: Urology
HEARING INFORMATION: Admission, Agreed Statement of
Facts; Joint Submission on Penalty
On April 17, 2017, the Discipline Committee found
that Dr. Zadra committed an act of professional
misconduct in that he engaged in conduct or an act
or omission relevant to the practice of medicine that,
having regard to all the circumstances, would reason-
ably be regarded by members as disgraceful, dishon-
ourable or unprofessional.
Dr. Zadra is a staff urologist at the Royal Victoria
Regional Health Centre (RVH) in Barrie, Ontario.
Dr. Zadra received his certificate of registration
authorizing independent practice in Ontario in 1984
and his specialist qualification in urology in 1988.
Dr. Zadra has maintained his privileges at the RVH
throughout the College investigation.
In March 2014, the College received a complaint
indicating that Dr. Zadra had been dictating opera-
tive reports that did not accurately reflect the work
he had done. No patient harm was reported as a
result of this practice.
RVH Investigation
RVH conducted a review of a portion of Dr. Zadra’s
work, which revealed that Dr. Zadra inaccurately
recorded the names of certain procedures that he
performed.
Specifically, Dr. Zadra indicated that he performed
a procedure named “cystometrogram” or “water cys-
tometrogram”, while RVH had not had a functioning
cystometrogram machine for at least several years.
In addition, Dr. Zadra dictated that he performed
a “urethrotomy” in three cases, when RVH did not
have a pediatric urethrotome and this procedure
should have been recorded as a “meatotomy.” Fur-
thermore, in one case, Dr. Zadra dictated that he
performed a procedure using a urethrotome under
local anesthetic, which is considered to be an un-
usual practice as the urethrotome is only used in the
ISSUE 2, 2018 DIALOGUE
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