DISCIPLINE SUMMARIES
pointment. Patient A's urine culture was positive for
Group B Beta Hemolytic Streptococcus. Dr. Noza
discussed this with Patient A and asked her whether
she had been experiencing any symptoms related to a
urinary tract infection. Patient A told Dr. Noza that
she did not have any problems. Dr. Noza told Patient
A that if she did experience any issues she could
return to see him. Patient A then left the clinic.
A short time later on the same day, Patient A
remembered that she had been experiencing heavy
vaginal bleeding for the past few days but she had
forgotten to mention this to Dr. Noza. Patient A
returned to Dr. Noza's clinic and asked the secretary
to see him again. The secretary placed Patient A into
an examination room and Dr. Noza saw Patient A for
a second time that day.
Dr. Noza first palpated Patient A’s abdomen and
asked whether she had any pain. Without adequate
explanation, Dr. Noza then told Patient A to pull
down her underwear. She was not offered a drape
or gown. Dr. Noza put on a glove and conducted a
vaginal examination.
Prior to conducting the vaginal examination, Dr.
Noza failed to:
• Advise Patient A that he was going to conduct a
vaginal exam;
• Explain to Patient A the reason for the exam and
what the exam would involve;
• Obtain Patient A’s informed consent before pro-
ceeding
• In accordance with his usual practice, ascertain
whether Patient A wanted a chaperone present in
the room; and
• Provide Patient A with proper draping or a gown.
As a result, Patient A felt confused and upset.
Dr. Noza did not make any notes in Patient A’s
medical chart of her having returned to see him for a
second time on the same day. He failed to document
her concerns about vaginal bleeding and failed to
document the physical and vaginal examination.
Undertaking
Dr. Noza has entered into an undertaking to the
College, effective March 27, 2019, by which he has
agreed, among other things, that he will not con-
duct any breast, pelvic or rectal examination of any
patient, of any age, in any jurisdiction, unless the
examination takes place in the continuous presence
and under the continuous observation of a monitor
who is a regulated health professional acceptable to
the College.
Prior History
On May 14, 2015, the Inquiries, Complaints and
Reports Committee issued a written caution to Dr.
Noza with regard to professional communication.
The ICRC also directed a Specified Continuing Edu-
cation or Remediation Program which required Dr.
Noza to complete one-on-one instruction on com-
munication, and engage in self-directed learning by
writing a report reflecting on how he has changed his
communication technique.
Dr. Noza has no prior history with the Discipline
Committee.
ORDER
The Discipline Committee ordered: a three-month
suspension on Dr. Noza’s certificate of registration;
successful completion on the PROBE Ethics and
Boundaries course; and payment to the College for
hearing costs in the amount of $6,000.
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.
At the conclusion of the hearing, Dr. Noza waived his
right to an appeal and the Committee administered the
public reprimand.
DR. JAVAD PEIROVY
PRACTICE LOCATION: Toronto
AREA OF PRACTICE: General Practice
HEARING INFORMATION: Allegation Denied; Contested
Hearing; Contested Penalty
On February 26, 2018, the Discipline Committee
found that Dr. Peirovy committed an act of profes-
sional misconduct in that he engaged in an act or
ISSUE 2, 2019 DIALOGUE
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