Dialogue Volume 15, Issue 3 2019 - Page 54

DISCIPLINE SUMMARIES • Dr. Brown failed to document his rationale for ordering tests or for prescribing medications despite normal test results in a number of charts. • Dr. Brown’s practice of Complementary/Alternative Medicine was deficient in that he did not always reach a conventional diagnosis and in his prescrib- ing of transdermal estrogen therapy.  e College’s expert also opined that Dr. Brown Th failed to maintain the standard of practice of the pro- fession by providing treatment to a family member in circumstances that were not episodic or emergent, including by referring her for saliva hormone testing and allergy blood testing. Disgraceful, Dishonourable or Unprofessional Conduct In the course of the investigation, College inves- tigators attended at Dr. Brown’s office to notify him about a patient complaint and obtain relevant information and records, including a patient chart and supplement sample. Dr. Brown became angry and shouted at the investigators, making disparaging comments and disputing their authority to obtain the records and sample. Dr. Brown subsequently provided the requested materials and apologized to investigators for his conduct. ORDER The Discipline Committee ordered: a two-month suspension; a reprimand, and terms, conditions and limitations on Dr. Brown’s certificate of registra- tion. Dr. Brown was also ordered to pay the College $6,000 for hearing costs. The terms, conditions and limitations include: completion of a course in communications and ethics; obtaining a clinical supervisor for a year; a re- assessment; cooperation with unannounced inspec- tions; and consent for the purpose of monitoring OHIP billings. 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. Brown waived his right to an appeal and the Committee administered the public reprimand. 54 DIALOGUE ISSUE 3, 2019 DR. JASJOT KAUR CHADDA PRACTICE LOCATION: Toronto AREA OF PRACTICE: Psychiatry HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On May 24, 2019, the Discipline Committee found that Dr. Chadda has committed an act of profes- sional misconduct, in that she has engaged in an act or omission relevant to the practice of medicine that would reasonably be regarded by members as dis- graceful, dishonourable or unprofessional. Boundary Violations Dr. Chadda asked several patients to attend a well- ness retreat that she was organizing in Italy in July 2014. The monetary cost was significant. A College expert noted that asking patients to comply with such requests puts patients in a difficult position as they do not want to risk disapproval or termination of their therapy. When that request of the physician involves finances, such as selling a product like the Italy Retreat in this case, it introduces the possibility of a conflict of interest for the physician and places the patient in a bind. Patient A, in her complaint, expressed that she felt uncomfortable after the retreat when she was repeat- edly requested to provide a video testimonial for Dr. Chadda’s wellness business during her therapeutic sessions. Patients C, D and E were long-term patients of Dr. Chadda. She would have been well acquainted with their vulnerabilities and should have known that including them in the Italy Retreat could adversely affect their psychotherapeutic relationship and care, even if unintentionally. Selling these patients a prod- uct outside of the physician-patient relationship was a clear boundary violation. Excessive Supplemental Billing The College’s policy statement on Block Fees and Uninsured Services is not new. Dr. Chadda should have been well acquainted with these guidelines as a