Dialogue Volume 15, Issue 2 2019 - Page 53

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 53