Dialogue Volume 15, Issue 2 2019 - Page 54

DISCIPLINE SUMMARIES omission that would be regarded by members as disgraceful, dishonourable or unprofessional. Dr. Peirovy gave a young female patient his per- sonal cell phone number at the end of an appoint- ment for the purpose of initiating a social dating relationship. When she left the appointment, Patient A expected that she and Dr. Peirovy would date. Nothing was said about dating or ending the doctor- patient relationship during the appointment. Patient A did not consider Dr. Peirovy her doctor after the appointment. The Committee concluded that there was no professional reason for Dr. Peirovy to give his personal phone number to this patient Dr. Peirovy went on to engage in an intimate romantic relationship with the patient shortly after termination of the doctor-patient relationship. The penalty hearing was contested. The College sought a five-month suspension; a requirement that Dr. Peirovy have a practice monitor for all patient encounters; and costs of $36,860. Dr. Peirovy sub- mitted that the appropriate penalty was a reprimand and costs of $18,430.00. ORDER The Discipline Committee ordered: a two-month suspension of Dr. Peirovy’s certificate of registration; a reprimand; and costs of $28,610. 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. DR. MARK JEROME SAGER PRACTICE LOCATION: Toronto AREA OF PRACTICE: Family Medicine HEARING INFORMATION: Statement of Agreed and Uncontested Facts; Admission, Plea of No Contest on Liability; Joint Submission on Penalty On March 4, 2019 the Discipline Committee found that Dr. Sager had committed professional miscon- duct in that he engaged in an act that is disgraceful, dishonourable or unprofessional and he failed to maintain the standard of practice of the profession in regard to record-keeping. 54 DIALOGUE ISSUE 2, 2019 Ms. A was a long-standing patient of Dr. Sager. She had a history of recurrent breast cancer and was scheduled to have a major operative procedure. Prior to her final appointment with Dr. Sager in January 2017, she had often felt uncomfortable and humiliat- ed due to his manner and lack of sensitivity in drap- ing during gynecological examinations. At the final clinical encounter, Ms. A asked questions regarding lab reports and a medication prescribed by the surgi- cal specialist. Dr. Sager responded to her very reason- able questions with rude, demeaning language which was laced with profanities. He also directly insulted her intelligence. This degradation of Ms. A continued when Dr. Sager was served with a complaint from the College. He again used profane, rude language and blamed the complaint on the patient, stating to College investigators that Ms. A was mentally unwell and had depression and cancer. He also suggested that the College try to “trip her up” by further inves- tigating the complaint. Five weeks after he received the complaint, Dr. Sag- er called Ms. A at her workplace and demanded that she drop her complaint. He tried to manipulate her by discussing his own health problems, and brought up her religious background as a reason to forgive his behavior. The entirety of these events was very distressing for Ms. A. She felt humiliated, demeaned, and manipulated by her long-standing physician. As a contributing factor, when Ms. A’s chart was requested by the College, it was found to be illeg- ible. This led to further investigation into Dr. Sager’s record keeping, which was found to be well below the accepted standard of practice. Prior College History In June 2013, the Inquiries, Complaints and Re- ports Committee of the College issued a decision requiring Dr. Sager to be cautioned and to complete a specified continuing education or remediation program in relation to his record keeping. Dr. Sager completed the University of Toronto Medical Record Keeping Course in October 2013. Undertaking to The College Dr. Sager entered into an undertaking to the College on January 16, 2019, by which he agreed to resign his certificate of registration effective February 26, 2019. He also undertook not to apply or re-apply for